What is the recommended target A1c for most adults according to ADA?

The recommended target A1c for most adults, as established by the American Diabetes Association (ADA), is under 7%. This target is based on evidence that maintaining A1c levels below this threshold significantly reduces the risk of diabetes-related complications, including retinopathy, nephropathy, and neuropathy. Keeping A1c levels below 7% is also associated with a lower incidence of cardiovascular events in individuals with diabetes.

This target is generally applicable to adults who are not experiencing significant comorbidities or factors that could complicate diabetes management. It balances the benefits of tight glycemic control with the risk of potential adverse effects, such as hypoglycemia. Individualization of the target A1c may be warranted in specific populations, such as the elderly or those with a limited life expectancy or significant comorbid conditions, but for most adults, under 7% is considered a standard goal.