Type 2 Diabetes Care in the Elderly

- Many older adults have a diagnosis of type 2 diabetes, which may be further complicated by other chronic conditions.
- Different glycemic targets and treatment options are appropriate for older adults depending on comorbid conditions, functional status, and life expectancy.
- Care of the older adult patient with diabetes should be person-centered and individualized to ensure the best outcomes.

Type 2 diabetes mellitus is a major chronic disease worldwide. Over the next decade, the largest increase in diabetes prevalence is expected to be in those > 75 years old. Diabetes self-care and prevention of complications can be challenging, but, when combined with the demands of self-care for other chronic conditions, it can become overwhelming to patients and caregivers. The glycemic targets and treatment options are unique to older adults. Clinicians should treat elderly patients with diabetes based on comorbid conditions, functional status, and life expectancy using a person-centered, team-based approach.