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The American Diabetes Association (ADA) and the American Association for Clinical Chemistry have determined that the correlation (r = 0.92) in the ADAG trial is strong enough to justify reporting both the A1C result and the estimated average glucose (eAG) result when a clinician orders the A1C test.
12.6 Older adults who are otherwise healthy with few coexisting chronic illnesses and intact cognitive function and functional status should have lower glycemic goals (such as A1C <7.0–7.5% [53–58 mmol/mol]), while those with multiple coexisting chronic illnesses, cognitive impairment, or functional dependence should have less stringent ...
Published data suggest a strong correlation between TIR and A1C, with a goal of 70% TIR aligning with an A1C of ∼7% in two prospective studies (18,19). A1C GOALS For glycemic goals in older adults, please refer to Section 12 “Older Adults” ( https://doi.org/10.2337/dc20-S012 ).
A1C target <7% Preprandial glucose 80–130 mg/dL Peak postprandial glucose <180 mg/dL. before food. Preprandial glucose measurement should be made before food. hours 1-2. Post prandial glucose measurements should be made 1–2 hours after the beginning of a meal.
A1C target levels can vary by each person's age and other factors, and your target may be different from someone else's. The goal for most adults with diabetes is an A1C that is less than 7%. A1C test results are reported as a percentage.
Consider less stringent A1C goals (such as <8%) Hypoglycemia/hypoglycemia unawareness. Reduced life expectancy. Older age. Increased risk or frequency of hyperglycemia. Established vascular complications. Multiple comorbidities Patient preference. Lack of resources/support systems.
American Diabetes Association® (ADA) published Standards of Care in Diabetes—2023 (Standards of Care), comprehensive, evidence-based guidelines for the prevention, diagnosis, and treatment of diabetes.
Most non-pregnant adults. A1C target <7% Preprandial glucose 80–130 mg/dL Peak postprandial glucose <180 mg/dL. before food. Preprandial glucose measurement should be made before food. hours 1-2. Post prandial glucose measurements should be made 1t–2 hours after the beginning of a meal.
The American Diabetes Association (ADA) "Standards of Care in Diabetes" includes the ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care.
Inclusion Criteria. Recommendation Scope. Improving Care and Promoting Health in Populations. Diagnosis and Classification of Diabetes.