Type 1 children and adults can get their sugars better controlled by using multiple insulin doses or insulin pumps. In this process of achieving good blood sugars there is a risk of low blood sugars. Over time, it has become clear that we need to maintain good blood sugar control even in children with type 1 diabetes to prevent diabetes complications. The targets for blood sugars is as follows:

  • Fasting plasma glucose level of 70 – 130 mg/dl on waking
  • a plasma glucose level of 70-130  mg/dl before meals at other times of the day
  • a plasma glucose level of 90–160  mg/dl after meals

And children and young adults (less than 18 years) are encouraged to maintain their HbA1c less than 7.5 %. These targets are lesser than the previously recommended targets for children with diabetes.