Table 6—

Glycemic control for nonpregnant individuals with diabetes

NormalGoalAdditional action suggested*
Plasma values    
 Average preprandial glucose (mg/dl) <110 90–130 <90/>150 
 Average bedtime glucose (mg/dl) <120 110–150 <110/>180 
Whole blood values    
 Average preprandial glucose (mg/dl) <100 80–120 <80/>140 
 Average bedtime glucose (mg/dl) <110 100–140 <100/>160 
A1C (%) <6 <7 >8 
NormalGoalAdditional action suggested*
Plasma values    
 Average preprandial glucose (mg/dl) <110 90–130 <90/>150 
 Average bedtime glucose (mg/dl) <120 110–150 <110/>180 
Whole blood values    
 Average preprandial glucose (mg/dl) <100 80–120 <80/>140 
 Average bedtime glucose (mg/dl) <110 100–140 <100/>160 
A1C (%) <6 <7 >8 

The values shown in this table are by necessity generalized to the entire population of individuals with diabetes. Patients with comorbid diseases, the very young and older adults, and others with unusual conditions or circumstances may warrant different treatment goals. These values are for nonpregnant adults.

*

Values above/below these levels are not “goals” nor are they “acceptable” in most patients. They are an indication for a significant change in the treatment plan. “Additional action suggested” depends on individual patient circumstances. Such actions may include enhanced diabetes self-management education, comanagement with a diabetes team, referral to an endocrinologist, change in pharmacological therapy, initiation of or increase in SMBG, or more frequent contact with the patient. A1C is referenced to a nondiabetic range of 4.0–6.0% (mean 5.0%, SD 0.5%).

Values callibrated to plasma glucose,

measurement of capillary blood glucose.

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