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Author(s) -
Robin Kirschbaum
Publication year - 2009
Publication title -
diabetes, obesity and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.445
H-Index - 128
eISSN - 1463-1326
pISSN - 1462-8902
DOI - 10.1111/j.1463-1326.2009.01141.x
Subject(s) - citation , computer science , information retrieval , world wide web
Answer: There is no hard-and-fast ceiling for any individual patient but, as we saw in the 4-T study, people with A1C levels greater than 8.5% on dual oral therapy were less likely to achieve A1C levels below 7%. A1C levels above 8.5% suggest that a more complex insulin regimen is needed, containing a component of prandial coverage. The most important lesson is that treatment strategies should be re-evaluated before A1C levels become that high.