Elderly person with need for deprescribing and targets re-set

The case

84-years old Mrs Harrison has an appointment with her GP for a health check-up since she needs new prescriptions of her diabetes medications. Mrs Harrison lives alone, she has carers come in twice daily to assist her with ADLs, cleaner once a week, and meals on wheels. According to the community DSN who makes regular home visits recently she has been more confused, lethargic and has had a fall.

Mrs Harrisson´s medical history reveals that she has a history of type 2 diabetes for 32 years. Her diabetes medication comprises Metformin 1g bd and Gliclazide 80mg bd and her HbA1c is 40mmol/mol (5.3%).

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