最新成人糖尿病血糖控制目标Glycemic Targets for Adults With Diabetes

来源: 2014-10-16 07:10:27 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 次 (2504 bytes)
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



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