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Question: From Gateshead, County Durham, England: I wish to know whether, according to current thinking, anything can be done to reduce the risk of dead in bed syndrome occurring. From what I have read, the following have been suggested by various people in various places. taking the usual measures to reduce the risk of nighttime hypoglycemia (such as a bedtime snack, occasional nighttime readings, checking the child during the night for signs of hypoglycaemia, ensuring the blood sugar reading is not too low at bed-time); being particularly observant for any evidence of hypoglycaemic unawareness and trying to reduce this as quickly as possible by aiming for slightly higher readings for a few weeks; not aiming for too tight control. Is it worth doing any of these in the hope of reducing the risk of a twelve year old girl dying from this syndrome and, if so, which? Am I correct in thinking that the A1c reading, even if suggestive of not too tight control, could still allow for many readings below 4 mmol/L [72 mg/dl] if these are offset by a lot of above average readings? Answer: All these are quite reasonable approaches. All must be individualized for each person/child/teen. It is best to talk to your care team for more specific advice. SB [Editor's comment: With respect to your last question, you may wish to read a previous question explaining a bit about A1cs. BH] DTQ-20080810020143 Original posting 8 Sep 2008 Posted to Other and A1c, Glycohemoglobin, HgbA1c

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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

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