The Surprising New Recommendations Related to Low Blood Sugar and Senior Diabetics

The latest recommendations from the Endocrine Society regarding the elderly and diabetes are surprising, to say the least: lower blood sugar isn’t always best. And for those who’ve been maintaining a regimen of finger pricks, insulin injections, and careful monitoring of food intake, this change of course may be a bit hard to swallow.

Known as de-intensification, geriatricians are now often taking the approach with older adults that the benefits to be gained by striving for strict blood sugar control aren’t outweighing the health risks inherent with aging and illness. When A1c and glucose levels are kept at very low levels in the elderly, for instance, it can lead to an increased frequency of hypoglycemia and even kidney failure.

With as many as one in three seniors currently diagnosed with diabetes, these new guidelines are poised to have a staggering impact on the treatment and management of the disease for older adults, requiring a shift in mindset for many.

And not surprisingly, many older diabetics are reluctant to embrace this change. In one patient’s words to Dr. Pei Chen, a geriatrician at the geriatric clinic at the University of California, San Francisco, “I’ve been doing this for 25 years. You don’t need to tell me what to do. I can handle it.”

The new guidelines recommend an increase in A1c from 7 to 7.5% for older adults who are in good health; and up to 8 – 8.5% for those with dementia, multiple chronic illnesses, or poor health. It’s important to note, however, that recommendations are highly individualized based on a variety of factors, and that at no time should high blood sugar be ignored in the elderly.

Generations at Home can help older adults adhere to doctors’ recommendations to manage diabetes and a variety of other conditions with professional, customized, in-home care services for seniors. Just a few of the many ways we can help include:

  • Grocery shopping to ensure the senior has plenty of healthy food options readily available
  • Meal planning and preparation in adherence to any prescribed dietary plans
  • Transportation and accompaniment to medical appointments, tests, and procedures
  • Encouragement to engage in doctor-approved exercise programs
  • Medication reminders to ensure prescriptions are taken at the proper time and in the correct dose
  • And more!

Contact us online or at 727-940-3414 to request a free in-home assessment and discover a healthier lifestyle for a senior you love.

Why Seniors Should Avoid Using Sleep Medications

Senior man in bed looking at clock

Learn why seniors should avoid sleep medications in this article from the home care provider St. Petersburg, FL families trust.

What could possibly be better than waking up well rested after a great night’s sleep, completely energized and ready to face a new day? For a lot of older adults – as many as one third of them – getting adequate sleep only occurs in their dreams. And sadly, it is a common assumption that inadequate sleep is actually something to be accepted in our later years – a misconception that Preeti Malani, M.D., chief health officer and professor of medicine at the University of Michigan, hopes to dispel.

According to Dr. Malani, “If older adults believe that these changes are a normal, inevitable part of aging, they may not think of it as something to discuss with their doctor. And not discussing it can potentially lead to health issues not being identified and managed.”

Rather than merely tossing and turning, nearly 40% of seniors with insomnia issues are depending on sleeping medications – something which is frequently risky once we get older. Sleeping meds double the likelihood of falls and bone injuries in the elderly, due to the increased dizziness and disorientation they are able to cause. Seniors may also be susceptible to becoming dependent on these kinds of medications. And, the chance for motor vehicle collisions can also be increased, according to Consumer Reports’ Choosing Wisely campaign.

Additionally the concern about sleeping medications extends to herbal solutions and supplements as well, which place seniors at risk for many different additional unwanted effects. Even something as seemingly innocuous as melatonin can interact with other common prescriptions, such as those for diabetes and raised blood pressure, and also cause dizziness and nausea.

Step one in addressing sleep concerns for seniors is to speak with a physician to rule out any underlying conditions (such as for instance depression, anxiety, restless legs syndrome, or even heart problems, to mention a few) and to receive his / her recommendations on how exactly to safely improve sleep. Several safer alternatives include:

  • Restrict alcohol and caffeine, especially in the afternoon and evening
  • Keep all electronic devices away from the bedroom, and keep the sleeping environment dark and cool
  • Set a sleeping pattern and stay with it, sleeping and waking up at the same time every day
  • Engage the services of a sleep therapist for cognitive behavioral therapy

Generations at Home can help in many ways as well. Our fully trained and experienced in-home caregivers can certainly help seniors stay active during the day with exercise programs, fun outings, and much more, setting the stage for a significantly better night’s sleep. Contact us online or call us at 727-940-3414 to learn more.