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Treatment of Diabetes in Older Patients

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17 Management of Diabetes Away From Home – in Hospitals and Long-term Care Facilities ➤ In patients aged 65 years and over with diabetes in hospitals or nursing homes, ES recommends establishing clear targets for glycemia at 100–140 mg/dL (5.55–7.77 mmol/L) fasting and 140–180 mg/dL (7.77–10 mmol/L) postprandial while avoiding hypoglycemia. (1|⊕⊕ ) Technical Remark: An explicit discharge plan should be developed to re-establish long-term glycemic treatment targets and glucose-lowering medications as the patient transitions to posthospital care. ➤ In patients aged 65 years and older with diabetes and a terminal illness or severe comorbidities, ES recommends simplifying diabetes management strategies. (1|⊕ ) ➤ In patients aged 65 years and older without diagnosed diabetes, ES suggests routine screening for HbA1c during admission to the hospital to ensure detection and treatment where needed. (2|⊕⊕ )

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