An older patient asks a nurse: "I went to my diabetes doctor, and everything was stable. The nurse practitioner spent the entire time teaching me about decreasing my risks of heart disease. It seemed odd that she did not focus on teaching me how to better control my diabetes. Do you know why?" The nurse formulates a response based on what understanding? (Select all that apply.)

A. There is little evidence that demonstrates that the course of DM can be altered in an older adult: Numerous studies show that diabetes management, including glycemic control and lifestyle changes, can significantly improve outcomes in older adults. Effective management helps prevent complications such as neuropathy, nephropathy, and retinopathy, even in later life. B. Promoting cardiovascular health has the potential to minimize the complications of diabetes mellitus (DM): Cardiovascular disease is the leading cause of death among older adults with diabetes. Focusing on heart health reduces macrovascular complications, which are often more life-threatening than hyperglycemia-related issues. C. The benefits of better control of blood pressure and lipid levels are seen much quicker than the benefits of better glycemic control: Cardiovascular improvements from managing hypertension and dyslipidemia appear within months, whereas the benefits of tight glucose control often take years to manifest. D. Older adults are less receptive to teaching about diabetes than they are to teaching about cardiovascular disease: Older adults are generally receptive to health education when it is tailored to their needs and delivered clearly. E. Diabetes is not a common chronic condition in older adults: Diabetes mellitus is one of the most prevalent chronic diseases among older adults. Many older individuals live with long-standing diabetes, making education and management of its associated cardiovascular risks essential.