A1C Target: When is a Less Stringent Goal Appropriate?


For which patients might a less stringent A1C goal -- of 8% -- be appropriate? A quiz, and the answer here.

A reasonable A1C goal for many nonpregnant adults is <7%. For some patients, however, a less stringent goal may be appropriate.

An A1C goal of 8% may be appropriate for which patient(s)?

A. An 80-year old woman with longstanding diabetes, cardiovascular disease, and prior multifocal stroke.
B. A 23-year-old with Down syndrome and poorly controlled T1 diabetes (diagnosed at age 12).
C. A 50-year-old with alcoholism, chronic pancreatitis, hepatic cirrhosis, portal hypertension, and esophageal varices.
D. B and C
E. All of the above
F. None of the above
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