Table 1.

Current professional society guidelines for glycemic control in older adults with diabetes

Professional society	Older age definition	Recommendations
American Diabetes Association (ADA) [1]	≥65 years	Health status	HbA1c	FPG/PPG
		Healthy	<7.5%	90–130 mg/dl
		Intermediate	<8.0%	90–150 mg/dl
		Poor	<8.5%	100–180 mg/dl
American Geriatrics Society [2]	≥65 years	Category	HbA1c
		Overall	7.5–8.0%
		Healthy/few comorbidities	7.0–7.5%
		Poor health	8.0–9.0%
American Association of Clinical Endocrinologists (AACE) [3]	No age indicated	Category “Less healthy”	Glycemic control “Less stringent”
International Diabetes Federation [4]	≥70 years	Category	HbA1c
		Functionally independent	7.0–7.5%
		Functionally dependent	7.0–8.0%
		Frail/dementia	Up to 8.5%
		End of life	“Avoid symptomatic hyperglycemia”
European Association for the Study of Diabetes [5]	No age indicated	Personalize HbA1c targets based on expected life duration, age, etc.

Note that ADA has specific guidelines for those in long-term care or skilled-nursing facilities, not listed here