reasonably be relaxed, Clinical complexity in using individual criteria, middle-aged and older but hyperglycemia adults with diabetes: leading to symptoms or the Health and risk of acute Retirement Study. hyperglycemic Med Care 2010; complications should be 48:327–334 avoided in all patients. E Screening for diabetes Citation #3 (Chapter 10) complications should be individualized in older adults, but particular attention should be paid to complications that would lead to functional impairment. E Other cardiovascular Additional relevant Citation #3 (Chapter 10) Blaum C, Cigolle CT, risk factors should be reference Boyd C, et al. treated in older adults Clinical complexity in with consideration of middle-aged and older the time frame of adults with diabetes: benefit and the the Health and individual patient. Retirement Study. Treatment of Med Care 2010; hypertension is 48:327–334 indicated in virtually all older adults, and and aspirin therapy may benefit those with life expectancy at least equal to the time frame of primary or secondary prevention trials. E When palliative care is Updating reference Munshi M, Florez H, needed in older adults Huang ES et al. with diabetes, strict Management of blood pressure control Diabetes in Long-term may not be necessary, Care and Skilled Nursing and withdrawal of Facilities: A Position therapy may be Statement of the appropriate. Similarly, American Diabetes the of lipid Association. Diabetes management can be Care. 2016;39(2):308-18 relaxed, and withdrawal of lipid-lowering
reasonably be relaxed, using individual criteria, but hyperglycemia leading to symptoms or risk of acute hyperglycemic complications should be avoided in all patients. E Clinical complexity in middle-aged and older adults with diabetes: the Health and Retirement Study. Med Care 2010; 48:327–334 Screening for diabetes complications should be individualized in older adults, but particular attention should be paid to complications that would lead to functional impairment. E Citation #3 (Chapter 10) Other cardiovascular risk factors should be treated in older adults with consideration of the time frame of benefit and the individual patient. Treatment of hypertension is indicated in virtually all older adults, and and aspirin therapy may benefit those with life expectancy at least equal to the time frame of primary or secondary prevention trials. E Additional relevant reference Citation #3 (Chapter 10) Blaum C, Cigolle CT, Boyd C, et al. Clinical complexity in middle-aged and older adults with diabetes: the Health and Retirement Study. Med Care 2010; 48:327–334 When palliative care is needed in older adults with diabetes, strict blood pressure control may not be necessary, and withdrawal of therapy may be appropriate. Similarly, the of lipid management can be relaxed, and withdrawal of lipid-lowering Updating reference Munshi M, Florez H, Huang ES et al. Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(2):308-18
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