What is the ADA pre-prandial glucose goal?

• A. 50-100 mg/dL
• B. 70-130 mg/dL
• C. 90-140 mg/dL
• D. 100-150 mg/dL

Answer: (B)

Pre-prandial glucose goal is to have blood sugar before meals in roughly the 70–130 mg/dL range. This target keeps fasting or before-meal glucose close to normal, which helps reduce overall glycemic exposure and lowers the risk of long-term complications, while avoiding symptoms of hypoglycemia.

Keeping within this range before meals also supports better control of post-meal spikes later on. Values much lower than this raise the risk of hypoglycemia, while higher values before meals allow more sustained hyperglycemia. The exact targets can be adjusted for individual factors (age, hypoglycemia risk, comorbidities, pregnancy), but for most adults the pre-prandial target sits around 70–130 mg/dL.