Many seniors live with diabetes, and effective management looks different than it does for younger adults.

Age brings changes in metabolism, appetite, and medication tolerance. Older adults are more vulnerable to low blood sugar and drug interactions, so their diabetes care needs to be personalized.

The Diabetes Canada Clinical Practice Guidelines recommend adjusting blood sugar (A1C) targets based on overall health. For active, independent seniors, a target near 7% may work well. For those dealing with frailty or memory loss, a higher goal—up to 8.5%—can prevent dangerous drops in blood sugar.

Medication review is essential. Some pills, like older diabetes drugs that lower sugar too aggressively, may raise the risk of hypoglycemia. Newer or gentler options are often safer choices.

Day-to-day habits make a difference too. Eat balanced meals at regular times, stay mobile within your limits, and take medications as directed. Checking in regularly with a pharmacist or healthcare provider helps fine-tune your plan as your needs change.

With the right monitoring and support, seniors with diabetes can manage their condition safely and continue to live active, fulfilling lives.

Birva Shah, Certified Diabetes Educator