What A1C level is generally considered a good target for many nonpregnant adults?

• A. Less than 7%
• B. 7-8%
• C. Less than 6%
• D. 8-9%

Answer: (A)

A1C targets guide long-term glycemic control in diabetes. For many nonpregnant adults, aiming for an A1C under 7% is recommended because this level generally lowers the risk of microvascular complications such as retinopathy, nephropathy, and neuropathy by reflecting better overall glucose control over the past two to three months.

While tighter targets (below 7%) may be appropriate for some individuals who can maintain good control without hypoglycemia and have a longer life expectancy, they are not universally suitable. More lenient targets, like 7-8% or higher, are sometimes used for patients at higher risk of hypoglycemia, with limited life expectancy, or multiple comorbidities, but these are not considered ideal for most adults.

Thus, less than 7% is the best general target for many nonpregnant adults.