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Question: From Conroe, Texas, USA: I have type 2 diabetes, and my last A1c was 7.2%, although it usually is slightly below 7%. Are there are guidelines on what my blood glucose test readings should be before meals and before bedtime? Answer: The goals for appropriate blood sugar levels both fasting and after meals do need to be individualized, and should consider both patient safety and practicality. The American Diabetes Association lists goals as follows: fasting and pre-meal: 80-120 mg/dl [4.4-6.7 mmol/L] bedtime: 100-140 mg/dl [5.6-7.8 mmol/L] hemoglobin A1c level: less than 7% or less than 1% above the upper limit for the lab doing the test. Blood sugar control after a meal (postprandial) is also important. The American Association of Clinical Endocrinologists (AACE) recommends a two-hour postprandial goal of less than 140 mg/dl [7.8 mmol/L]. Many physicians use a post meal target range of 140-160 mg/dl [7.8-8.9 mmol/L]. Discuss these goals with members of your healthcare team and ask their assistance in personalizing your diabetes management plan. The bottom line is that aggressive control does reduce the risk of long-term complications and, if possible, should be the therapeutic goal for all persons with diabetes. DMW DTQ-20020424210410 Original posting 17 May 2002 Posted to Daily Care and Type 2

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:32
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