Recommended Glycemic Targets

Recommended Glycemic Targets ^a

	Blood Glucose Goal Range
	(mmol/L)		HbA1c
American Diabetes Association
	Preprandial	Bedtime
Toddlers and preschool-age children (<6 years)	5.6-10	6.1-11.1	<8.5%
School-age children (6-12 years)	5-10	5.6-10	<8%
Adolescents and young adults	5-7.2	5-8.3	<7.5% b

Australasian Paediatric Endocrine Group
	Preprandial	Postprandial
Children and adolescents c	4-8	<10	<7.5%

Canadian Diabetes Association
	Preprandial
Age <5 years	6-12	≤9% d
Age 5-12 years	4-10	≤8% e
Age 13-18 years	4-7 4-6	≤7% f  ≤6% g

Diabetes UK (National Institute for Clinical Excellence)
	Preprandial	Postprandial
Children and young people	4-8	<10	≤7.5% h

International Society for Pediatric and Adolescent Diabetes i
	Preprandial	Postprandial
Ideal	3.6-5.6	4.5-7	<6.05%
Optimal	5-8	5-10	<7.5%
Suboptimal (action suggested)	>8	10-14	7.5-9%
High risk (action required)	>9	>14	>9%

a 1 mmol/L = 18 mg/dl.

b A lower goal (<7%) is reasonable if it can be achieved without excessive hypoglycemia.

c In very young children,… glycaemic targets need to be at the upper part of these ranges or a little higher.

d Extreme caution is required to avoid severe hypoglycemia.

e Targets should be graduated to the child’s age.

f Appropriate for most patients.

g Consider for patients in whom these targets can be achieved safely.

h Without frequent disabling hypoglycemia.

i These targets are intended as guidelines, and each child should have targets individually determined with the goal of achieving a value as close to normal as possible while avoiding severe hypoglycemia as well as frequent mild to moderate hypoglycemia.