Hyperglycemia is harder to detect in older adults due to which of the following?
a. There is a higher tolerance for elevated levels of circulating glucose in older adults.
b. Older adults tend to metabolize glucose at a faster rate than younger adults.
c. Fingerstick glucose monitoring is inaccu-rate in older adults.
d. The classic signs of elevated glucose lev-els, polyuria, polyphagia, and polydipsia are rarely present in older adults.
ANS: A
Hyperglycemia in older adults is harder to detect than in a younger adult. With aging there is a higher tolerance for elevated levels of circulating glucose. It is not unusual to find persons with fasting glucose levels of 200-600 mg/dL or higher. It is not true that older adults metabolize glu-cose at a faster rate than younger adults or that fingerstick glucose monitoring is inaccurate in older adults. While it is true that older adults usually do not have the classic symptoms of ele-vated glucose levels, this does not explain why hyperglycemia is harder to detect in older adults.
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