From Conroe, Texas, USA:
I have typeá2 diabetes, and my last A1c was 7.2%, although it usually is slightly below 7%. Are there are guidelines on what my blood glucose test readings should be before meals and before bedtime?
The goals for appropriate blood sugar levels both fasting and after meals do need to be individualized, and should consider both patient safety and practicality. The American Diabetes Association lists goals as follows:
Blood sugar control after a meal (postprandial) is also important. The American Association of Clinical Endocrinologists (AACE) recommends a two-hour postprandial goal of less than 140 mg/dl [7.8 mmol/L]. Many physicians use a post meal target range of 140-160 mg/dl [7.8-8.9 mmol/L].
- fasting and pre-meal: 80-120 mg/dl [4.4-6.7 mmol/L]
- bedtime: 100-140 mg/dl [5.6-7.8 mmol/L]
- hemoglobin A1c level: less than 7% or less than 1% above the upper limit for the lab doing the test.
Discuss these goals with members of your healthcare team and ask their assistance in personalizing your diabetes management plan. The bottom line is that aggressive control does reduce the risk of long-term complications and, if possible, should be the therapeutic goal for all persons with diabetes.
|Return to the Top of This Page|
Last Updated: Tuesday April 06, 2010 15:09:34
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.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.