26


Chapter 2


Table 2.2 Plasma Blood Glucose and Hemoglobin A1c Goals for Type 1 Diabetes Across All Pediatric Age Groups4


Plasma Blood Glucose Goal Range Before Meals


90–130 mg/dL (5.0– 7.2 mmol/L)


a Bedtime/Overnight


90–150 mg/dL (5.0– 8.3 mmol/L)


Hemoglobin A1c


< 7.5% (58 mmol/mol)a


A lower goal (< 7.0% [53 mmol/mol]) is reasonable if it can be achieved with- out excessive hypoglycemia.


Box 2.8 Glycemic Targets for Pregnant Women with Gestational Diabetes Mellitus or Preexisting Type 1 or 2 Diabetes4


Gestational diabetes mellitus


• Preprandial plasma glucose (PG) ≤95 mg/dL (5.3 mmol/L) and either: ○ 1-hour postmeal PG ≤140 mg/dL (7.8 mmol/L) or ○ 2-hour postmeal PG ≤120 mg/dL (6.7 mmol/L)


Preexisting type 1 or type 2 diabetesa • Fasting ≤90 mg/dL (5.0 mmol/L) • 1-hour postprandial ≤130–140 mg/dL (7.2–7.8 mmol/L) • 2-hour postprandial ≤120 mg/dL (6.7 mmol/L) • Hemoglogin A1c < 6%–6.5% (42–48 mmol/mol)


a


Recommend as optimal glycemic goals, if they can be achieved without exces- sive hypoglycemia.


Table 2.3 Definitions of Abnormalities in Albumin Excretion (Urinary Albumin-to-Creatinine Ratio)4


Category Normal


Increased urinary albumin excretion


< 30 ≥ 30


Spot Collection (mg/g creatinine)


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