2014糖尿病指南：最新成人糖尿病血糖控製目標Glycemic Targets for Adults With Diabetes

2014糖尿病指南：最新成人糖尿病血糖控製目標Glycemic Targets for Adults With Diabetes

A1C <7.0%
 

Lowering A1C below or around 7.0% shown to reduce

• Microvascular complications

• Macrovascular disease*
 

Preprandial capillary PG 70-130 mg/dL (3.9-7.2 mmol/L)

Peak postprandial capillary PG <180 mg/dL (<10.0 mmol/L)
Postprandial glucose measurements should be made 1-2 h after the beginning of the meal
 

Individualize targets based on:

    • Age/life expectancy

    • Comorbid conditions

    • Diabetes duration

    • Hypoglycemia status

    • Individual patient considerations

    • Known CVD/advanced microvascular complications
 

More or less stringent targets may be appropriate if achieved without significant hypoglycemia or adverse events

    More stringent (<6.5%)

      • Short diabetes duration

      • Long life expectancy

      • No significant CVD

    Less stringent (<8%)

      • Severe hypoglycemia history

      • Limited life expectancy

      • Advanced microvascular or macrovascular complications

      • Extensive comorbidities

      • Long-term diabetes in whom general A1C target difficult to attain†

Targets shown are for nonpregnant adults

 

From DM  ADA 2014 guidelines