Back to Ask the Diabetes Team Ask the Diabetes Team

From Virginia Beach, Virginia, USA:

My 10 year old daughter has had typeá1 diabetes for five years. Her A1c has usually been in the 7-8% range with the most recent one being 5.9%. Our pediatric endocrinologist feels this is too low, and we've always been told previously to shoot for 5.5 to 7.5%. Is this too low?


The beauty of the HbA1c test is the benefit of getting an overview of glucose values for the previous four to six week time period. Previously, we felt the hemoglobin A1c represented closer to three months, but more recent analysis suggests a shorter time period. If the value is below 6%, in my experience, it is likely there are significant periods of hypoglycemia, often overnight without being awakened by symptoms, and sometimes at other times as well. So, a "too low" A1c suggests the need to increase food, decrease insulin, or make appropriate adjustments after detective work to see where the hypoglycemia occurs.


[Editor's comment: Your daughter's situation might well be clarified by monitoring sugar levels continuously for several days to try to sort out what's happening in more detail. See The Continuous Glucose Monitoring System, and ask her endocrinologist about this. SS]

Original posting 29 Jan 2001
Posted to Tight Control


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday April 06, 2010 15:09:18
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.