Blood glucose levels set for achieving HbA1c targets

April 11, 2014
Blood glucose levels set for achieving HbA1c targets

(HealthDay)—The average self-monitored blood glucose (SMBG) concentrations needed at premeal, postmeal, and bedtime have been established to achieve a range of hemoglobin A1c (HbA1c) targets, according to research published in the April issue of Diabetes Care.

Nancy Wei, M.D., from Massachusetts General Hospital in Boston, and colleagues used data from the A1c-Derived Average Glucose (ADAG) study to determine the average fasting, postprandial, and bedtime SMBG concentrations associated with specific HbA1c levels. Data were included from 470 ADAG study participants (237 with type 1 diabetes; 147 with type 2 diabetes) for predefined target HbA1c groups of 5.5 to 8.5 percent.

The researchers found that, to achieve predefined HbA1c targets of 5.5 to 6.49, 6.5 to 6.99, 7.0 to 7.49, 7.5 to 7.99, and 8.0 to 8.5 percent, the average fasting levels needed were 122, 142, 152, 167, and 178 mg/dL, respectively. To achieve HbA1c targets of 6.5 to 6.99 and 7.0 to 7.49 percent, the postmeal blood glucose levels needed were 139 mg/dL and 152 mg/dL, respectively, while the bedtime needed were 153 and 177 mg/dL, respectively.

"These results, based on empirical data, will help patients and providers set realistic day-to-day SMBG targets to achieve individualized HbA1c goals," the authors write.

Explore further: Fasting plasma glucose beats HbA1c for diabetes screening

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Fasting plasma glucose beats HbA1c for diabetes screening

January 17, 2013

(HealthDay)—For patients without diabetes undergoing coronary angiography (CAG), fasting plasma glucose (FPG) performs better in diabetes screening than glycated hemoglobin (HbA1c), according to a study published online ...

Measures of glucose and its variability are inter-related

September 11, 2013

(HealthDay)—Hemoglobin A1c (HbA1c) and glycated albumin (GA) are inter-related and correlate with retinopathy and nephropathy, while only HbA1c correlates with cardiovascular disease, according to a study published online ...

Cinnamon cuts blood glucose levels in diabetes patients

September 16, 2013

(HealthDay)—Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Medicine.

Sleep apnea linked with blood sugar levels

April 2, 2014

Sleep apnoea has been linked with elevated blood sugar levels, suggesting people with the condition could be at an increased risk of cardiovascular illness and mortality.

Recommended for you

Engineered hot fat implants reduce weight gain in mice

August 20, 2015

Scientists at the University of California, Berkeley, have developed a novel way to engineer the growth and expansion of energy-burning "good" fat, and then found that this fat helped reduce weight gain and lower blood glucose ...

Promising progress for new treatment of type 1 diabetes

July 30, 2015

New research from Uppsala University shows promising progress in the use of anti-inflammatory cytokine for treatment of type 1 diabetes. The study, published in the open access journal Scientific Reports, reveals that administration ...

Bacteria may cause type 2 diabetes

June 1, 2015

Bacteria and viruses have an obvious role in causing infectious diseases, but microbes have also been identified as the surprising cause of other illnesses, including cervical cancer (Human papilloma virus) and stomach ulcers ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.