Table 6.2

Summary of glycemic recommendations for many nonpregnant adults with diabetes

A1C<7.0% (53 mmol/mol)*
Preprandial capillary plasma glucose80–130 mg/dL* (4.4–7.2 mmol/L)
Peak postprandial capillary plasma glucose<180 mg/dL* (10.0 mmol/L)
  • * More or less stringent glycemic goals may be appropriate for individual patients. Goals should be individualized based on duration of diabetes, age/life expectancy, comorbid conditions, known CVD or advanced microvascular complications, hypoglycemia unawareness, and individual patient considerations.

  • Postprandial glucose may be targeted if A1C goals are not met despite reaching preprandial glucose goals. Postprandial glucose measurements should be made 1–2 h after the beginning of the meal, generally peak levels in patients with diabetes.