Has a threshold glucose level at which adverse effects of diabetes appears been defined?
The threshold glucose level at which adverse effects of diabetes appears has not been defined. Patients with blood glucose levels consistently > 200 mg/dL are at higher risk for stroke-related disability and for adverse outcomes from heart disease and kidney disease. • What is the goal of treatment for the individual patient with diabetes? For the individual patient, the goal of treatment should be to improve blood glucose control and, if possible, minimize complications while taking into account, individual preference, life expectancy, and quality of life as defined by the patient. • Is diet and exercise feasible for frail elder patients in relation to diabetes management? While diet and exercise are the cornerstones of diabetes management, lifestyle modification may be difficult to implement in some frail elderly patients, especially those with multiple comorbidities and limited mobility. • When is it appropriate to use insulin as a first-line therapy? It may be appropriate to use in
