Wednesday, June 6, 2012

What is the target level for my blood sugar?

The target level for your blood sugar depends on who you are and on the other circumstances of your health. Various authoritative  expert  bodies  have published blood sugar targets to aim at before and 2 hours after meals at various stages of life, including for children, adults, pregnant women, and the elderly. The various
recommendations differ in certain respects, but are gen- erally similar and those of the American Diabetes Association  and  the  American  Association  of  Clinical Endocrinologists are shown in Table 8. Wherever pos- sible, otherwise healthy individuals with diabetes should aim to achieve blood sugar levels that are as close to normal as possible, as long as these can be reached with- out side effects that are either distressing or dangerous. This is a  matter of judgment between you and your physicianThe  target  levels  for  blood  sugar  can  either  be described  by  blood  sugar  levels themselves  or  in overall terms,  according  to  the  Hemoglobin  A1c

Table 8     Blood Sugar and A1c Targets for Diabetes

Time                                    ADA (mg/dl)                       AACE (mg/dl)
2 hours after eating
Less than 180
Less than 7.0%
and as close to
6% as is safely achievable; less than 8% in young
children, the elderly, and those at high
risk of hypoglycemia
Less than 110
Less than 140
Less than 6.5%
Source: Data from ADA: American Diabetes Association; AACE: American
Association of Clinical Endocrinologists..

(HbA1c  or  A1c), which  is an  average measure of blood  sugar  over  the  prior  3–4  months,  approxi- mately. For all  people with diabetes, buespecially those  who  do  not  need  to  perform  frequent  self- monitoring of blood sugar or who  are unable to do so, the  HbA1c  is  a  very helpful measure  and  the American Diabetes Association recommends that it is performed at least twice per year. Recently, it has been   recommende tha th HbA1 should   be reported  in  terms  of  the  estimated  average blood glucose (eAG) to  which it corresponds, which may be more meaningful to most  persons with diabetes.

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