What is the best blood glucose level for children and adolescents with type 1 diabetes? It is generally measured in three ways: premeal blood glucose, bedtime or nighttime blood glucose, and glycated hemoglobin.
For children of different ages, due to their different physiological characteristics, the American Diabetes Association recommends that blood glucose should be individualized and should be at a reasonably low value based on a benefit-risk assessment, with a slightly higher target blood glucose for children with frequent or unconscious hypoglycemia. Achieving near-normal glycemic control in adolescents and children with diabetes is much more difficult than in adults, and the biggest obstacle is severe hypoglycemia, especially in patients under 6 or 7 years of age who mostly do not perceive hypoglycemia. Therefore the younger the age, the lower the glycemic control goal should be. Of course, children benefit better when they can achieve the glycemic control goal under the premise of safety.