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JAMA Clinical Guidelines Synopsis |

Glycemic Control in Older Adults With Diabetes Mellitus

Elbert S. Huang, MD, MPH1; Andrew M. Davis, MD, MPH1
[+] Author Affiliations
1Section of General Internal Medicine, University of Chicago, Chicago, Illinois
JAMA. 2015;314(14):1509-1510. doi:10.1001/jama.2015.8345.
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This JAMA Clinical Guidelines Synopsis summarizes the 2013 updates to the American Geriatrics Society’s guideline for improving the care of older adults with diabetes.

Box Section Ref ID

Guideline title Guidelines for Improving the Care of Older Adults With Diabetes Mellitus: 2013 Update

Developer American Geriatrics Society (AGS)

Release date November 2013

Prior version 2003

Target population Adults aged 65 years or older with diabetes

Major recommendations These comprehensive guidelines emphasize an individualized approach to diabetes care goals and treatment among adults. The glycemic control recommendations suggest a general goal for glycated hemoglobin (HbA1c) in older adults of 7.5% to 8.0% (level IA evidence). A target HbA1c level between 7.0% and 7.5% may be appropriate if it can be safely achieved in healthy older adults with few comorbidities and good functional status (level IA evidence). Higher HbA1c targets (8%-9%) are appropriate for older adults with multiple comorbidities, poor health, and limited life expectancy (level IIA evidence).

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