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  How often do you worry about nighttime hypoglycemia?  
      Always  
  70%     75  
      Usually  
  10%     11  
      Sometimes  
  11%     12  
      Rarely  
  7%     8  
      Never  
  1%      1  

Total votes: 107
 

How often do you worry about nighttime hypoglycemia?

Poll dates: January 9 - 16, 2013
Total Votes: 107

While not often discussed during clinic visits, with the growing use of continuous glucose sensors, the true extent of nocturnal hypoglycemia has become clear -- it occurs often and for long periods of time. In November 2012, when we asked our readers about time time of day in which they were most worried about hypoglycemia, 91% reported the overnight period. The extent of nighttime glucose monitoring bears this out -- see our poll on this topic from March 2012. In addition, hypoglycemia and the fear of going low is rated as the hardest part of diabetes by CWD readers (see our poll on this topic from April 2012).

Given the growing awareness of nocturnal hypoglycemia, we asked our readers about how often they worry about it. Over half -- 55% -- report that they always worry -- essentially ever night. So how do we balance the fear of nighttime lows with the need for sleep? Not well, based on our poll in February 2012, in which 93% of parents and caregivers and 60% of people with diabetes report not sleeping as well as they did before diabetes.

The advent of continuous glucose sensors have finally given us a tool to help identify and reduce the impact of nocturnal hypoglycemia. While not perfect, alarms in response to low blood sugar can make a difference. And a new product by Medtronic Diabetes, mySentry™, finally brings needed new capabilities -- remote monitoring and a very loud alarm. While mySentry™ is only for Medtronic products, this technology -- combining continuous sensing with remote monitoring, perhaps even very remote, such as through the Internet -- finally hints at a time when parents, caregivers, and people with diabetes can sleep safely and soundly through the night.

Selected studies:

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Last Updated: Wednesday January 16, 2013 16:01:38
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