Several Diabetes Organizations Disagree With the American College of Physicians’ Recent Guidance on Blood Glucose Targets

March 9, 2018. The American Association of Clinical Endocrinologists (AACE), American Diabetes Association (ADA), American Association of Diabetes Educators (AADE), and The Endocrine Society (TES) have issued a statement strongly disagreeing with the recent guidance from the American College of Physicians (ACP) for A1C targets of 7% to 8% in adults with type 2 diabetes. This higher blood glucose target may put many patients at increased risk of complications, including cardiovascular disease, retinopathy, kidney disease, and amputation. While AACE, ADA, AADE, and TES agree that treatment targets should be individualized according to individual patient factors, ACP’s higher global target may keep many patients from receiving the benefits of intensive, long-term glucose control, as demonstrated in several landmark trials. The full statement is available here.