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Table 15—

Plasma blood glucose and A1C goals for type 1 diabetes by age-group

Values by age (years)Plasma blood glucose goal range (mg/dl)
A 1CRationale
Before mealsBedtime/overnight
Toddlers and preschoolers (0–6) 100–180 110–200 <8.5% (but >7.5%) High risk and vulnerability to hypoglycemia 
School age (6–12) 90–180 100–180 <8% Risks of hypoglycemia and relatively low risk of complications prior to puberty 
Adolescents and young adults (13–19) 90–130 90–150 <7.5% •Risk of severe hypoglycemia 
    •Developmental and psychological issues 
    •A lower goal (<7.0%) is reasonable if it can be achieved without excessive hypoglycemia 
Key concepts in setting glycemic goals:
  • Goals should be individualized and lower goals may be reasonable based on benefit-risk assessment.

  • Blood glucose goals should be higher than those listed above in children with frequent hypoglycemia or hypoglycemia unawareness.

  • Postprandial blood glucose values should be measured when there is a discrepancy between pre-prandial blood glucose values and A1C levels and to help assess glycemia in those on basal/bolus regimens.

 
Values by age (years)Plasma blood glucose goal range (mg/dl)
A 1CRationale
Before mealsBedtime/overnight
Toddlers and preschoolers (0–6) 100–180 110–200 <8.5% (but >7.5%) High risk and vulnerability to hypoglycemia 
School age (6–12) 90–180 100–180 <8% Risks of hypoglycemia and relatively low risk of complications prior to puberty 
Adolescents and young adults (13–19) 90–130 90–150 <7.5% •Risk of severe hypoglycemia 
    •Developmental and psychological issues 
    •A lower goal (<7.0%) is reasonable if it can be achieved without excessive hypoglycemia 
Key concepts in setting glycemic goals:
  • Goals should be individualized and lower goals may be reasonable based on benefit-risk assessment.

  • Blood glucose goals should be higher than those listed above in children with frequent hypoglycemia or hypoglycemia unawareness.

  • Postprandial blood glucose values should be measured when there is a discrepancy between pre-prandial blood glucose values and A1C levels and to help assess glycemia in those on basal/bolus regimens.

 
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