Glycemic control in older adults: Applying recent evidence to clinical practice

Glycemic goals and the decision to intensify glycemic control among older adults with diabetes must be individualized based on comorbid conditions and the risks associated with treatment. The duration of diabetes mellitus, baseline glycosylated hemoglobin value, prior history of cardiovascular disease, and history of severe hypoglycemia are important factors to consider. This article reviews how the management of diabetes mel-litus in this subgroup is changing in view of three recently reported randomized trials of intensive glycemic control.