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Table 6.3

Summary of glycemic recommendations for many nonpregnant adults with diabetes

A1C <7.0% (53 mmol/mol)*# 
Preprandial capillary plasma glucose 80–130 mg/dL* (4.4–7.2 mmol/L) 
Peak postprandial capillary plasma glucose <180 mg/dL* (10.0 mmol/L) 
A1C <7.0% (53 mmol/mol)*# 
Preprandial capillary plasma glucose 80–130 mg/dL* (4.4–7.2 mmol/L) 
Peak postprandial capillary plasma glucose <180 mg/dL* (10.0 mmol/L) 
*

More or less stringent glycemic goals may be appropriate for individual patients.

#

CGM may be used to assess glycemic target as noted in Recommendation 6.5b and Fig. 6.1. Goals should be individualized based on duration of diabetes, age/life expectancy, comorbid conditions, known CVD or advanced microvascular complications, hypoglycemia unawareness, and individual patient considerations (as per Fig. 6.2).

Postprandial glucose may be targeted if A1C goals are not met despite reaching preprandial glucose goals. Postprandial glucose measurements should be made 1–2 h after the beginning of the meal, generally peak levels in patients with diabetes.

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