Which complication can arise from inappropriate Digoxin management in the elderly with diabetes?

Inappropriate management of Digoxin in elderly patients, particularly those with diabetes, can lead to an increased risk of falls. This arises from several factors associated with Digoxin use. Digoxin is primarily used to treat heart conditions, such as atrial fibrillation and heart failure, but it has a narrow therapeutic window, meaning that the difference between a therapeutic dose and a toxic dose is small. In older adults, this can be exacerbated by factors like decreased renal function, which is common in this age group, causing Digoxin to accumulate in the body.

When Digoxin levels become too high, it can lead to side effects such as dizziness, confusion, and visual disturbances. These side effects can significantly impair balance and coordination, increasing the likelihood of falls in elderly patients. Furthermore, falls are particularly concerning in this demographic, as they can lead to severe injuries such as fractures, which can have devastating consequences on mobility and independence.

In contrast, the other options suggest outcomes that are not associated with improper Digoxin management. Enhanced muscle strength, improved balance, and decreased cardiovascular risk would typically be considered positive effects of effective medicine management rather than complications arising from mismanagement. Hence, the correct answer highlights a significant concern in geriatric care related to medication management