What is an acceptable HbA1c level in complex older adults?

An acceptable HbA1c level in complex older adults is typically considered to be less than 8%. This threshold recognizes the unique needs and challenges faced by older adults, especially those with multiple health conditions or those who are more frail.

In this population, a less stringent glycemic target is often recommended because the risks associated with tight glucose control, such as hypoglycemia and its potential complications, may outweigh the benefits. Older adults might experience more severe consequences from low blood sugar levels, and their overall health status could make strict adherence to lower targets unrealistic or unsafe.

Maintaining an HbA1c level below 8% enables care providers to manage diabetes effectively while prioritizing the quality of life and safety of older adults. This balance is crucial in geriatric care, where individualization of treatment plans is key.