A 78-year old patient with a 15-year history of type 2 diabetes arrives in your office for a check-up. He suffers from stage 3 chronic kidney disease and lives alone. From previous visits you have learned he has very few support services. What would be a realistic A1C treatment target for this individual?
Answer: B. A1C 7.5-8.0%
Educational Critique: Less-stringent A1C targets are acceptable in certain individuals, such as those with a history of severe hypoglycemia, extensive comorbidities/complications, limited life expectancy and difficulty achieving target A1c despite education, support and polypharmacy. Clinical Diabetes and Endocrinology