What are the American Diabetes Association's and American College of Cardiology Foundation and American Heart Association's recommendations for glycemic goals in patients with diabetes mellitus and HF?
The American Diabetes Association and American College of Cardiology Foundation and American Heart Association recommend that lowering HbA1c to below or approximately 7% is reasonable for many nonpregnant adults with HF in order to reduce microvascular complications (ADA, A-level recommendation; ACC/AHA, Class I recommendation [Level of Evidence A]). More stringent HbA1c goals (e.g., <6.5%), if can be achieved without significant hypoglycemia or other adverse effects of treatment, might be considered for patients with a short duration of diabetes mellitus, a long life expectancy, and no significant CVD.