*3.1.6 Monitoring and appointments*

Diabetic children are asked to monitor and document their blood glucose levels, two to three times a day, at home. Blood glucose logbook is reviewed each visit to the clinic. Based on blood glucose values, the insulin dose can be adjusted to make sure they attain the blood glucose target values.

HbA1C is checked every three months. The HbA1C is used to monitor blood glucose control in patients with diabetes. With good glycemic control, most blood glucose values will be within target ranges and HbA1C will come down to the normal range or closer. For children and adolescents, the desired value is less than 7.5%. In order to achieve better control, target values should be in place. Before meals: 4–7 mmol/L, after meals: 5–10 mmol/L, bed time: 5–10 mmol/L, 3 am: 5–8 mmol/L. The insulin dose is adjusted until most of the blood glucose levels are within the target range.
