Low glycaemic state increases risk of frailty and functional decline in older people with type 2 diabetes, study finds

By Editor
19th October 2021
Hypoglycaemia, Older people Research Type 2 diabetes

Older adults with type 2 diabetes who have lower blood sugar levels are more likely to become frail and develop functional problems compared to those with a higher glycaemic state, new evidence identifies.

A team of academics from King’s College London and the Department of Geriatric Medicine at Rotherham General Hospital conducted a systematic review to explore whether hypoglycaemia increases the risk of fragility and physical decline in older people with type 2 diabetes.

Lead author, Professor Alan Sinclair, of the Foundation for Diabetes Research in Older People (fDROP), and Dr Ahmed Abdelhafiz found that hypoglycaemia significantly increased the risk of incident frailty and fractures among the elderly with the condition.

In further studies they also discovered a correlation between low blood sugars and an increased risk of functional decline and further frailty in older adults with type 2 diabetes.

The report stated: “The findings showed that HbA1c <6.5% associated with risk of any fracture (HR 1.08, 95% CI 1.06 to 1.11) and HbA1c <6.0% associated with increased risk of care need (3.45, 1.02 to 11.6) respectively.”

To access the full research paper, click here.

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