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A stable A1c of 7% is akin to an average BG of 154 mg/dL (8.56 mmol/L). At one time the AACE (American Association of Clinical Endocrinologist) were recommending to stay below 140 mg/dL (7.8 mmol L, which equates to an A1c of 6.5%.

Its just my opinion, but ai think a Type 1 with a 7.0 A1c is better off than a Type 2 with a 7.0 A1c. Assuming they had the same swings, the type 2 is dealing with a much more active balancing act. Too much circulating insulin is also bad for a body, not just glucose.

Blood Sugar 101 has changed a little over the years but still lists studies of BG levels causing organ damage that influence the AACE recommendations. They wanted to never go over 140 but the ADA was happy up to 180. The ADA is very slowly starting to see the light the AACE was shining a few years back.

The studies you will read below, some of which are not cited in the AACE guidelines, make a cogent case that post-meal blood sugars of 140 mg/dl (7.8 mmol/L) and higher and fasting blood sugars over 100 mg/dl (5.6 mmol/L) when found in association with those higher than normal post-meal blood sugars, cause both permanent organ damage and the worsening of diabetes. Some of this data also suggests that maintaining an A1c of 5.7% to 6% is much safer for people with diabetes who wish to avoid developing diabetic complications.
 
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