Can an Elderly Person Get Diabetes?

Yes, diabetes can occur at any age. In adults and older adults, it is usually Type 2 diabetes. Many people are diagnosed with diabetes after 60 or even 70 years.

HbA1c Targets for Elderly

No, targets are individualized. HbA1c reflects the average blood sugar over 3 months, but in older adults, we consider:

• Physical independence
• Memory and cognition
• Risk of falls
• Other long-term illnesses (heart, kidney, brain)

A relaxed HbA1c target is often safer in elders to avoid low sugar episodes.

Diabetes Medication for the Elderly

Not always. Early or mild diabetes can sometimes be managed with:

• Diet modification
• Physical activity suitable for age
• Weight optimization
• Good sleep habits

Medicines are started only if sugars remain high despite these steps.

 

Timing of Diabetes Medicines

Most tablets are taken after food. Some medicines and certain insulin types are taken before food. Timing is adjusted based on appetite, routine, and safety.

Risk of Hypoglycemia in Elders

Yes, elders have a higher risk of low sugar (hypoglycemia) due to:

• Reduced food intake
• Slower drug metabolism
• Kidney or liver disease
• Memory issues

Symptoms may include:

• Giddiness
• Confusion
• Sweating
• Falls
• Palpitations

Any such symptoms → seek medical help immediately.

Diet Advice for Elders Living Alone

Simple, practical steps work best:

• Increase vegetables in every meal
• Use locally available fresh foods
• Avoid complicated cooking
• Small, frequent meals if appetite is low

A dietician-guided simple meal plan is ideal.

Managing Medication Forgetfulness

This is common with aging. Helpful strategies:

• Labelled pill boxes
• Fixed meal-time routines
• Family or caregiver reminders

Missing one occasional dose (except certain insulin regimens) is usually not dangerous, but double dosing is risky.

Blood Sugar Monitoring Frequency

• If sugars are unstable → follow doctor’s advice
• If stable → 2–3 times per week is enough
• Always during illness or infection

Dr Manicka Saravanan S , 

Dr M S Clinic, Adambakkam. 

For Appointments: 9600925266