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Question: From Spring Creek, Pennsylvania, USA: My eight-year-old son was diagnosed with type 1 diabetes around Thanksgiving. In what range should we keep his glucose level? I am asking because I am getting conflicting answers. Some say keep on the low side, such as 90 mg/dl [5.0 mmol/L] to 120 mg/dl [6.7 mmol/L]. Others tell us that because he is growing, it needs to be on the high side, such as 150 mg/dl [8.3 mmol/L] to 170 mg/dl [9.4 mmol/L]. I would appreciate another opinion. Answer: In general, for my patients this age with type 1 diabetes, I remind families that a NORMAL serum glucose is generally between 60 mg/dl [3.3 mmol/L] to100 mg/dl [5.6 mmol/L]. The diagnosis of diabetes is not usually made until the glucose is more than 125 mg/dl ("126 mg/dl [7.0 mmol/L] or greater"). The increased urination (and subsequent risk for dehydration), does not typically start until the glucose rises to more than 180 mg/dl [10.0 mmol/L]. Potentially worrisome ketones don't classically appear until the glucose is over 240 mg/dl [13.3 mmol/L]. So, for this age child, my goal would be to have glucose levels between 80 mg/dl [4.4 mmol/L] to 180 mg/dl [10.0 mmol/L]. As he gets older, the target would be tighter and closer to 70 mg/dl [3.9 mmol/L] to 120 mg/dl [6.7 mmol/L]. The issues of low glucoses revolves around the concerns of serious lows that might interfere with learning. A glucose basement of 80 mg/dl [4.4 mmol/L] gives you lots of "cushion," to try to prevent glucoses less than 60 mg/dl [3.3 mmol/L]. But YOUR pediatric endocrinologist may have a different philosophy and knows your child. Keep your dialogue with them! DS DTQ-20070104090743 Original posting 23 Jan 2007 Posted to Other and Daily Care

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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

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