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This document aims to support prescribing decisions for older people with moderate to severe frailty. This information can be incorporated into shared decision-making conversations. It provides more lenient therapeutic targets than standard guidelines that better balance potential benefits and harms of medicines in this population.
A study has found that among people whose HbA1c was greater than or equal to 7.5 at baseline, those who achieved the glycemic target within a year were associated with higher incidence of dementia in 6 years.
Diabetes is the commonest metabolic long term condition in older people and is characterised by a high rate of vascular complications and subsequent disability, frequent hospital admissions, and increased institutionalisation.