← Return to Old age and diabetic

Discussion

Old age and diabetic

Diabetes & Endocrine System | Last Active: Apr 10 4:59am | Replies (12)

Comment receiving replies
@mcsnail

I am 69 and have been a type 1 diabetic for over 50 years. There is not much for me to add to the excellent advice above--but I was wondering if you are taking any oral agents. Around 20 years ago, when I started experiencing transitory insulin resistance with peri-menopause, I began taking metformin along with insulin. I found that 500mg in the morning evened out the "roller coaster" considerably. This isn't for everyone--since some people have unpleasant gastric side-effects (though they often resolve in a couple of weeks), but I found that my diabetic gastric complications actually improved significantly. An added benefit for me (I don't know your gender) is that metformin is known to mitigate the risk of gynecologic cancers.
I've always been a little annoyed at the current dogma that an AIC of 7 is more than fine for elderly people. The reasoning is that low blood sugars are more dangerous--given the few years left to us--than any complications that might develop in that time. This reasoning is sound if the diabetic is unable or unwilling (certainly not you!!) to try some simple measures to tighten things up. However-even if complications don't result--and they can in a couple of years with a 7 AIC- a blood sugar roller coaster can affect QOL and can actually result in more hypoglycemic episodes. Currently, (after a misspent youth with AICs over 18) mine is below 6 and I rarely have low blood sugars. Rather late in the game I started using an insulin pump which is linked to my CGM. That has helped immeasurably. I also eat a low carb diet and exercise--and my CGM readings make a beautiful flat line.

Jump to this post


Replies to "I am 69 and have been a type 1 diabetic for over 50 years. There is..."

Thank you for that! I tried metformin when I was first diagnosed and got to the point of not being able to eat! I wish I could take it. I've had a few low blood sugars that have been really scary like 33 at 4AM. I am 82 and I live alone, so I try to not risk it which means I err on the side of not enough insulin and wake up high. I don't think I want to get involved with an insulin pump right now. That's a little scary. I don't believe I need a flat line given I have no symptoms and never have, but I would like to avoid the real highs and real lows. I am glad you've got it under control, you've done a good job!