Here is an article saying that the ADA has lowered their A1C targets for T2s. Interestingly there is now a two tiered target range depending on the patients age and underlying health.
To quote from the article:
"In the past, the below-7-per cent goal was applied to most people with type 2 diabetes. But, the new guidelines note that more stringent goals, such as keeping A1C between six and 6.5 per cent, might be appropriate for someone who has a long life expectancy, no history of heart disease and who hasn’t experienced significant low blood sugar levels (hypoglycaemia). Low blood sugar levels can be a potentially dangerous side effect of many diabetes treatments.
The new guidelines suggest that blood sugar targets should be looser (A1C between 7.5 and eight per cent) for people who are older than 65 or 70, because they’re more at risk of having complications from hypoglycaemia, as well as being more at risk of side effects from taking multiple medications."
I find it interesting that if you are in the younger group and have a history of heart disease your target is loosened, perhaps an acknowledgement that many oral drugs have increased heart disease risk. To me this would also imply earlier insulin therapy for some or even most T2's or a more aggressive dietary intervention (low carb?)
So will your goals change or will it make you more responsive to earlier insulin therapy or a more aggressive dietary intervention?