What are the ACP guidelines for glycemic targets in type 2 diabetes mellitus (DM)?

Updated: Oct 23, 2019
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
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Answer

A guideline from the American College of Physicians (ACP) recommends that an HbA1c target of less than 7% is appropriate for many patients. [246] Some organizations (eg, the American Association of Clinical Endocrinologists, [106] the International Diabetes Federation) recommend a glycemic target of less than 6.5% for HbA1c, although this is a general target that always has to be individualized according to patient characteristics and health conditions

The ACP advises, however, that an HbA1c of 7% may not be an appropriate target for all patients. [246] Goals should be tailored to the individual patient and should take the following considerations into account:

  • The patient's preferences

  • Risk for complications from diabetes

  • Comorbidity

  • Life expectancy


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