Table 6.
Glycemic Targets for Persons with Diabetes Mellitus
Parameter | Treatment goal | |
---|---|---|
Glucose | ||
A1C, % | Individualize on the basis of age, comorbid conditions, duration of disease; in general, ≤6.5 for most; closer to normal for healthy; less stringent for those at greater risk for hypoglycemia and/or adverse consequences from hypoglycemia; longer duration of diabetes; shorter life expectancy; comorbidities especially established vascular complications | |
FPG, mg/dL | <110 | |
2-h PPG, mg/dL | <140 | |
Inpatient hyperglycemia: glucose, mg/dL | 140 to 180 | |
Weight | ||
Weight loss | Reduce weight by >5% to ≥10%; avoid weight gain | |
Diabetes type | Glucose range a,179 | Recommendations (% of readings) |
T1D and T2D | <54 mg/dL (<3.0 mmol/L) | <1% |
<70 mg/dL (<3.9 mmol/L) | <4% | |
70 to 180 mg/dL (3.9 to 10.0 mmol/L) | >70% | |
>180 mg/dL (>10.0 mmol/L) | <25% | |
>250 mg/dL (>13.9 mmol/L) | <5% | |
Pregnancy with T1D | <54 mg/dL (<3.0 mmol/L) | <1% |
<63 mg/dL (<3.5 mmol/L) | <4% | |
63 to 140 mg/dL (3.5 to 7.8 mmol/L) | >70% | |
>140 mg/dL (>7.8 mmol/L) | <25% | |
Pregnancy with gestational or T2D | 63 to 140 mg/dL (3.5 to 7.8 mmol/L) | >90% |
Abbreviations: A1C = hemoglobin A1c; FPG = fasting plasma glucose; PPG = postprandial glucose; T1D = type 1 diabetes; T2D = type 2 diabetes
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