Hypoglycaemia and the older patient

First published April 2016, updated March 2022   IntroductionDefinitionsIncidence and risk factorsCounter regulatory responsesConsequences of hypoglycaemiaGoals of treatmentConclusionReferences   Introduction Hypoglycaemia in the elderly population is one of the most challenging complications encountered in the management of diabetes mellitus. The occurrence of hypoglycaemia, in particular when it is severe (ie. requiring third party assistance), often results in short and long-term consequences. In the ageing population, recurrent hypoglycaemia can affect physical and psychological wellbeing as well as being associated with premature mortality. Definitions Traditionally, hypoglycaemia was defined as the presence of the Whipples’ triad, which included low blood glucose; symptoms and