Fast Five Quiz: Hyperglycemia Associated With Type 2 Diabetes

Anne L. Peters, MD; Romesh Khardori, MD, PhD


June 28, 2023

For most adult patients with type 2 diabetes, the American Diabetes Association recommends a target A1c level ≤ 7%. However, the importance of individualizing A1c goals is stressed and should take into account patient-specific criteria. More stringent targets, A1c levels < 7%, may be appropriate and beneficial for certain patients if it can be achieved safely without significant hypoglycemia or other adverse treatment effects, on the basis of clinical judgement and patient preference. Likewise, less stringent goals, A1c levels > 8%, may be appropriate and beneficial for patients with limited life expectancy or where the harms of treatment outweigh the benefits.

Individualized criteria should always be used to reassess glycemic targets, including:

  • Risks for hypoglycemia or adverse effects

  • Disease duration

  • Life expectancy

  • Important comorbidities

  • Established vascular complications

  • Patient preferences, resources, and support system

Learn more about the management of type 2 diabetes.

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