Assessment
6
Table 3. Conceptual Framework for Considering Overall
Health and Patient Values in Determining Clinical
Targets in Adults Aged 65 and Older
Overall Health
Category
Group 1 Group 2 Group 3
Good health
Intermediate
health Poor health
Patient
characteristics
No
comorbidities or
1–2 non-
diabetes chronic
illnesses
a
and
No ADL
e
impairments
and ≤1 IADL
impairment
3 or more non-
diabetes chronic
illnesses
a
and/or
Any one of the
following :
• mild cognitive
impairment or
early dementia
• ≥2 IADL
impairments
Any one of the following :
• End-stage medical
condition(s)
b
• Moderate to severe
dementia
• ≥2 ADL impairments
• Residence in a long-
term nursing facility
Use of
drugs that
may cause
hypoglycemia
(e.g., insulin,
sulfonylurea,
glinides)
No Fasting :
90–130 mg/dL
Bedtime:
90–150 mg/dL
<7.5%
Fasting :
90–150 mg/dL
Bedtime:
100–180 mg/dL
<8%
Fasting : 100–180 mg/dL
Bedtime: 110–200 mg/dL
<8.5%
d
Yes
c
Fasting :
90–150 mg/dL
Bedtime:
100–180 mg/dL
≥7.0 and <7.5%
Fasting :
100–150 mg/dL
Bedtime:
150–180 mg/dL
≥7.5 and <8.0%
Fasting : 100–180 mg/dL
Bedtime: 150–250 mg/dL
≥8.0 and <8.5%
d
Shared decision-making:
individual goal may be lower or higher
Reasonable glucose target ranges
and HbA1c by group
