Lower not always better with HbA1c

Experts have hit back at the target-driven approach to diabetes care, saying it's time the "flipside" of potential harms is acknowledged.

They believe doctors should receive an ‘overtreatment alert’ for pushing HbA1c levels below 7.0% in elderly patients, to alert them to the risk of hypoglycaemia and medication mishaps.

Writing on Tuesday in the Archives of Internal Medicine (online), Drs Leonard Pogach and David Aron called for the creation of “a