Glycated hemoglobin (HbA1c) levels reflect average blood glucose control over the preceding two to three months. Maintaining appropriate glycemic control in older adults is crucial for preventing long-term complications of diabetes, such as cardiovascular disease, nephropathy, neuropathy, and retinopathy. For instance, a level of 7% indicates an average blood glucose of approximately 154 mg/dL. Individualized goals are essential, reflecting the patient’s overall health, functional status, and life expectancy.
Optimal glycemic management contributes significantly to improved quality of life and reduces the risk of diabetes-related morbidity and mortality in the aging population. Historically, stricter glycemic targets were advocated for all individuals with diabetes. However, current guidelines recognize the need for a more nuanced approach, particularly for older adults, considering the potential risks of hypoglycemia and the complexities of managing multiple comorbidities. Appropriate management requires a balance between minimizing hyperglycemia and avoiding the detrimental effects of hypoglycemia.