The American Diabetes Association is releasing new guidelines for the treatment of type 2 diabetes. The bottom line is that the patient needs to work with their doctor to figure out the best treatment plan. One size does not fit all.
The A1C Guidelines have changed:
- 5.5 or less if you do not have diabetes
- 6.0-6.5 if you have diabetes but no heart disease and few episodes of low blood glucose
- less than 7.0 if you have diabetes and other health issues
Bottom line- your A1C goal needs to be decided with you and your doctor.
Lifestyle treatment for type 2 diabetes is still suggested first:
- enjoy a healthy diet with moderate carbohydrate intake
- lose 5-10% of body weight if overweight
- exercise for 2½ hours/week
Treatment may also include medications. Metformin is a first-line medication. Other meds can be added of needed. Again, this is a decision to make with your doctor.
The new guidelines for treatment of type 2 diabetes focus on YOU the patient, other health conditions you have, your lifestyle, level of motivation and ability to make changes. Each person is different in what they can or cannot do. The bottom line is to have good control of your type 2 diabetes to reduce your risk of complications such as early heart disease or kidney failure.