What should my hemoglobin A1C levels be if I'm pregnant and have diabetes?

If you have diabetes and are pregnant your A1C levels should be as close to normal as possible. Pregnant women who do not have diabetes typically have A1C levels of less than 5%, and this should be the target range for pregnant women with diabetes. The A1C test measures the percentage of glycated hemoglobin in your blood. Glycated hemoglobin is created when molecules of hemoglobin (the oxygen-carrying protein in your blood) attach to molecules of glucose (the sugar in your blood). The more sugar you have in your blood, the higher your percentage of glycated hemoglobin. The American Diabetes Association recommends a target number of 4% to 6%. The American College of Obstetrics and Gynecology recommends a target number of no higher than 6%. Talk to your doctor about the best ways to manage your blood sugar levels during pregnancy.
An A1C (Hemoglobin A1C) is a blood test that can predict average blood glucose levels for about 8-12 weeks. Women with diabetes should strive for "near normal" A1Cs prior to, as well as during, pregnancy. In general the target A1C should be less than 7% before pregnancy and less than 6% while pregnant.

Continue Learning about Diabetes


Diabetes mellitus (MEL-ih-tus), often referred to as diabetes, is characterized by high blood glucose (sugar) levels that result from the body’s inability to produce enough insulin and/or effectively utilize the insulin. Diabetes ...

is a serious, life-long condition and the sixth leading cause of death in the United States. Diabetes is a disorder of metabolism (the body's way of digesting food and converting it into energy). There are three forms of diabetes. Type 1 diabetes is an autoimmune disease that accounts for five- to 10-percent of all diagnosed cases of diabetes. Type 2 diabetes may account for 90- to 95-percent of all diagnosed cases. The third type of diabetes occurs in pregnancy and is referred to as gestational diabetes. Left untreated, gestational diabetes can cause health issues for pregnant women and their babies. People with diabetes can take preventive steps to control this disease and decrease the risk of further complications.

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.