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Glycemic Target Recommendations from the American Diabetes Association 2026 Standards of Medical Care in Diabetes
| 6.3a | An A1c goal of <7% is appropriate for many nonpregnant adults without significant hypoglycemia or hypoglycemia affecting health or quality of life. |
| 6.3b | A goal time in range of > 70% in people using CGM is appropriate for many nonpregnant adults. |
| 6.3c | A goal percent time <70 mg/dL of <4% (or <1% for older or high-risk adults) and a goal percent time < 54 mg/dL of <1% are recommended in people using CGM to prevent hypoglycemia. Deintensify or modify therapy if these goals are not met. |
| 6.4 | Lower A1c goals (e.g., <6.5%) may be appropriate for individuals with diabetes with good health and function and low treatment risks (e.g., hypoglycemia) and burdens. |
| 6.5 | Less stringent glycemic goals may be appropriate for individuals with significant cognitive and/or functional limitations, frailty, or severe comorbidities or where the harms of treatment, including hypoglycemia, are greater than the benefits. |
CGM, continuous glucose monitoring. Adapted from American Diabetes Association (4).
From: Management of Type 2 Diabetes: Selecting Amongst Available Pharmacological Agents
This electronic version has been made freely available under a Creative Commons (CC-BY-NC-ND) license. A copy of the license can be viewed at http://creativecommons.org/licenses/by-nc-nd/2.0/.
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