Final answer:
The 58-year-old with severe cardiomyopathy, depression, and limited family supports requires less stringent blood glucose targets due to the complexity of their health conditions and potential lack of support for managing diabetes.
Step-by-step explanation:
In determining appropriate blood glucose targets for individuals with type 2 diabetes, several patient factors must be considered, including age, comorbid conditions, duration of diabetes, and overall health status. The patient scenario that typically requires less stringent blood glucose targets is the 58-year-old with severe cardiomyopathy, depression, and limited family supports. This is due to the increased risks associated with tight glucose control such as hypoglycemia, the complexity of managing diabetes with multiple other health issues, and the potential lack of support for managing the condition.
In contrast, a 32-year-old with a new diagnosis of type 2 diabetes would likely benefit from more stringent blood glucose control to prevent long-term complications. Similarly, an elderly individual on metformin with a willingness to lose weight might still be a candidate for relatively tighter control due to the potential for improvement and relative good health. As for an elderly patient starting basal insulin therapy, glucose targets would be individualized based on their ability to self-manage and the risk of hypoglycemia.