A1c Targets in Older Adults with Type 2 Diabetes — Key Points
A1c Targets in Older Adults with Type 2 Diabetes — Key Points
Source: ADA framework & multiple cohort studies
Latest evidence: 2023–2025
Key Points :
• Health Status–Based A1c Targets:
• Healthy adults:
7–7.5%
• Intermediate (multiple comorbidities):
7.5–8%
• Poor / very complex health:
= 8–8.5%
• Critical Insight :
• A1c ≥8% → ↑ mortality & hospitalizations
• A1c <7% → NOT harmful across groups
Target can be relaxed, but avoid ≥8%
CKD Patients (High Risk Group)
• Best outcomes:
A1c ~6.7–7.1%
• Risk ↑ if:
• ≥7.2%
• <5.8%
Key Concept
Stability within range > pushing A1c too low
• Avoid:
• overtreatment
• A1c ≥8%
https://reference.medscape.
