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