Navigating Diabetes Care in Older Adults

This chapter explores the complexities of diabetes management in older adults, particularly in hospice settings, emphasizing personalized care over strict A1C targets. It introduces the ADA's 4Ms framework and discusses the importance of simplifying insulin regimens while enhancing patient and family engagement with technology like continuous glucose monitoring. Additionally, the chapter examines specific medication considerations, including metformin and pioglitazone, highlighting both their benefits and risks in older populations.