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Target Levels

Target Levels
Glycemic Control For People With Diabetes

American Diabetes Association (ADA). Standards of medical care in diabetes. V. Diabetes care. Diabetes Care 2007 Jan;30(Suppl 1):S8-15.

Glycemic Control
Hemoglobin A 1C <7.0%
Preprandial capillary plasma glucose 90-130 mg/dL (5.0-7.2 mmol/L)
Peak postprandial capillary plasma glucose <180 mg/dL (<10.0 mmol/L)


Blood Pressure Target Levels

Source: U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Heart, Lung and Blood Institute; National High Blood Pressure Education Program May 2003

Classification of Blood Pressure for Adults Aged 18 Years and Older*

Blood Pressure, mm Hg

Category

Systolic

Diastolic

Normal

<120 and

<80

Pre-hypertension

120-139 or

80-89

Hypertension: ***

Stage 1

140-159 or

90-99

Stage 2

>= 160

>=100

* Treatment determined by highest blood pressure category. Based on the average of 2 or more readings taken while sitting at each of 2 or more visits.
Treat patients with chronic kidney disease or diabetes to blood pressure goal of 130/80 mmHg.
Data from the: Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Brief Summary.


Cholesterol Target Levels

Source: National Cholesterol Education Program.
Third Report of the Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults. (Adult treatment Panel III), 2001

Identify presence of any of the following:

  • Coronary Heart Disease (CHD)
  • CHD Risk Equivalents: Symptomatic Carotid Artery Disease; Peripheral Artery Disease; Cerebrovascular Disease; Abdominal Aortic Aneurism; Diabetes Mellitus
  • Cigarette Smoking-Any Amount
  • Hypertension-Blood Pressure>140/90 Or on Anti-Hypertensive Medication
  • Low Levels Of HDL-Cholesterol- < 40 mg/dl
  • A Family History Of Premature Coronary Artery Disease- In A First Degree Male Relative<age 55; Female Relative<Age 65
  • Advancing Age- >=45 For Males; >=55 For Females

LDL Cholesterol Goals:

Risk Category

LDL Goal

CHD or CHD Risk Equivalents (10-year risk >20%)*

<100 mg/dl

2+ Risk Factors (10-year risk 20%)

<130 mg/dl

0-1 Risk Factor**

<160 mg/dl

* In patients with estabished CVD - consider lowering LDL towards 70 mg/dl.

**Almost all people with 0-1 risk factor have a 10-year risk <10%, thus 10-year risk assessment in people with 0-1 risk factor is not necessary.

Total Cholesterol:

<200

Desirable

200-239

Borderline High

240

High

HDL Cholesterol:

<40

Low

60

High

BMI And Waist Circumference Values

Source: Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Bethesda (MD): National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI); 1998 Jun

  • Overweight if: (BMI)>27 Kg/M2
  • Obesity if: BMI>30 Kg/M2
  • Morbid Obesity If: BMI>40 With No Co-morbid Conditions Or BMI> 35 With Co-morbid Conditions
  • Abdominal Obesity if: Waist Circumference > 102cm (40 In)-in Males; And > 88cm (35in) In Females