Anne
7% is a target set by NICE. It should be seen as the ceiling of acceptable control, but too often is interpreted as the actual target. In addition, the targets are set deliberately high for historical reasons. an "ideal" Hba1c is probably 4.2% to 4.5% Average for non- diabetics is 5.1%.
In dealing with children, there needs to be some latitude, to cope with their changing needs as they grow. However, I feel that the doctors are sometimes so fixated on avoiding hypos, that they forget the risk of continuous HIGH blood glucose.
Hana