How Low Should You Go?
A joint statement from three medical associations suggests that A1C targets for some people with type 2 diabetes may need to be revised. The American College of Cardiology, the American Diabetes Association and the American Heart Association joined forces to try to explain conflicting studies done in early 2008. For most people with diabetes, they said, treatment goals will not change and they should still strive for A1C levels at or below 7 percent. Many studies have shown that this level reduces the risk of complications such as eye, kidney and nerve disease. However, for people with certain medical histories and conditions, such as a history of severe hypoglycemia (low blood sugar) or advanced cardiovascular disease, an A1C level of 7 percent or a little above may be appropriate. Indeed, the statement explained, for those patients with the above factors, as well as some other conditions, pushing A1C levels below 7 percent may lead to hypoglycemia or other unwanted effects. If you are unclear about whether the statement's guidelines apply to you, talk to your health care team before changing any treatment goals.
- Published:
- 25 September 2009
- | Author:
- Rebecca Sherman
