Question

A 79-year-old woman with long-standing type 2 diabetes, cognitive impairment, stage 3 chronic kidney disease and a history of falls has an HbA1c of 7.0 percent on metformin and low-dose basal insulin. She lives in a long-term care facility. According to Diabetes Canada, what is the most appropriate glycaemic target?

Accepted Answer

Relaxed target, aiming for HbA1c up to 8.5 percent

Answer

Tight glycaemic control with HbA1c less than 6.5 percent

Answer

Maintain HbA1c around 7.0 percent

Answer

Stop all glucose-lowering therapy

Answer

Target HbA1c less than 6.0 percent to prevent microvascular complications

Practice question