Liberalizing Goals and Individualizing Treatment

When treating older adults with diabetes, it is important to consider the goals of treatment. Hyperglycemia needs to be managed to prevent future complications, but over-treatment can lead to low glucose levels and negative outcomes, especially in older adults. Treating diabetes in older adults is not as straightforward as treating other conditions. The concept of a 'safety window' comes into play since overshooting glucose targets can have severe consequences. Ensuring an individualized approach to treatment, considering factors like comorbidity burden, cognitive function, and functional status, is crucial for managing diabetes in older adults.