From the Guidelines
You should aim to achieve an HbA1c level between 7% and 8%, as your current A1C of 7.6% is slightly above the target, indicating your average blood glucose has been around 170 mg/dL over the past three months 1. Your white blood cell count is slightly elevated at 10.78, which could indicate a mild infection or inflammation, but your kidney function appears good with a normal microalbumin level of 8.7, suggesting you haven't developed diabetic kidney disease yet, though we should continue monitoring this annually along with other diabetes complications like eye and foot problems. It's essential to personalize your glycemic control goals based on your individual characteristics, such as your general health, life expectancy, and treatment burden, and to consider the potential benefits and harms of more intensive glycemic control 1.
From the FDA Drug Label
The FDA drug label does not answer the question.
From the Research
Laboratory Results for 39-year-old Female with Type 2 Diabetes
- The patient's laboratory results show a WBC count of 10.78, which is slightly elevated, but all other labs are normal.
- The A1C level is 7.6, indicating that the patient's blood sugar levels are not optimally controlled, as the American Diabetes Association recommends an A1C level below 7% for most adults with type 2 diabetes 2, 3, 4.
- The microalbumin level is 8.7, which is a measure of kidney function and may indicate early signs of kidney damage, a common complication of diabetes 2, 4.
Implications of Laboratory Results
- The patient's A1C level suggests that her current treatment regimen may need to be adjusted to achieve better blood sugar control, and medications such as sitagliptin or metformin may be considered 2, 3, 4.
- The patient's microalbumin level should be monitored closely, and measures should be taken to slow the progression of kidney disease, such as controlling blood pressure and blood sugar levels 2, 4.