These goals may be adjusted for patients in whom strict glucose control may be inadvisable, such as Frail older patients Patients with a short life expectancy Patients who experience repeated episodes of hypoglycemia, especially those who do not develop symptoms of hypoglycemia (hypoglycemia unawareness) Patients who cannot communicate the presence of hypoglycemia symptoms (eg, young children, patients with dementia) Providers may recommend stricter HbA1C goals (< 6.5%) in select patients if these goals can be achieved without hypoglycemia.