Goals and Targets in diabetic patients according to last ADA guidelines
1️⃣ Glycemic targets
✍️ Target A1C in most adults is < 7
✍️ Target A1C in patients with good health and function , and low treatment risks is < 6.5
✍️ Target A1C in Healthy older adults is up to 7.5 ( < 7.5)
✍️Target A1C in older adults with complex/intermediate health is < 8
✍️ Target A1C in older adults with very complex ( poor health ) and any adults with limited life expectancy --> No A1C goal
Note ✍️
Target A1C < 7 is consistent with target fasting BG ( FBG : 80 - 130 mg/dl )and target 2hr PPBG : (90 - 180 mg /dl)
2️⃣ BP targets
Officially target BP in diabetic patients with Hypertension should be less than 130/80
3️⃣ Lipid targets
✍️ Target LDL(C) in treated diabetic patients
is < 100 mg/dl with initial reduction to 30 - 50 % of the baseline ( ADA 2023) if the patient has DM without ASCVD or high risk for ASCVD
✍️ Target LDL(C) in treated diabetic patients
is < 70 mg/dl in diabetic patients with high risk for ASCVD
✍️ Target LDL(C) in treated diabetic patients
is < 55 mg/dl in very high risk patients with ASCVD ( like ACS/CAD & multiple CV events )
✍️ Target Triglycerides should be < 150 mg/dl