Table 2.
Targets for the control of glycemia
Parameter | Target | Population | Guideline | References | |
---|---|---|---|---|---|
Glycemia | HbA1c | Consistent with current ADA guideline | AHA | [39] | |
< 6% | Pregnancy patients without significant hypoglycemia | ADA | [38] | ||
< 6.5% | Children and adolescents patients with a short duration of DM, lesser degrees of β-cell dysfunction and no evidence of CVD | ||||
< 7% | Nonpregnant patients without significant hypoglycemia | ||||
< 8% | Patients with limited life expectancy or where the harms of treatment are greater than the benefits | ||||
< 7% | Patients with developing microvascular complications | ESC/EASD | [40] | ||
6.0–6.5% | Younger patients with a short duration of DM and no evidence of CVD | ||||
< 8% or ≤ 9% |
Elderly patients with longstanding DM and limited life expectancy, and frailty with multiple comorbidities |
||||
< 7% | Older/frail adults | ESC | [41] | ||
≤ 6.5% | In early diagnosis, not frail and without established ASCVD |
DM diabetes Mellitus, CVD cardiovascular disease, T2DM type 2 diabetes mellitus, ASCVD atherosclerotic cardiovascular disease, AHA American Heart Association, ADA American Diabetes Association, ESC European Society of Cardiology, EASD European Association for the Study of Diabetes