TARGET LEVELS

What is "good" control?

Good diabetes control implies that the blood glucose throughout

the 24 hours, on each day, are at the target
levels determined for each individual. In simple
terms, the blood glucose levels should be as close
to normal as is possible without exposing the
patient to a severe attack of hypoglycemia or
even to minor recurrent episodes of low blood glucose.

Besides the blood glucose levels, good control implies that the
weight of the person be optimal, the blood pressure and blood
lipids ( fats) should be at an acceptable level.

Importantly, good control also implies the diagnosis of the

presence of the long term complications in their early, initial
stages!

 Targets for Control

 BMI

 WHR

TARGETS FOR CONTROL

All the target levels given below are generalisations and individual
targets MUST be established. Laxity may be allowed in elderly
patients; certain conditions require a much tighter control, e.g.
pregnancy, maculopathy, etc.
 Target Levels

BODY MASS INDEX (BMI)

Body Mass Index (BMI) is an excellent indicator of the weight

status of a person. Its significance also lies in the fact that the
normal values are based on the effect of body weight on disease
and death, irrespective of the age and gender of an adult person.

A healthy BMI for adults is between 19 and 24.9.

A high BMI is predictive of death from cardiovascular disease.

Diabetes, high blood pressure, some forms of cancer,
osteoarthritis and many other ailments are also common
consequences of overweight, and obesity in adults.

Obesity itself is a strong risk factor for premature death.

The BMI also allows us to judge the nutritional status of an

individual. A BMI of less than 18.5 is considered to denote
undernutrition.

Recently, it has been shown that the BMI used along with the
Waist-Hip Ratio (WHR) is better in predicting risk for many of the
serious disorders such as diabetes, high blood pressure, lipid
disorders and atherosclerosis leading to heart attacks and strokes
etc.
 Target Level

What is YOUR Body Mass Index?

CLICK HERE TO CALCULATE YOUR BMI

Good: 20-23 Fair: 23-25 Poor: >25

WAIST - HIP RATIO (WHR)

Research has shown that much more

than the weight of a person, it is the
shape of the body which is important
in determining risks for the
development of many serious
disorders such as diabetes, high
blood pressure, lipid disorders,
atherosclerosis leading to heart
attacks and strokes, and many other
ailments.

Research shows that people with

"apple-shaped" bodies (with more
weight around the waist) face more
risks than those with "pear-shaped"
bodies that carry more weight
around the hips.

Are YOU an Apple or a Pear?

To determine if you have a healthy

waist to hip ratio, use a measuring
tape to measure the circumference of your hips at the widest part
of your buttocks. Then measure your waist at the smaller
circumference of your natural waist, usually just above the belly
button. ( See Figure )

Recently, it has been shown that the Waist-Hip Ratio (WHR) used
along with the BMI is better in predicting risk for many of the
serious disorders such as diabetes, high blood pressure, lipid
disorders and atherosclerosis leading to heart attacks and strokes
 etc.

CLICK HERE TO CALCULATE YOUR WHR

Target Levels

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