Diabetes in the over 50 years age group

IntroductionCase StudyGlycaemic targetsHypoglycaemiaMicrovascular complications of diabetesCardiovascular risk preventionSpecific medicationSpecific drugs for type 2 diabetesOther important factorsConclusionReferences   Introduction This review, using a clinical case scenario, aims to give a comprehensive overview of some of the problems associated with managing diabetes in older patients. These include blood glucose management and glycaemic targets, hypoglycaemia, cardiovascular risk protection, medication use and microvascular disease. Using consideration of all these matters, the clinician can have a sound foundation to assist with clinical decision making.   Case study An 83-year-old female with a background history of vascular dementia who is being treated with insulin for her