Final answer:
The 58-year-old with severe cardiomyopathy, depression, and limited family supports would require less stringent blood glucose targets due to their complex medical conditions and life expectancy, which may make intensive blood glucose management inappropriate.
Step-by-step explanation:
The patient scenario that requires less stringent blood glucose targets is d) A 58-year-old with severe cardiomyopathy, depression, and limited family supports. In this case, the patient's complex medical conditions and psychosocial factors may warrant a more individualized approach to glycemic control. For such patients, intensive blood glucose management may not be appropriate due to the risk of hypoglycemia and the potentially limited benefit in the context of their overall health status and life expectancy.
Contrastingly, younger patients, like a 32-year-old with a new diagnosis of type 2 diabetes or a 65-year-old determined to lose weight, generally benefit from stricter blood glucose targets to prevent long-term complications. A 72-year-old starting basal insulin therapy may also need relatively tighter control, depending on their overall health, cognitive function, and risk of hypoglycemia. However, personalized treatment plans are essential as age and co-morbid conditions play a significant role in determining the appropriate targets for blood glucose management in patients with type 2 diabetes.