Back to Ask the Diabetes Team Ask the Diabetes Team

From Pittsburgh, Pennsylvania, USA:

My daughter, who has had type 1 diabetes since the age of 19 months, had an A1c of 10-11% at that time, and now, 15 months later, it is 6.3%! However, her endocrinologist advised that this is too tight, running the risk of a severe low causing possible seizure. If 6.3% is normal, then why would she be at risk for this?


In the case of an older child, a hemoglobin A1c of 6.3% would be a great goal. It reflects an average blood sugar of around 130 mg/dl [7.2 mmol/L] over the past three months. However, in toddlers (I believe your child is somewhere around three years old now), a good goal of blood sugar control is to avoid lows, avoid dramatic highs, and avoid hospitalizations. Aggressive care aiming for an A1c less than 7.0% is probably not the best idea in your child's age group. I believe her endocrinologist's concern is simply that lows may be happening without your knowledge, and having a hemoglobin A1c of 6.3% may run the risk of severe low blood sugars.


Original posting 13 Apr 2002
Posted to Daily Care


  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:34
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.