Table 11.1

Blood glucose and A1C goals for type 1 diabetes across all pediatric age-groups

Blood glucose goal rangeA1CRationale
Before mealsBedtime/overnight
90–130 mg/dL
(5.0–7.2 mmol/L)
90–150 mg/dL
(5.0–8.3 mmol/L)
<7.5%
(58 mmol/mol)
A lower goal (<7.0% [53 mmol/mol]) 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 a benefit–risk assessment.
• Blood glucose goals should be modified in children with frequent hypoglycemia or hypoglycemia unawareness.
• Postprandial blood glucose values should be measured when there is a discrepancy between preprandial blood glucose values and A1C levels and to assess preprandial insulin doses in those on basal–bolus regimens.