Elderly

Question 1

What is the FBG and A1C target for frail elderly with limited life expectancy?

Answer 1

Less than 8.5 A1C
FBG 8-12.
Prevention of hypo takes priority while avoiding symptomatic hyper

Question 2

Why should thiazolidinediones be used cautiously in elderly?

Answer 2

FRACTURES and HF

Question 3

Normal aging is associated with a progressive increase in A1C and there is a significant discordance between FBG and A1C based diagnosis. This can be accentuated by race and gender

Answer 3

Pending further studies, other screening tests may need to be considered.

Question 4

Should you use sulfonylurea in elderly?

Answer 4

DPP4 preferred.

can with caution and at half dose and increased slowly.

Question 5

What test can be used to predict which elderly patient may have trouble with learning to inject insulin?

Answer 5

Clock drawing test

Question 6

What is the BP goal for elderly diabetic?

Answer 6

Same as non elderly. Less than 130/80

Question 7

What drug use is a risk factor for development of diabetes in institutionalized elderly diabetics?

Answer 7

Antipsychotics

Question 8

Should sliding scales for insulin be used?

Answer 8

No!

Question 9

What A1C for functionally dependant?

Answer 9

7.1-8

Question 10

What A1C for end of life?

Answer 10

Do not measure! Just avoid symptomatic hyper and any hypo

Question 11

What oral drug is most preferred in the elderly after metformin?

Answer 11

Dpp4

Question 12

Can you use sglt2 in elderly?

Answer 12

If have clinical CVD and targets not met with existing meds, and egfr >30 then yes. Empa. Cana.