A 72-year-old man with long-standing type 2 diabetes, ischaemic heart disease and recurrent severe hypoglycaemia presents for review. His current HbA1...

Question

A 72-year-old man with long-standing type 2 diabetes, ischaemic heart disease and recurrent severe hypoglycaemia presents for review. His current HbA1c is 49 mmol/mol (6.6%) on a basal-bolus insulin regimen. Which approach to glycaemic targets is most appropriate?

Accepted Answer

Relax HbA1c target to around 64 mmol/mol (8.0%) to reduce hypoglycaemia risk

Answer

Tighten control further to HbA1c ≤42 mmol/mol (6.0%)

Answer

Maintain current HbA1c as it is within target

Answer

Cease all glucose-lowering therapy

Answer

Switch to sulfonylurea monotherapy

au-amc MCQ (SBA): Individualising HbA1c targets in older adults

A 72-year-old man with long-standing type 2 diabetes, ischaemic heart disease and recurrent severe hypoglycaemia presents for review. His current HbA1c is 49 mmol/mol (6.6%) on a basal-bolus insulin regimen. Which approach to glycaemic targets is most appropriate?