DELETE Rows in SQL db table matching criteria via EXCEL VBA

I have fully functional code that takes data in a range on an Excel sheet and ADDS NEW ROWS to a SQL database.

I am now faced with the need to UPDATE EXISTING ROWS instead of just adding new rows.

I think it will be best to DELETE ALL EXISTING ROWS matching the criteria then ADD NEW again.
My concern is, if I only update the rows listed in the table there could be an instance where there were 10 rows matching the criteria in the table but only 9 are required after the update. Better to delete 10 and add 9 than end up with a row of leftover old data; 9 new and 1 old. If I’m wrong, please advise.

My knowledge of SQL is minimal but I need to delete this:
Select * FROM TABLE_NAME Where DOC_ID = “123456”
(DOC_ID is a field linked to another table NOT a primary key/unique ID in this table.)

This is what I have preceding the ADD ROWS code where I think I should first DELETE ROWS

    ' Object type and CreateObject function are used instead of ADODB.Connection,
    ' ADODB.Command for late binding without reference to
    ' Microsoft ActiveX Data Objects 2.x Library
    ' ADO API Reference
    ' http://msdn.microsoft.com/en-us/library/ms678086(v=VS.85).aspx
    ' Dim con As ADODB.Connection
    
    Dim con As Object
    Set con = CreateObject("ADODB.Connection")

    con.ConnectionString = conString
    con.Open

    ' Dim cmd As ADODB.Command
    Dim cmd As Object
    Set cmd = CreateObject("ADODB.Command")

    ' BeginTrans, CommitTrans, and RollbackTrans Methods (ADO)
    ' http://msdn.microsoft.com/en-us/library/ms680895(v=vs.85).aspx
    
    Dim level As Long
    level = con.BeginTrans

    cmd.CommandType = 1             ' adCmdText

    ' Dim rst As ADODB.Recordset
    Dim rst As Object
    Set rst = CreateObject("ADODB.Recordset")

    With rst
        Set .ActiveConnection = con

I have figured out how to update existing rows, which is not what I really wanted, so I have a solution but I would still prefer to DELETE ALL ROWS matching FROM TABLE_NAME Where DOC_ID = “123456” if there is a solution.

DELETE FROM TABLE_NAME WHERE DOC_ID = 123456

<--- If your DOC_ID is formatted as a string, use '123456'

http://www.w3schools.com/sql/sql_delete.asp