● There is an increased risk for hypoglycemia (LOW blood sugars) for those on certain diabetes medications AND this risk increases with dementia.

● As well, as your dementia progresses, we are less strict about your diabetes blood sugar control. The risks of tight diabetes control outweigh the benefits.

● Recommended changes are to stop medications like glipizide, simplify insulin protocols, and relax blood sugar goals. Specifically, the A1C blood test, which is the 3 month batting average of your overall blood sugar control is moved from less than 7 to less than 8.5.

● We recommend getting an A1C done if it's been more than 6 months. You can talk with your primary care doc for this blood work.

● We can make the medication change and let your primary know OR if you prefer, you can review with your primary first. Once we make the change, we would recommend a follow-up A1C in 3 months with your primary.

Version: YT 12/29/2024