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Question: From Tallahassee, Florida, USA: A 25 year old friend of mine was recently diagnosed with type 1 diabetes, was started on 25 U of NPH. A month later, I took him to the ER at 6 pm with sweating, tremors, and a high BP and low blood sugar. He had not eaten that day because he had a feeling of nausea, anorexia, and diarrhea. He also hadn't been testing his blood sugar regularly. I don't understand why he experienced his hypoglycemia at that time of day instead of the morning. What is significant about that particular time of day? Answer: If your friend was on once a day insulin, he was on a minimum of insulin. Patients with type 1 diabetes are usually treated with long-acting and short-acting insulins multiple times a day. The reason your friend may have gotten into trouble is that the action profile of NPH tends to peak 8-10 hours after the injection. That is why his sugar was low at 6:00 pm after he took the NPH at around 8:00 am. The inability to eat was probably the big issue that put him at risk for the hypoglycemia. Make sure your friend receives education on how to prevent those episodes. I recommend he receive education on diabetes through local educators. Check with your local hospital for the closest diabetes education group. JTL DTQ-20011129161222 Original posting 4 Dec 2001 Posted to Hypoglycemia

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:28
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