I am confused. I thought that we were really cracking down on blood sugars and prefering FBG to be 70-110 or even 70-100. But i looked at the ADA website and they recommend 90-130 which seems high to me. Is this a new guideline?
I'm at a new hospital that I believe has a poor sliding scale system. They start coverage only after blood sugar is 150. That seems high to me. Anyway to find a scale or system that is endorsed by the ADA? Or is there no singular national standard? Thanks!!
Quote from zacarias
Siri, thanks for those links although I had already seen those. That's why I'm posting here. It says that the glycemic goals for fasting blood sugar is 90-130. That is not what I tought in nursing school and not what I've seen change over the years and certainly not what I've seen in practice. What gives?
Depends on who's setting the goals The American College of Endocrinology (ACE) and The American Association of Clinical Endocrinologists (AACE) tend to have stricter goals than the American Diabetes Association (ADA)
For example hemoglobin A1C goal set by ACE is 6.5% or lower, while ADA goal is <7%. I don't want to quote other numbers (might not remember them exactly), but you can check each organizations website.
ACE has upper limit of FPG set at 110 mg/dl and 2 hr pp goal is <140 mg/dl
The goal set be ADA are higher--the ones you quote above sound close to ADA goals. ADA 2hr pp goal is < 180 mg/dl
Last edit by Myxel67 on Feb 12, '07