The American Diabetes Association (ADA) recommendations for glycemic control in adults with type 2 diabetes are listed on this slide. Certain populations, including pregnant women, the elderly, and patients with comorbid conditions, require special considerations.
Lowering A1C to below or around 7% has been demonstrated to reduce microvascular and neuropathic complications. Until more evidence becomes available,<7% appears reasonable for macrovascular risk reduction. A more stringent A1C goal or less stringent A1C goal may be appropriate for certain patients.
Physicians should consider monitoring postprandial plasma glucose 1 to 2 hours after the start of a meal for patients who achieve preprandial glucose goals but not A1C goals. Treatment to reduce postprandial levels to <180 mg/dL may lower A1C.
Patients with diabetes should be treated to a blood pressure goal of <130/<80 mm Hg.
American Diabetes Association. Standards of medical care in diabetes—2009. Diabetes Care. 2009;32(suppl 1):S13-S61.
