The American Diabetes Association (ASA) provides glycemic control targets for pediatric patients with Type 1 diabetes. The glycemic control target for each patient should be individualized to take into account the various risks and benefits.
Parameters:
(1) age in years
(2) glucose concentration prior to a meal (pre-prandial)
(3) glucose concentration at night
(4) percent glycated hemoglobin A1c
Age in Years
Glucose Prior to Meals
Glucose Prior to Meals
< 6 years of age
100 to 180 mg/dL
5.6 to 10 mmol/L
6 to 12 years
90 to 180 mg/dL
5 to 10 mmol/L
13 to 18 years
90 to 130 mg/dL
5 to 7.2 mmol/L
Age in Years
Glucose at Night
Glucose at Night
< 6 years of age
110 to 200 mg/dL
6.1 to 11.1 mmol/L
6 to 12 years
100 to 180 mg/dL
6.1 to 10 mmol/L
13 to 18 years
90 to 150 mg/dL
5.6 to 8.3 mmol/L
Age in Years
Percent Hemoglobin A1c
< 6 years of age
7.6 to 8.4%
6 to 12 years
<= 7.9%
13 to 18 years
<= 7.4%
A key concern in pediatric patients is avoidance of hypoglycemic episodes. A patient who is at risk for hypoglycemia or who shows hypoglycemic unawareness may benefit from less stringent glycemic control.
If the hemoglobin A1c and pre-prandial glucose levels are discrepant, then consider monitoring post-prandial glucose levels.
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