The Importance of Safe Rational Targets for Hyperglycemia

Earlier in my medical career i would see it seems like everyone was either on no insulin or basal bolus insulin and now it's like you know for type two we sort of push the basal only with some other agents to kind of supplement that. We're not seeking perfection once you have things like advanced ckd the horses out of the stable you're not going to improve them you actually will harm them. The a1c target for this patient which there's this amazing podcast out there called the curbsiders has a great episode on a1c targeting no but uh it should be eight to nine for this patient.