While the general goal for A1C is around 7%, A1C targets should be individualized based on disease features, patient characteristics, and patient preference. Consider the following factors when determining an optimal A1C target
1. What is the risk of hypoglycemia and adverse drug events?
Low
High
Neutral
 

 
2. What is the disease duration?
Newly diagnosed
Long-standing
Medium duration
 

 
3. What is the life expectancy?
Long
Medium
Short
 

 
4. Are there important comorbidities and/or established vascular complications?
Absent
Few/Mild
Severe
 

 
5. What is the patient's preference?
Highly motivated, excellent self-care capabilities
Motivation and self-care capabilities are average
Preference for less burdensome therapy
 

 
6. Does the patient have resources and a support system?
Readily available
Average
Limited