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9 The five-item FRAIL score (a questionnaire comprising five components: Fatigue, Resistance (difficulty walking up stairs), Ambulation, Illness, and Loss of weight) 8 Managing frailty in the context of type 2 diabetes Effective management of type 2 diabetes in older adults requires healthcare professionals to appreciate the increasing complexity of the illness and that care may need to operate over four decades (60–90 years and older) and respond to the changing circumstances of an individual’s health status. 9 Managing type 2 diabetes in high-functioning older people with an anticipated long-life expectancy is often similar to those for younger people. However, these approaches are inappropriate and potentially unsafe if applied to functionally impaired or frail individuals.

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