MedicineEndocrinologyGeriatric MedicineDiabetologyGeriatric CareGeriatricsDiabetes ControlDiabetes ManagementDiabetes MellitusDiabetic NeuropathyGlycemic ControlHypoglycemia ManagementHypoglycemia Diagnostic EvaluationHypoglycemia In DiabetesHypoglycemia In Older AdultsIndividual Risk AssessmentPatient Education For HypoglycemiaSelf-management Of HypoglycemiaTight Glycemic Control
Hypoglycaemia represents the limiting factor to obtain good glycemic control. Dysregulation of counteracting mechanisms and autonomic nervous system neuropathy contribute a strong increase in the incidence of hypoglycaemia in type 1 diabetic patients, but also in long lasting type 2 diabetic patients. Hypoglycaemia in elderly poses a diagnostic and clinical challenge of the unsual clinical presentation causing a delay in treatment. Treatment however, is simple and follows early detection of symptoms by the patient and his family. Prevention has a major role and involves identification of individual risk factors for hypoglycaemia and patient's education with the objective of adapting treatment to the usual habits of the patient.