Older patients with diabetes have higher morbidity and mortality compared to non-diabetic patients. Common problems of these patients are polypharmacy, functional dysability and geriatric syndroms-cognitive dysfunction, depression, urinary continence and falls.
Decision about treatment and goals of treatment should be guided by dependency, mobility and mental condition of the patients. When deciding for a antidiabetic medication, its important to consider a risk of hypoglycemia, which is increased in this group of patients, and can be a cause of cognitive deterioration and functional dysability.