2014糖尿病指南：最新成人糖尿病血糖控制目标Glycemic Targets for Adults With Diabetes
A1C
A1C
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
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 (
• Short diabetes duration
• Long life expectancy
• No significant CVD
Less stringent (
• 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
