Chronic Metabolic Diseases  The treatment of chronic metabolic diseases such as diabetes mellitus, Hypothyroidism, Hypertension & Dyslipidemia in the elderly is different and requires special attention with close follow-up. 2 . If you have diabetes before the age of 60, the following is recommended: You should regularly review your medication once every 3 months with any specialist as some diabetes medications have side effects after the age of 60, even if they have been for you before. 3 . You should have a fundoscopy and neuropathy check every year after age 65. 4 . If you have high blood pressure, you should have an annual electrocardiogram as part of your regular medical examination.