The overtreatment of type 2 diabetes in frail older people. (2nd September 2020)

• Record Type: Journal Article
• Authors: Syed, Hannah
• Is Part Of: Journal of prescribing practice. Volume 2:Number 9(2020)
• Page Start: 496
• Page End: 502
• Publication Date: 2020-09-02
• Subjects: Diabetes -- older people -- frail -- medicine -- deprescribing -- overtreatment; Drugs -- Prescribing -- Periodicals; Nurse practitioners -- Periodicals; 615.1
• DOI: 10.12968/jprp.2020.2.9.496
• Languages: English
• ISSNs: 2631-8385

Abstract

Abstract : Intensive treatment with insulin and sulfonylureas in older people with low HbA1c (<53mmol/mol) can increase the risk of hypoglycaemia, morbidity and mortality. Older people, particularly those with frailty and/or comorbidities are less likely to benefit from the long-term protective effects of good glycaemic control and are often at risk of inappropriate polypharmacy. A person-centred holistic approach to diabetes management must be adapted for older people living with diabetes.