NEW HYDE PARK, NY – The American Diabetes Association’s (ADA) new recommendations that lower the three-month average blood glucose levels for children under the age of 19 may be difficult for young children to maintain consistently, a New York endocrinologist said.
The ADA now recommends that children under 19 have an A1C level (the three-month blood glucose average) of 7.5 as opposed to the previously advocated 8.5.
“I think it’s going to ask people to adhere to a difficult standard,” says Phyllis Speiser, MD, chief of pediatric endocrinology at Cohen Children’s Medical Center. “One size fits all may not be appropriate for younger children. I think for adolescents this may be fine and for peri-adolescents who are middle school age. But once you get down to very young children, it’s a big challenge to maintain perfect blood sugars without going too low.”
Children should maintain their blood glucose levels by following their prescribed dietary, exercise and monitoring regiments, Dr. Speiser says.