Response to question about A1c goals for young adults

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Georgia_Feuer Posted: Tue, Aug 14 2012 12:05 PM

"Thanks for voicing your concerns about your daughter. Diabetes management takes a lot of time and effort. Often, there is a focus on ‘numbers’ – blood glucose numbers, A1c numbers, weight, blood pressure, cholesterol, etc.  Yet, it is always most important to focus on the person with diabetes, like you are doing for your daughter. It sounds like she is working very hard to care for her diabetes by checking her blood glucose levels at least 6-10 times daily, taking insulin 6-10 times a day, and seeing her diabetes health care team regularly. The A1c goal for your daughter is generally decided by both the diabetes health care team and the patient - your daughter - working together. For a person of your daughter’s age, the American Diabetes Association recommends an A1c less than 7% - but the specific goal for your daughter would likely take into account many other factors than just her age – factors such as history of severe low blood sugars (hypoglycemia), pregnancy planning, etc. Most importantly, one should recognize the hard work and the effort that your daughter is giving to her diabetes management. And then if goals are not being met, your daughter along with her diabetes team can put into place a realistic plan to work towards achieving those goals. THANKS for sharing your caring thoughts about your daughter as many other parents and loved ones of patients likely feel the same burden about the “numbers” as you do. Keep us posted with your thoughts and progress."

-Lori Laffel, MD, MPH

Chief, Pediatric, Adolescent and Young Adult Section

Joslin Diabetes Center

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