Diabetes Control

How do I know that my diabetes is in good control?

An HbA1c test indicates an average level of blood sugar in your blood over the past 3-4 months. In the figure below the red blood cell on the left is carrying a normal level of sugar and on the right, is carrying a very high level of blood sugar in a patient with uncontrolled diabetes. This extra sugar causes complications of diabetes like, blindness, kidney failure, stroke and heart attack. So, it is important to know your A1C count and if it is high to talk to your doctor and find out ways to lower this count.


  • 5.7% or below Normal
  • 5.8- 6.4% Pre-diabetes
  • 6.5 and above Diabetes
  • Less than 7.5 % Good control for children
  • Less than 7% Good control for adults.

All children with diabetes should maintain A1C of less than 7.5% without hypoglycemia. By doing so they can avoid complications of diabetes and enjoy a normal life.

Where can I get A1C done?

It should be done in an approved laboratory. If your A1C is high, you need to discuss with your doctor as to how this level can be brought down.

Monitoring of blood sugar

Why should children with diabetes check their blood sugar?

High blood sugar is harmful for all diabetes. High blood sugar can damage eyes, kidneys and many other organs in the body and can lead to coma. High blood sugar can interfere with children’s growth.

Low blood sugar is also harmful and can make you feel so weak and tired that you cannot function. It can lead to coma rapidly.

By checking your blood sugar frequently, you can avoid both high and low blood sugar.

How often do people with diabetes check their blood sugar?

Children with diabetes need to check their blood sugar a minimum of four times a day, once before each meal and at bedtime. You should do an additional blood sugar test when you feel low.

What is a good level of sugar for a child with diabetes?

  • Pre-meal sugar: 100-120
  • Post-meal sugar: 150-180


Information and images from www.penpalsunited.org are from or inspired by Living the Sweet Life with Diabetes: The Art of balancing insulin, diet, and exercise by Dr. Santosh Gupta, MD, MRCP (UK), CDE.  You can access the book here: http://manavseva.org/downloads/book-english.pdf

The Penpals United website does not contain medical advice.  Any contents of this website, such as text, graphics, images, and other material, are intended for informational and educational purposes only and not for the purpose of rendering medical advice.  Such contents are not intended to substitute for professional medical advice, diagnosis, or treatment.