title: What is "tight control" of diabetes? Goals, limitations, and evaluation of therapy.
abstract: Complete normalization of the blood glucose concentration is the ideal goal in patients with diabetes. Because of deficiencies in therapeutic modalities for diabetes, achievement of approximation of normoglycemia is usually a satisfactory result. Generally, blood glucose ranges of 70 to 120 mg/dl preprandially and less than 160 to 180 mg/dl 90 minutes postprandially in nonpregnant patients with diabetes are considered appropriate. Diurnal variations in glycemia can be caused by the size and composition of meals, the time of day a meal is eaten, stress, and exercise. Self-monitoring of blood glucose by the patient and measurement of glycosylated hemoglobin have been useful in achieving control of diabetes.
mesh_terms: D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D003920:Diabetes Mellitus / Q000097:blood / Q000517:prevention & control* / Q000628:therapy; D004435:Eating; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006040:Goals; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control; D008991:Monitoring, Physiologic; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000097:blood / Q000628:therapy; D012648:Self Care; D013997:Time Factors
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin