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What is the goal of treatment for the individual patient with diabetes?

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What is the goal of treatment for the individual patient with diabetes?

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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 insulin as a first-line therapy when the patient’s blood glucose level is consistently higher than 180 mg/dL. • Are diets such as “no concentrated sweets”, “no added sugar”, and “liberal diabetic diet” appropriate for patients with diabetes? The notion of a “diabetic diet” is outdated and perpetuates the false notion that restricting sucrose-

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