Blood glucose levels set for achieving HbA1c targets

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.

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

add to favorites email to friend print save as pdf

Related Stories

Sleep apnea linked with blood sugar levels

Apr 02, 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.

Cinnamon cuts blood glucose levels in diabetes patients

Sep 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 Me ...

Recommended for you

Team shows why wound healing is impaired in diabetics

11 hours ago

One of the most troubling complications of diabetes is its effect on wound healing. Roughly 15 percent of diabetics will suffer from a non-healing wound in their lifetime. In some cases, these open ulcers on the skin lead ...

Progress in diabetes drug delivery

Jan 22, 2015

A drug therapy for diabetes treatment is being developed by an international research team led by WA scientists, which combines an existing anti-diabetic drug with bile acids to improve the drug's delivery ...

Roux-en-Y surgery can reverse insulin treatment in T2DM

Jan 21, 2015

(HealthDay)—Roux-en-Y gastric bypass surgery (RYGB) strongly predicts insulin cessation after surgery in insulin-treated type 2 diabetes (I-T2D) patients, independent of weight loss, according to a study ...

User 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.