Older patients with diabetes may not exhibit the same symptoms as other patients and also face complicating factors, such as dementia, dental problems, social isolation and financial issues, that affect diet and medication compliance, registered dietitians said. RD Joan Hill said a simple approach, such as a food-group meal-planning technique, may be best for counseling elderly patients about diabetes. She recommends limiting discussions to one or two topics per visit and writing out instructions in larger print.

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