Table 8

ADA Standards of Care optimal targets in pregnancy*

Target maternal glucose
 Fasting60–99 mg/dL
 Peak postprandial100–129 mg/dL
 Mean<100 mg/dL
 Labor and delivery80–110 mg/dL (mean <100)
Insulin drips + D10 50 cc/h
 A1CPreconception <7% and as close to normal as possible without significant hypoglycemia
During pregnancy <6%
  • * See refs. 70, 103, and 104.

  • These represent the mean +2 SD for normal. They are targets, but not everyone can achieve them. There is certainly marked variability, which explains why there is greater incidence of large-for-gestational-age infants in patients with type 1 diabetes.