| Lifestyle modification |
| Exercise and weight reduction might not be applicable in elderly patients. |
| Blood sugar Control |
| Less stringent A1C target. |
| Selective hypoglycemic agents and doses. |
| Blood Pressure Control |
| Treat BP >140/80 mm Hg |
| Avoid Hypotension and associated risk of falls. |
| Caution when using RAAS blockers in elderly. Greater risk of AKI, hyperkalemia and hypotension. |
| Nondihydropyridine Calcium Channel Blockers (Dccbs), such as diltiazem, verapamil can be used in elderly diabetic patients with albuminuria and nephropathy who are unable to tolerate ACEIs or ARBs. |
| Beta-blockers and diuretics may be helpful in the management of DN in elderly, but should probably be used in combination with ACEi or ARBs. |
