Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
April 13, 2002
Question from Pittsburgh, Pennsylvania, USA:
My daughter, who has had type 1 diabetes since the age of 19 months, had an A1c of 10-11% at that time, and now, 15 months later, it is 6.3%! However, her endocrinologist advised that this is too tight, running the risk of a severe low causing possible seizure. If 6.3% is normal, then why would she be at risk for this?
In the case of an older child, a hemoglobin A1c of 6.3% would be a great goal. It reflects an average blood sugar of around 130 mg/dl [7.2 mmol/L] over the past three months. However, in toddlers (I believe your child is somewhere around three years old now), a good goal of blood sugar control is to avoid lows, avoid dramatic highs, and avoid hospitalizations. Aggressive care aiming for an A1c less than 7.0% is probably not the best idea in your child’s age group. I believe her endocrinologist’s concern is simply that lows may be happening without your knowledge, and having a hemoglobin A1c of 6.3% may run the risk of severe low blood sugars.