What is the target level for my blood sugar?

What is the target level for my blood sugar?

The target level for your blood sugar depends on who you are and on the other circumstances of your health. Various authoritative expert bodies have published blood sugar targets to aim at before and 2 hours after meals at various stages of life, including for children, adults, pregnant women, and the elderly. The various recommendations differ in certain respects, but are generally similar and those of the American Diabetes Association and the American Association of Clinical Endocrinologists are shown in Table 8.Wherever possible, otherwise healthy individuals with diabetes should aim to achieve blood sugar levels that are as close to normal as possible, as long as these can be reached without side effects that are either distressing or dangerous. This is a matter of judgment between you and your physician. The main side effects of the various pills for diabetes are shown in Table 4.

The target levels for blood sugar can either be described by blood sugar levels themselves or in overall terms, according to the Hemoglobin A1c

Table 8 Blood Sugar and A1c Targets for Diabetes

Time	ADA (mg/dl)	AACE (mg/dl)
Fasting 2 hours after eating A1c	70–130 Less than 180 Less than 7.0% and as close to 6% as is safely achievable; less than 8% in young children, the elderly, and those at high risk of hypoglycemia	Less than 110 Less than 140 Less than 6.5%

Source: Data from ADA: American Diabetes Association; AACE: American
Association of Clinical Endocrinologists.

(HbA1c or A1c), which is an average measure of blood sugar over the prior 3–4 months, approximately. For all people with diabetes, but especially those who do not need to perform frequent selfmonitoring of blood sugar or who are unable to do so, the HbA1c is a very helpful measure and the American Diabetes Association recommends that it is performed at least twice per year. Recently, it has been recommended that the HbA1c should be reported in terms of the estimated average blood glucose (eAG) to which it corresponds, which may be more meaningful to most persons with diabetes. The corresponding values of each and the formula to make this calculation are shown in Table 9.