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Diabetes Control
A DiabetesTeam Member asked a question 💭

Is their different diabetes control for a 75 year old compared to a 55 year old according to the ADA guidelines?

posted December 11, 2022
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A DiabetesTeam Member

@A DiabetesTeam Member there is a different A1C target if that's the question you are asking

The thinking, while kind of morbid, is that once you cross certain age thresholds you are simply not going to (naturally) live long enough to develop certain complications even with relaxed blood sugar targets.

The (experts) started recommending a more holistic approach to blood sugar targets back in 2018 and the ADA adopted their recommendation (as did most of the member countries which includes the EU and the Commonwealth) where an A1C target is not specifically just by age.

Now, depending on the "patients situation" an acceptable A1C target for them could be anything from "Below 6.0" (young and otherwise in decent shape) up to 8.0 or even 8.5 (shortened life expectancy).

Anyhow, here's a visual that is included with the detailed explanation that is provided for doctors to consider when picking a target for a patient.

posted December 11, 2022
A DiabetesTeam Member

Sometimes less tight glucose control recommended.Definitely less food- assumed to be less active.Drug dosage also changes -lowered for most(slower metabolism)

posted December 11, 2022
A DiabetesTeam Member

@A DiabetesTeam Member well explained as usual Graham

I have gotten my blood sugar levels down from 7.5 to 5s by walking more often and by eating mostly healthy meals and less fattening snacks between meals and I am feeling well too at 81

Hugs from Judyxx

posted December 11, 2022
A DiabetesTeam Member

I wouldn't think so age doesn't matter diabetes is diabetes

posted December 11, 2022
A DiabetesTeam Member

Thanks Graham well explained.
Jimmers

posted December 11, 2022

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