What should my a1c (hemoglobin a1c) be while i am pregnant?

Controlled: Good diabetes control is important in pregnancy for best fetal health. There is some leeway because both high and low blood sugar can cause harm to mom and baby, but in general the lowest safely achievable A1c is desirable. Pregnant women with diabetes need to work closely with their ob/gyn and their pcp or endocrinologist, as medications used and level of control often change in pregnancy.

Individualized: The goal is different for different people depending on your previous experience and current medical problems. In general, the a1c goal is lower than in non-pregnant women. Aim to be at or around 6 %.