GLP1A TO REDUCE INSULIN

Question 1

What challenges do older adults with type 2 diabetes face?

Answer 1

Complex care goals due to longer lifespan and insulin deficiency with age

Common syndromes affecting care strategies include frailty, mild cognitive impairment, hypoglycemia, and glucose variability.

Question 2

What is the role of GLP-1 receptor agonists in diabetes care?

Answer 2

Reduce insulin needs, simplify regimens, and improve glycemic control in insulin-deficient individuals

Question 3

How do GLP-1 receptor agonists affect insulin requirements when combined with basal insulin?

Answer 3

Lower insulin requirements, weight, and hemoglobin A1c

Question 4

What percentage of patients benefited from adding a GLP-1 receptor agonist to basal-bolus insulin regimens in a real-world study?

Answer 4

81%

Question 5

What is the target hemoglobin A1c for adults with diabetes?

Answer 5

Generally below 8.0%, adjusted for health status

Question 6

What is recommended for patients at high hypoglycemia risk or frail regarding time-in-range?

Answer 6

Time-in-range of 50% or more, with less than 1% below range

Question 7

What adjustments are necessary in diabetes treatment?

Answer 7

To reduce hypoglycemia risk and improve quality of life, especially before elective surgery