Clinical practice recommendations advise individualizing diabetes treatment for elderly people, especially those living in long-term care facilities. Elderly patients face one of two main risks: either excessive treatment leading to hypoglycemia or insufficient treatment leading to progression of complications and excess mortality. This article describes a 10-year prospective observational study of people with diabetes in a long-term care home to determine the effect of routine glucose monitoring and monthly evaluation by a diabetes specialist with a goal of improving A1C. Its findings suggest that minimal glucose monitoring and monthly medical follow-up can optimize patient outcomes and help to maintain quality of life without over-medicalization of older people with diabetes in institutional settings.
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Feature Article| January 24 2023
Ten-Year Prospective Follow-Up of Institutionalized Patients With Diabetes in a Long-Term Care Home
Clin Diabetes cd220045
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Nathalie Vergely; Ten-Year Prospective Follow-Up of Institutionalized Patients With Diabetes in a Long-Term Care Home. Clin Diabetes 2023; cd220045. https://doi.org/10.2337/cd22-0045
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