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Many older people may be overtreated for diabetes, US study finds

More than half of older adults with multiple comorbidities may be overtreated for diabetes, a US study has shown. It found that many of these patients are on insulin or sulphonylureas, resulting in low HbA1c levels and putting them at risk of hypoglycaemia despite guidelines that recommend less aggressive glucose control in this group.

Optimal glucose management in older people is currently unclear, particularly in those with complex medical problems. Guidelines recommend higher glycaemic targets for older people with comorbidities because intensive …