The management of diabetes in aging populations presents unique challenges due to physiological changes, comorbidities, and polypharmacy. Older adults with diabetes face an increased risk of cognitive decline, cardiovascular disease, and frailty, requiring tailored treatment approaches. Glycemic targets must balance the risks of hypoglycemia and complications while considering functional status and life expectancy. Emerging research highlights the role of personalized nutrition, physical activity, and advanced pharmacological strategies in maintaining metabolic stability. Additionally, geriatric care models integrating endocrinology and geriatrics are essential for optimizing outcomes. As life expectancy increases, innovative healthcare policies and interventions are needed to address the complexities of diabetes management in the elderly.
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