What numbers should you be looking for in your blood sugar testing?
While individual goals will vary, there are some general guidelines that are suggested by diabetes professionals.
The American Association of Clinical Endocrinologists (AACE) recommends the following general blood sugar testing goals for adults with type 1 and type 2 diabetes:
- Preprandial (fasting, or before a meal) — <110 mg/dl (6.1 mmol/l)
- Two hours postprandial (after the start of a meal) — <140 mg/dl (7.8 mmol/l)
- A1C (three month blood sugar average) — 6.5% or lower
The American Diabetes Association (ADA) suggests slightly different targets*:
- Preprandial — 80-130 mg/dl (3.9-7.2 mmol/l)
- Postprandial (1-2 hours) — <180 mg/dl (<10.0 mmol/l)
- A1C (three month blood sugar average) — 7.0% or lower for adults, <7.5% for all pediatric age groups
- eAG (estimated average glucose)** — 154 mg/dl equals 7% A1C, 126 mg/dl equals 6% A1C
* These goals are for non-pregnant adults who have no history of severe hypoglycemia. Less stringent goals may be needed for some people, such as those who regularly have severe low blood sugar episodes, older people, people with health problems, and children and adolescents.
** Estimated average glucose, or eAG, is a format your healthcare professional uses for providing your A1C result. The eAG result is reported in the same units as you use for blood sugar monitoring when your blood sugar is checked by the medical lab.
The American Diabetes Association recommends slightly higher A1C goals for young people:
- Children under 19 years old: Less than 7.5%
Hope Warshaw, MMSc, RD, CDE, diabetes educator, consultant, and member of the CanAm Care advisory board; and Riva Greenberg, diabetes patient-expert, author, speaker, and Huffington Post columnist contributed to this article.
Reviewed by Susan Weiner, RD, MS, CDE, CDN (06/12)
Tropical Tapioca Parfaits Apricot Oat Treats Tomato and Buttermilk Dressing Low Carb, Low Fat Thousand Island Dressing Berry Syrup Surprise Roast Bombay Chicken Chicken Strips Stir Fry Spicy Mushrooms Lime Infused Asparagus Spears
As I mentioned in an earlier post, one of the benefits that made it cost-effective for me to go with the real healthcare (HSA) plan rather than the phony (HRA) plan is that my company is now covering "preventative" medicines at $0 copay. The formulary for these, as stated by CVS/Caremark (my pharmacy benefits provider), covers all test strips, lancets, and control solutions. I dutifully get my doctor to write up prescriptions for all of my testing needs, submit...