Individualization of Treatment Goals and Medication Plans for Older Adults With Diabetes
*Continuous glucose monitoring glycemic metrics: TIR, time in range (70–180 mg/dL [3.9–10.0 mmol/L]); TBR, time below range (<70 mg/dL [<3.9 mmol/L]).
†Upon discharge, consider reinstating home treatment if inpatient treatment was more complex. ADL, activities of daily living.
*Continuous glucose monitoring glycemic metrics: TIR, time in range (70–180 mg/dL [3.9–10.0 mmol/L]); TBR, time below range (<70 mg/dL [<3.9 mmol/L]).
†Upon discharge, consider reinstating home treatment if inpatient treatment was more complex. ADL, activities of daily living.
Simplification of Complex Insulin Therapy
ASCVD, atherosclerotic cardiovascular disease; CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate. *Basal insulins: glargine U-100 and U-300, detemir, degludec, and human NPH. †Prandial insulins: short-acting (regular human insulin) or rapid-acting (lispro, aspart, and glulisine). ‡Premixed insulins: 70/30, 75/25, and 50/50 products. §Examples of noninsulin agents include metformin, sodium–glucose cotransporter 2 inhibitors, dipeptidyl peptidase 4 inhibitors, and glucagon-like peptide 1 receptor agonists. Adapted with permission from Munshi MN, Slyne C, Segal AR, Saul N, Lyons C, Weinger K. Simplification of insulin regimen in older adults and risk of hypoglycemia. JAMA Intern Med 2016;176:1023–1025
ASCVD, atherosclerotic cardiovascular disease; CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate. *Basal insulins: glargine U-100 and U-300, detemir, degludec, and human NPH. †Prandial insulins: short-acting (regular human insulin) or rapid-acting (lispro, aspart, and glulisine). ‡Premixed insulins: 70/30, 75/25, and 50/50 products. §Examples of noninsulin agents include metformin, sodium–glucose cotransporter 2 inhibitors, dipeptidyl peptidase 4 inhibitors, and glucagon-like peptide 1 receptor agonists. Adapted with permission from Munshi MN, Slyne C, Segal AR, Saul N, Lyons C, Weinger K. Simplification of insulin regimen in older adults and risk of hypoglycemia. JAMA Intern Med 2016;176:1023–1025