Severe Hypoglycaemia in Children: A Shifting Landscape

By: Tim Jones, MD, DCH, FRACP|Date: Friday 26 January 2018| Categories: Diabetes in Children, Hypoglycaemia, Type 1 Diabetes
Many clinicians perceive the risk of severe hypoglycaemia as firmly tethered to the level of glucose control: the tighter the control, the greater the risk. This perception has its roots in the historical association between A1C and hypoglycaemia risk, established in several studies. As a frequently cited example, the DCCT trial found a 3-fold increased risk of severe hypoglycaemia in patients randomized to the intensive management arm of the study.