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Diabetes Management in Older Adults: Applying 2025 Guidance on Frailty and De‑Intensification

An older African American man consults with a female doctor about diabetes care, surrounded by a clipboard, glucometer, and medication.

Managing diabetes in older adults isn’t just about adjusting medications—it’s about seeing the full picture of aging, frailty, and functionality. New 2025 standards highlight the need to assess frailty and functional status when setting A1C goals in elderly patients. But how do clinicians know when it’s time to de-intensify therapy …

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