Fasting blood glucose (FBG) in diabetes management

• the categories of fasting blood glucose identified by American Diabetes Association (ADA) Clinical Practice Recommendations:
  • 4·4-6·7 mmol L , 'good';
  • > 6·7-7·8 mmol L , 'acceptable';
  • > 7·8 mmol L , 'bad'
• the British Diabetes Association has defined target values for fasting blood glucose levels as:
  • fasting blood glucose levels of 4-7 mmol/litre
  • self monitored blood glucose levels before meals of between 4 and 7 mmol/l
• JBS 2 suggests optimal target for glycaemic control in diabetes is a fasting or pre-prandial glucose value of 4.0–6.0 mmol/ l (1)

Reference:

1. American Diabetes Association. Position Statement: Standards of Medical Care for Patients with Diabetes Mellitus. Diabetes Care 1998;21 (Suppl. 1):S23-S31.
2. British Diabetic Association (December 1998). United Kingdom Prospective Diabetes Study (UKPDS) - Implications for the care of people with type 2 diabetes.
3. JBS2: Joint British Societies' guidelines on prevention of cardiovascular disease in clinical practice. Heart 2005; 91 (Supp 5).