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Question:

We recently purchased a hot tub. Since we have a 10 year old with Type 1 diabetes, we are concerned with guidelines for his use.

Answer:

It has been our experience that hot tubs, even hot baths, can lower blood sugars, perhaps by causing increasing absorption of injected insulin. Other parents report similar experiences.

JH

[A reader comments: Hot tubs can be used by people with diabetes who are otherwise healthy but must be used with some caution. When immersed in hot water the peripheral circulation to the skin and subcutaneous tissues are increased. This increased peripheral circulation does increase the rate and extent of absorption of the insulin that is injected in these areas. After using a hot tub or spa, someone taking insulin should be extra cautious about watching for possible low blood sugars (because of the change in rate of insulin absorption). WWQ]

Original posting 10 Jan 98

  
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Last Updated: Sun Jan 15 12:01:34 2006
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