No Longer Magic
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Description:
For the past two decades, companies marketing insulins recommended initiating insulin early on in order to attain a target A1c goal of 7%. Today, experts say too low of an A1c can do more harm than good in elderly patients with Type 2 diabetes. The 2020 American Diabetes Association (ADA) guidelines now recommends an A1C 7.5 % – 8.5 % in seniors, those with multiple chronic conditions and people with cognitive impairments.
1. McCoy RG, Lipska KJ, Van Houten HK, Shah ND. Association of cumulative multimorbidity, glycemic control, and medication use with hypoglycemia-related emergency department visits and hospitalizations among adults with diabetes. JAMA Netw Open. 2020;3(1):e1919099.
2. American Diabetes Association. Diabetes Care 2020 Jan; 43(Supplement 1): S152-S162
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