Diabetes Care & Research Centre

Diabetes, particularly type 2, is becoming more prevalent in the general population, especially in individuals over the age of 65 years. The underlying pathophysiology of the disease in these patients is exacerbated by the direct effects of aging on metabolic regulation. Similarly, aging effects interact with diabetes to accelerate the progression of many common diabetes complications.

The geriatric patient are being assessed according to the international guidelines and recommendations as under:

Assessment of older patients with diabetes

In patients aged 65 years and older with diabetes, we assess the patient’s overall health and personal values prior to the determination of treatment goals and strategies.

In patients aged 65 years and older with diabetes, we perform periodic cognitive screening to identify undiagnosed cognitive impairment.

We have specialized Clinic for Old Patient at our State of Art center.
For more information call us at +91 9559442558 or click below for appointment.

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Overall Health Category		Group 1 : Good Health	Group 2 : Intermediate Health	Group 3 : Poor Health
Patient Characteristics		No comorbidities or 1-2 non-diabetes chronic illnesses* and No ADL^€ impairments and ≤1 IADL Impairment	3 or more non-diabetes chronic illnesses* and/or any one of the following: mild conginitive impairment or early dementia ≥2 IADL impairments	Any one of the following: Eng-stage medical condition(S)** Moderate to severe dementia ≥2 ADL impairments Residence in a long-term nursing facility
		Reasonable glucose target ranges and HbA1c by group
Use of drugs thay may cause hypoglycemia (e.g., insulin, sulfonylurea, glinides)	Yes	Fasting: 90-130mg/dlb Bedtime: 90-150mg/dl < 7.5%	Fasting: 90-150mg/dlb Bedtime: 100-180mg/dl < 8%	Fasting: 100-180mg/dlb Bedtime: 110-200mg/dl < 8.5%^ˆ
	Yes^€	Fasting: 90-150mg/dlb Bedtime: 100-180mg/dl ≥ 7.0 and <7.5%	Fasting: 100-150mg/dlb Bedtime: 150-180mg/dl ≥ 7.5 and <8.0%	Fasting: 100-180mg/dlb Bedtime: 150-250mg/dl ≥ 8.0 and <8.5%^ˆ

Diabetes in Geriatric Patients