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
Established vascular complications
Patient preferences, resources, and support system
Learn more about the management of type 2 diabetes.
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Cite this: Anne L. Peters, Romesh Khardori. Fast Five Quiz: Hyperglycemia Associated With Type 2 Diabetes - Medscape - Jun 28, 2023.