Endocrine Disorders: Evaluation and Management

  • Author: Todd T. Brown, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 11/14/16 (What's New)

Summary

  • American Diabetes Association recommends that patients with diabetes achieve a hemoglobin A1c of around or below 7% (Management Guidelines)[ADA Guidelines]
  • Because of the inaccuracy of hemoglobin A1c in HIV-infected patients,[Diop 2006; Kim 2009] a lower target for glycemic control, such as 6.5%, is reasonable if the patient is not experiencing significant hypoglycemia
  • Glycemic monitoring should be performed every 3-4 months, and patients should be aware of their results and the treatment goals

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