Maintaining healthy blood glucose
(sugar) levels is the cornerstone of diabetes management. However, data
increasingly shows that for diabetes patients 65 and older, aiming for very low
daily blood sugars or A1C (average blood glucose over several months) levels
may not provide benefits, and may even cause harm.
As the authors of a JAMA Internal
Medicine study put it, "Older persons, particularly those with complex
medical problems, may derive less benefit from intensive strategies to lower
glucose levels and are more susceptible to hypoglycemia [low blood sugar] and
its consequences than younger, healthier persons."
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