Recommendation ID
NG18/2
Question

Optimal upper limit and timing for blood glucose measurements after meals for children and young people with type 1 diabetes:- What is the optimal upper limit and timing for blood glucose measurements after meals for children and young people with type 1 diabetes to reach an HbA1c level of 48 mmol/mol (6.5%) without unacceptable hypoglycaemia?

Any explanatory notes
(if applicable)

Why this is important:- Setting an upper limit for plasma glucose measurements 1–2 hours after meals of less than 8 mmol/litre (rather than the 9 mmol/litre  recommended in this guideline) could potentially lead to an improvement in blood glucose control without an unacceptable risk of hypoglycaemia. The evidence reviewed for the guideline did not allow a precise evaluation of the upper limit for the target range, or the timing of blood glucose testing relative to meals. Future research should investigate the HbA1c levels of children and young people with type 1 diabetes who aim for blood glucose measurements after meals slightly lower (to ensure their safety) than 9 mmol/litre, to help decide whether lowering the upper limit is effective in improving long-term blood glucose control.
Outcomes include the child or young person's satisfaction with treatment, their HbA1c levels, rates of hypoglycaemia, the views of their family members or carers (as appropriate), and quality of life.


Source guidance details

Comes from guidance
Diabetes (type 1 and type 2) in children and young people: diagnosis and management
Number
NG18
Date issued
August 2015

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No