From Baltimore, Maryland, USA:
My four year old son, diagnosed with type 1 diabetes a year ago, has hemoglobin A1c levels from 6.5-7%, but in attempting to maintain good glycemic control, he experiences occasional low blood sugar levels less than 50 mg/dl [2.8 mmol/L] usually related to increased physical activity. Is hypoglycemia unawareness inevitable in a child in which tight control is practiced?
Everyone with diabetes will have some hypoglycemia since our ability to replace insulin is inaccurate, food estimates and activity estimates are merely estimates and there are lots of other vagaries of glucose control such as insulin absorption differences, measurement differences, illness, growth spurts etc. The key issue is not to have too many episodes of hypoglycemia and to be able to prevent all severe episodes, if possible. Usually severe episodes requiring assistance occur when several errors overlap. You should feel comfortable to talk to your own diabetes team about the specific of your child's management so that you maximize glucose control and minimize hypoglycemia. Frequent monitoring is often the key. Analog insulins often help decrease hypoglycemia and improve immediate post-prandial glycemia at the same time.
Original posting 26 Nov 2001
Posted to Hypoglycemia
Last Updated: Tuesday April 06, 2010 15:09:28
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.