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. Sulphonylureas must be used with care since they can all cause hypoglycaemia . If the person has an erratic eating schedule then repaglinide may be a better choice. Insulin injections can pose a number of problems in the elderly, especially if the person has any visual impairment, or trouble with arthritis.