Older adults living with type 1 diabetes face a distinct set of management challenges. The priority shifts toward patient safety, and glucose targets must be set with particular care to reflect this population's heightened susceptibility.
As older adults with type 1 diabetes are especially vulnerable to hypoglycemia, target glucose values should be adjusted to minimize the occurrence of hypoglycemic events.
The structured protocol for this scenario centres on an individualized insulin regimen, calibrated to minimize hypoglycemia — the specific criteria, adjustments, and circumstances under which management may be modified are detailed in the full protocol.
A core measurable goal for individuals with a long duration of diabetes in this population is:
DOI: 10.2337/dci21-0043
Insulin regimens in older adults should be individualized and patient safety is a key priority.
Since, in some older adults with type 1 diabetes, administration of insulin may become more difficult, simplification of insulin management may be justified in cases of individuals with complications or functional or cognitive impairment.
As older adults with type 1 diabetes are especially vulnerable to hypoglycemia, target glucose values should be adjusted to minimize the occurrence of hypoglycemic events.
The primary target for older people with a long duration of diabetes should be TBR less than 1%.
View source ↗