Re: Defending ADA's A1C Target



"If the goal is to ... save your health, I'll go with what my doctors
said: "Lower
is better!"

Which, despite one sentence summary (A1c goal = 7)that we are so
familiar with, is exactly what the article says:

"ADA not only states that its goal is <7%, but also notes that it is
critical to include the following "key concepts in setting glycemic
goals":

* The goals should be individualized.
* Certain populations such as the elderly, young children, and
pregnant women require special considerations.
* Less intensive goals may be appropriate in those with a history
of significant hypoglycemia or hypoglycemia unawareness.
* More stringent goals (i.e., a normal A1C of <6%) may further
reduce the risk of microvascular complications at the cost of increased
risk of hypoglycemia.

ADA suggests that one should strive for the lowest A1C appropriate for
the patient based on these concepts."

.



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