What is the A1C goal for adults over the age of 65?

For adults over the age of 65, the A1C goal is generally set at below 7.0%. This target is aligned with guidelines that aim to balance the benefits of glycemic control with the risks associated with intensive treatment in older populations, who may have multiple comorbidities and varying life expectancies.

Maintaining an A1C below 7.0% has been shown to reduce the risk of long-term complications associated with diabetes, such as cardiovascular disease and microvascular complications. However, it's also essential to consider the individual's health status, functional status, and the potential risk of hypoglycemia, which can be particularly detrimental in older adults. Therefore, while keeping the A1C level below 7.0% is the goal, the focus is on individualized care that prioritizes overall well-being and safety.

Higher A1C targets in this age group would not typically align with the current understanding of optimal diabetes management, which emphasizes a tailored approach that reflects the patient's overall health and life circumstances rather than a one-size-fits-all numeric goal.