Summary of recommendations for adults with diabetes
Glycemic control | |
A1C | <7.0%* |
Preprandial capillary plasma glucose | 90–130 mg/dl (5.0–7.2 mmol/l) |
Peak postprandial capillary plasma glucose† | <180 mg/dl (<10.0 mmol/l) |
Blood pressure | <130/80 mmHg |
Lipids‡ | |
LDL | <100 mg/dl (<2.6 mmol/l) |
Triglycerides | <150 mg/dl (<1.7 mmol/l) |
HDL | >40 mg/dl (>1.0 mmol/l)§ |
Key concepts in setting glycemic goals:
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↵* Referenced to a nondiabetic range of 4.0–6.0% using a DCCT-based assay.
↵† Postprandial glucose measurements should be made 1–2 h after the beginning of the meal, generally peak levels in patients with diabetes.
↵‡ Current NCEP/ATP III guidelines suggest that in patients with triglycerides ≥200 mg/dl, the “non-HDL cholesterol” (total cholesterol minus HDL) be utilized. The goal is ≤130 mg/dl (121).
↵§ For women, it has been suggested that the HDL goal be increased by 10 mg/dl.