Centers for Disease Control and Prevention.Diabetes Care: Older Adults: Standards of Medical Care in Diabetes-2018.Diabetes Care: Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-20.Diabetes Care: Glycemic Targets: Standards of Medical Care in Diabetes-2018.American Diabetes Association: Diagnosing Diabetes and Learning About Prediabetes.Ask your doctor for a referral to a prediabetes or diabetes education program, so you can learn how to manage your condition, and also for a referral to a dietitian, for an individualized nutrition plan. Medications may also be advised.īlood sugar monitoring helps you understand how your blood sugars compare to your targets, and allows you to provide your doctor with specific data on your progress. Lifestyle therapy, including a healthy diet, weight management and exercise, is the cornerstone of managing these conditions. If you have prediabetes or diabetes, your doctor will review a management plan tailored for you. To avoid hypoglycemia, ADA recommends that physicians individualize - and relax - blood sugar targets in older adults who have multiple chronic illnesses, cognitive impairment or those who rely on others for daily care. However, in some people, aiming for these near-normal blood sugars may increase the risk of hypoglycemia, or low blood sugar - a side effect of insulin or certain diabetes pills which can increase the risk of falls, confusion or accidents. Many older adults with diabetes who are otherwise healthy and independent can try to achieve the same SMBG targets as their younger counterparts.
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