The answer is, 'the lower, the better' although the better one strives for
excellent glycaemic control, the greater the risk of hypoglycaemia.
Anything >7% is arguably sup-optimal and <6% excellent. As with all
targets/guidelines, they must be applied sensibly in the light of
individual clinical circumstances. The bespoke approach to commenting, if
any is needed, and sufficient information is available to inform it, is
better than the off the peg.
William
At 12:24 01/07/2003 +0100, Sue Walker wrote:
>Has anyone got clear succinct (automatic) comments on HbA1c reports about
>NICE recommended targets? Type 2 and what about Type 1 where NICE targets
>won't be officially out until late 2003/4? I've looked at the Type 2
>recommendations but they are a bit verbose. Any help gratefully
>received. (We are without a permanent endocrinologist/diabetologist for
>another 3 months).
>
>Dr Sue Walker, Consultant Clinical Biochemist
>01722 425142
>07977 226065
>
>
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From: Dr William J Marshall
Reader and Hon Consultant in Clinical Biochemistry
GKT School of Medicine
London SE5 9PJ
UK
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