Individualizing Your Patient's A1c Target

Determine a patient-specific A1C target recommendation

Individualizing Your Patient's A1c Target

Determine a patient-specific A1C target recommendation

Individualizing Your Patient's A1c Target

Determine a patient-specific A1C target recommendation

Individualizing Your Patient's A1c Target

Determine a patient-specific A1C target recommendation

1.Age?
2.Diabetes Type?
3.Gender?
4.Pregnant or Desiring Pregnancy?
5.Level of Function?
6.Current Therapy?
7.Recurrent Episodes of Severe Hypoglycemia or Hypoglycemic Unawareness?
Created by on 01/05/2018

By using this site you acknowledge that you have read, understand, and agree to be bound by our terms of use and privacy policy. All content and tools are for educational use only, are not meant to be a substitute for professional advice and should not be used for medical diagnosis and/or medical treatment.

About this Calculator

This tool was developed based on the 2018 Diabetes Canada Clinical Practice Guidelines for the Prevention and Management of Diabetes. Published every five years, these guidelines represent the best and most current evidence-based clinical practice data for healthcare professionals.

Optimal glycemic control is fundamental to the management of diabetes. In most people with type 1 or type 2 diabetes, Diabetes Canada recommends targeting an A1c ≤7.0% to reduce the risk of vascular complications. In people with type 2 diabetes, an A1c ≤6.5% may be targeted to reduce the risk of chronic kidney disease and retinopathy, if they are assessed to be at low risk of hypoglycemia (based on class of antihyperglycemic medication(s) utilized and the person's characteristics). A higher A1c target may be considered in people with the goals of avoiding hypoglycemia and over-treatment related to antihyperglycemic therapy, with any of the following:

  • 1. Functionally dependent: 7.1 ‐ 8.0%
  • 2. Recurrent severe hypoglycemia and/or hypoglycemia unawareness: 7.1 ‐ 8.5%
  • 3. Limited life expectancy: 7.1 ‐ 8.5%
  • 4. Frail and/or with dementia: 7.1 ‐ 8.5%
  • 5. End of life: A1c measurement not recommended. Avoid symptomatic hyperglycemia and any hypoglycemia.

References

Berard, Lori D., et al.

Monitoring Glycemic Control.

Canadian Journal of Diabetes 2018, 42 Suppl 1: S47-S53

Imran, S. Ali, et al.

Targets for Glycemic Control.

Canadian Journal of Diabetes 2018, 42 Suppl 1: S42-S46

The Individualizing Your Patient's A1c Target calculator is created by QxMD.

1. Age?

Created by on 01/05/2018

By using this site you acknowledge that you have read, understand, and agree to be bound by our terms of use and privacy policy. All content and tools are for educational use only, are not meant to be a substitute for professional advice and should not be used for medical diagnosis and/or medical treatment.

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