Question

An 82-year-old woman living in a long-term care facility has long-standing type 2 diabetes complicated by mild cognitive impairment and recurrent hypoglycaemia. Her HbA1c is 6.5% on a basal-bolus insulin regimen. She has multiple comorbidities and limited life expectancy. According to Diabetes Canada, what is the most appropriate glycaemic management goal?

Accepted Answer

Relax targets, aiming for HbA1c 7.5-8.5% and reduce risk of hypoglycaemia

Answer

Tighten control to HbA1c ≤6.0% to minimise complications

Answer

Maintain HbA1c around 6.5% with current regimen

Answer

Stop all diabetes medications immediately with no monitoring

Answer

Switch to intensive insulin pump therapy for better control

Practice question