My doctor wants my A1c below 6.0 since that is a nondiabetic level. Other sources recommend 6.5 or less. The ADA says 7.0 or less, but WHY???
Here is a response to this question from someone on another site.
"(1)The ADA isn't focused on lifelong Type 1s, they try to serve the interests of all diabetics at the same time. The vast, vast majority of diabetics are midlife and senior T2s.
Among that population, many aren't being treated at all (they haven't even been diagnosed). So, merely getting fasting bG tests done at all, and interpreted correctly, is a big focus.
(2)Among those Type 2s who HAVE been diagnosed, many will still have a short life expectancy no matter how aggressively their diabetes is treated. (Old age, Alzheimers, etc.)
And many of these people are so set in their ways that's it's really hard to get them to do even moderate lifestyle changes.
(3) But by far the most important reason is this: A vast majority of T2 people have A1c values far, far above 7.0, and ADA has decided not to set the bar so high that nearly everybody fails to reach it.
ADA has documented the discussion and reasoning behind this goal of 7.0 and I've read that documention on the web, although I didn't keep the URL.
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On the other hand, DCCT really did, if I recall correctly, demonstrate a high statistical confidence that 6.5, and even 6.0, are significantly better than 7.0 for life expectancy— when you specifically exclude causes of death directly related to Hypos. So, for attentive and dedicated diabetics, 6.5 or even 6.0 is VERY clearly a more appropriate goal— if you can reach it without causing numerous hypos as a side-effect."
The discussion above is another person's opinion but I feel that much of it is correct in my own mind.
What do YOU think?
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