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 physician. The 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)
|
||
Fasting
2 hours after eating
A1c
|
70–130
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,
but especially 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 recommended
that the HbA1c 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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