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?

Myth: People who suffer from diabetes cannot exercise or play sports

Reality: This myth is false. Exercise or sports results in the more efficient use of insulin and therefore reduces overall blood glucose levels. Diabetics are in fact encouraged to exercise. Statistics show that some diabetes patients are extremely active people, for example diabetic athletes. Seek advice from health professionals before starting any exercise.

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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.