Improving the Care of Older Adults With Diabetes

Patient-Centered Care and Individualized Goals

The 2013 guidelines update recommends DM care that is customized and prioritized to the individual person with DM, with attention to quality of life and personal and caregiver choices related to health care. The 2013 guidelines update:

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  No longer recommends aspirin for the primary prevention of cardiovascular disease (CVD).
  
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  Renews the emphasis on treating dyslipidemias with statins but not to target levels.
  
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  Continues to support glycemic control recommendations customized to burden of comorbidity, functional status, and life expectancy.
  
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  Presents stronger, more-prescriptive, patient-centered recommendations for lifestyle modification because of increased evidence of its importance for healthy older adults with DM.