Umegaki Hiroyuki, Iguchi Akihisa
Department of Geriatrics, Nagoya University Graduate School of Medicine.
Nihon Rinsho. 2006 Jan;64(1):70-3.
Although the number of older diabetes mellitus patients is growing rapidly all over the world including Japan, there has been little evidence regarding the target of plasma glucose levels in elderly diabetes mellitus patients. Older persons with diabetes mellitus have higher rates of functional disability and coexisting illness. Plasma glucose levels should be controlled properly in elderly, however, the levels must be determined individually considering their complications. Because the risks of hypoglycemia, and/or drug-drug interactions are higher in the older patients, the medical providers must balance benefits and risks for every patient. RCT in older diabetes mellitus patients would be required.