The page below is a sample from the LabCE course Diabetes: Diagnosis, Laboratory Testing, and the Current American Diabetes Association Guidelines. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Diabetes: Diagnosis, Laboratory Testing, and the Current American Diabetes Association Guidelines (online CE course) »
How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 97 CE courses, most popular
$95 Add to cart
Pick Your Courses
Up to 8 CE hours
$50 Add to cart
Individual course$20 Add to cart

ADA Targets for Monitoring Glycemic Control

The ADA's latest guidelines (2015) indicate that one of the criteria for screening to help diagnose diabetes is a Hb A1C level of  ≥6.5%.  Moreover, the ADA indicates that the glycemic target for nonpregnant adults with diabetes is <7.0% and lowering A1C below or around 7.0% has been shown to reduce microvascular complications and macrovascular disease. Therefore, a Hb A1C level that is < 7.0% indicates glycemic control for most adults with diabetes.
Providers might recommend even lower Hb A1C goals than the general goal of <7.0% for some patients (if this can be achieved without significant hypoglycemia or other adverse effects). This includes patients who have a short duration of diabetes (eg, gestational diabetes), long life expectancy, and no significant cardiovascular disease.
Less stringent Hb A1C goals than the general goal of <7.0% may also be appropriate for patients with a history of severe hypoglycemia, limited life expectancy, advanced microvascular or macrovascular complications, and those individuals with longstanding diabetes who are not able to consistently achieve the general goal of <7.0%.  
Source: Diabetes management guidelines (2015). National Diabetes Education Initiative web site. Available at: http://www.ndei.org/ADA-diabetes-management-gudelines-glycemic-targets-A1C-PG.aspx. Accessed February 17, 2016.