Is intensive treatment to control blood glucose levels appropriate for all individuals in the long-term care setting?
Intensive treatment to control blood glucose levels may not be appropriate for all individuals in the long-term care setting. To maintain the highest quality of life, consideration of therapeutic and diagnostic interventions must take into account the patient’s cognitive and functional status, severity of disease, coexisting conditions, expressed preferences, and life expectancy. • Are symptoms of hypoglycemia and hyperglycemia different in the frail elderly than in younger patients? Both hypoglycemia and hyperglycemia often present with atypical symptoms in the frail elderly. Neurological symptoms of hypoglycemia such as confusion or lethargy are more common that autonomic symptoms such as palpitations or anxiety. Typical symptoms of hypoglycemia in younger people (shaking, sweating, irritability, dizziness, headache, nausea, dry mouth) may be uncommon the frail elderly. In the case of hyperglycemia, the elderly may not exhibit increased thirst or complain of urinary frequency or poly
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