Diabetes in Older People

Case Study

Ilana is a 72-year-old female who has had type 2 diabetes for 3 years. She lives with her husband, Noah, and provides daily care for him in their senior’s apartment. She had a myocardial infarction 4 years ago, but recovered well after having 2 stents inserted. She is active participating in water aerobics twice a week, and walking 30 minutes every day. She enjoys her Sunday night suppers with her children and grandchildren.

Ilana is currently taking metformin 1,000mg twice daily for her diabetes. Her most recent A1C is 7.8%, eGFR > 60 mL/min/1.73m2. Other medications are: ramipril 10mg once daily, hydrochlorothiazide 25mg once daily, Enteric-coated ASA 81mg once daily, rosuvastatin 20mg once daily.

Question 1: What would be the most appropriate A1C target for Ilana?

A.  ≤6.5%
B.  ≤7%
C.  7.1 to 8.0%
D.  7.1 to 8.5%
Reveal Answer

References for Ilana:

References for Noah:


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