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EASD 2013: HbA1c Should Be Used for Diagnosis

New guidelines from the European Society of Cardiology and the European Association for the Study of Diabetes state that if a patient doesn’t have diabetes on the basis of an HbA1c reading, then he or she should be screened with an oral glucose tolerance test (OGTT). The new guidance also calls for individualization of targets for blood pressure and glucose, as well as greater involvement of patient preferences in decision-making. Specific blood pressure targets were also updated, increasing the general recommendation for those with diabetes to 140/85 mm Hg from 130/80 mm Hg in 2007. Ryden L, et al "ESC guidelines on diabetes, prediabetes, and cardiovascular diseases developed in collaboration with the EASD" Euro Heart J 2013; DOI: 10.1093/eurheartj/eht108.