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  Back to CWD Response Yale Response to Countdown Article About Nighttime Testing

Yale Response to Countdown Article About Nighttime Testing

Jo Ann Ahern's comments in the recent issue of Countdown magazine have generated considerable controversy regarding blood glucose testing during the night in children with type 1 diabetes. In response to this issue, it is important to note that the Yale Children's Diabetes Program recognizes that:

In the meantime, patients with T1DM literally walk a tight rope between too high and too low blood glucose levels. While trying to limit the every day burdens of diabetes treatment whenever possible, clinicians who care for children and adolescents with diabetes strive to achieve as good metabolic control as safely possible, which ultimately depends on frequent blood glucose testing. We believe that Mrs. Ahern's comments were directed at the relatively unusual circumstances where fear of hypoglycemia leads to what may appear to be excessive blood glucose testing in situations where it may not be necessary. For example, frequent overnight testing is usually not needed in children with diabetes of relatively short duration who are at low risk of hypoglycemia. However, it is the parents, in consultation with their treating clinicians, who must make the decision regarding the frequency of nighttime blood glucose testing that best serves the health and welfare of their child.

William V. Tamborlane, M.D.
Professor and Chief of Pediatric Endocrinology

Robert S. Sherwin, M.D.
C.N.H. Long Professor of Internal Medicine
Yale University School of Medicine
New Haven, CT



                 
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Last Updated: Thursday February 27, 2014 19:28:21
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