In the therapeutic approach to elderly diabetic patients, it is necessary to consider that diabetes is one aspect of geriatric syndrome, and individualizing targets of treatments are needed based on the presence of frail, dementia, and activity of daily living. Because of decreased physiological functions along with aging, older patients are prone to cause hypoglycemia by drug therapy. Thus, proper using of drugs for older patients are important. In several countries, some clinical practice guidelines for older diabetes have been made. In this year, The Japan Geriatrics Society and The Japan Diabetes Society collaborate and start to prepare clinical practice guideline for individualizing targets of older diabetes' treatments. Overmedication for older diabetes without authority has to be avoided, because it leads to negative influence on quality of older patients' lives.
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