Older people tend to think more slowly than younger people but this should not prevent them from learning as much as about diabetes as they are able. Relatives and carers scan help with a gradual education, reinforcing the more important aspects whenever possible. Diabetes management in the elderly For detailed information on the principles of managing diabetes, visit the Diabetes Management section, here at Diabetes Insight. Elderly people often tend to be set in their ways and may be reluctant to change their lifetime eating habits. However, many elderly people are receptive change and are able to make small changes for the better if the concepts of healthy eating are introduced gradually, and tailored to the person s tastes.
Exercise is important.
You may need to implement simple strengthening exercises that can be carried out in the armchair. The diabetes team should put you in touch with a physiotherapist, who will be able to suggest an appropriate exercise plan. Some oral medications can cause problems in the elderly. Metformin may be the agent of choice because it does not cause hypoglycaemia, but it should be avoided in people over 80 and especially those with kidney disease. The unpleasant side effects of wind, bloating and stomach cramps also mean that metformin is not well tolerated.