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Question: From Bogota, Colombia, South America: For the past three years, I have been unable to recognize low blood sugar symptoms. My last A1c was 7.9 percent. I take lispro (Humalog) and Lantus. I have been having hypoglycemic seizures and my endocrinologist is very worried about possible brain damage. He recommended a positron scan, but there is no one in Colombia who can perform this exam. Where are the nearest places in the United States do get this brain scan? Do you know if any of the countries that are near Colombia, such as Panama, Ecuador, Venezuela, Brazil or Argentina, have hospitals that can perform the scan? Answer: What you are experiencing is hypoglycemic unawareness, which is a result of several factors: poor glucose control in the past long standing diabetes the body's counter regulatory system is disrupted and you do not produce enough epinephrine, glucagon to sustain a response. I do not know of any area in Central or South America which can provide you with this scan but you can check it out. In the United States, I would concentrate at the major university centers such as Miami, Los Angeles, San Diego, etc. In the meantime, I would definitely improve your control. In some instances, if your A1c improves and your control improves, the ability to detect hypoglycemia can be restored. ABS DTQ-20040402102235 Original posting 5 Apr 2004 Posted to Hypoglycemia and Other

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ 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 Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tue Mar 07 11:53:32 2006
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