Not markedly symptomatic/elevated blood glucose/A1C

By vgreene, 21 May, 2015
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<sup>3</sup> If metformin not tolerated or is contraindicated, consider initial drug from other classes.<br><br>
<sup>4</sup> More stringent A1C goal (<6.5%) may be considered in pts w/ short duration of DM, pts treated with lifestyle or metformin only, long life expectancy, no significant CV dz [C]. Less stringent A1C goal (<8%) may be appropriate for pts w/ hx of severe hypoglycemia, limited life expectancy, advanced micro/macrovascular complications, extensive comorbidity, or longstanding DM in whom general goal difficult to attain [B].
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Not markedly symptomatic/elevated blood glucose/A1C