Goals for Optimum Diabetes Management

Guidelines from the Heart Foundation and the National Health and Medical Research Council (NHMRC).

Goals for Optimum Diabetes Management

BGL 6.1 – 8 mmol/L (fasting) ^
HbA1c ≤ 7%
LDL-C < 2.5 mmol/L*
Total cholesterol < 4.0 mmol/L*
HDL-C > 1.0 mmol/L*
Triglycerides < 1.5 mmol/L*
Blood pressure ≤ 130/80 mm Hg**
BMI < 25 kg/m2 where appropriate
Urinary albumin excretion < 20 μg/min (timed overnight collection)
< 20 mg/L (spot collection)
< 3.5 mg/mmol: women
< 2.5 mg/mmol: men (albumin creatinine ratio)
Cigarette consumption Zero
Alcohol intake ≤ 2 standard drinks (20g) per day for men and women***
Physical activity At least 30 minutes walking (or equivalent)
5 or more days/week (Total ≥ 150 minutes/week)


^NHMRC National Evidence Based Guideline for Blood Glucose Control in Type 2 Diabetes, 2009.
* National Heart Foundation Guidelines.
** NHMRC, Evidence-based Guidelines for the Management of Type 2 Diabetes, 2005.
*** NHMRC, Australian Guidelines to Reduce Health Risks from Drinking Alcohol 2009.


Doctors should consider:

  • Prophylactic aspirin (75-325mg) daily unless contraindications
  • Annual ECG
  • Immunisation against influenza and pneumococcal disease.


References:

  1. Diabetes Australia and the Royal Australian College of General Practitioners, Diabetes Management in General Practice, 16th Edition 2010/11, Diabetes Australia, 2010.

Did you know?

An estimated two million Australians have pre-diabetes and are at risk of developing type 2 diabetes.

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Australian Community Centre for Diabetes Victoria university - Melbourne Australia

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The Australian Community Centre for Diabetes would like to acknowledge and pay respect to the traditional owners of the land you are on.