Geriatric Medicine

Female, 76 years of age, type 2 diabetes, well managed, A1C 6%, on metformin 500mg daily. Patient also has well-managed hypertension, hyperlipidemia, and osteoporosis. She lives alone. Wants tighter diabetes control. Was having hypoglycemia when on 500mg twice daily. Requests, almost begs me, to increase her medication. States she’s afraid she’s going to have kidney problems.

What benefits can medication provide in elderly patients with uncontrolled type 2?

Can statins provide neuroprotective properties in diabetes patients?

The diabetes drug may have a beneficial effect on neurodegenerative diseases.

Uncontrolled blood glucose seems to increase the risk of brain troubles.

National cohort study examined events in Medicare beneficiaries.

Appropriate intensification and deintensification in medication use may be of benefit.

New research shows similar response in seniors with diabetes as those without.

Sleep disturbances associated with insulin resistance and incidence of type 2 diabetes in older adults.

Risk found to be neutral, but duration of diabetes and increased risk of bone fracture need further study...