Publication Name	World Journal of Clinical Cases
Manuscript ID	123085
DOI	10.12998/wjcc.123085
Country	India

Category	Geriatrics & Gerontology
Manuscript Type	Editorial
Article Title	Decoding the glycemic paradox: The imperative for frailty-centered inpatient diabetes care
Manuscript Source	Invited Manuscript
All Author List	Basavraj S Nagoba, Sachin S Bhavthankar and Ajay M Gavkare
Funding Agency and Grant Number
Corresponding Author	Basavraj S Nagoba, Professor, Department of Microbiology, Maharashtra Institute of Medical Sciences and Research (Medical College), Vishwanathpuram, Ambajogai Road, Latur 413531, Maharashtra, India. basavraj.nagoba@mimsr.edu.in
Key Words	Type 2 diabetes mellitus; Frailty; Glycated haemoglobin; Mortality; Inpatient care; Geriatrics; Clinical Frailty Scale
Core Tip	In frail older adults with type 2 diabetes, lower glycated haemoglobin levels may paradoxically be associated with increased mortality, reflecting overtreatment, hypoglycemia, and underlying physiological decline. Frailty is a key modifier of risk and should guide glycemic targets, particularly in the inpatient setting. Routine frailty assessment, individualized treatment goals, and deprescribing of high-risk therapies are essential. A shift from rigid glycemic control to a safety-focused, patient-centered approach is crucial to improve outcomes in this vulnerable population.
Citation	Nagoba BS, Bhavthankar SS, Gavkare AM. Decoding the glycemic paradox: The imperative for frailty-centered inpatient diabetes care. World J Clin Cases 2026; In press DOI: https://doi.org/10.12998/wjcc.123085
PDF	123085-in-press.pdf

Received	2026-05-08 07:08
Peer-Review Started	2026-05-08 07:08
First Decision by Editorial Office Director	2026-06-01 08:18
Return for Revision	2026-06-01 08:18
Revised	2026-06-08 09:54
Publication Fee Transferred
Second Decision by Editor	2026-07-01 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-07-01 07:12
Articles in Press	2026-07-01 07:12
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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