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First comes knowledge

2019-03-23T18:38:20+00:00Advanced Type 2, Hypoglycaemia Assessment, Patient education, Type 1 Diabetes|

By: Belinda Childs |Date: 21 March 2019| Categories: Patient Education, Advanced Type 2, Type 1 Diabetes, Hypoglycaemia Assessment
Reducing the risk of hypoglycaemia is a multifaceted challenge. For starters, health providers need to understand which behaviours raise and decrease the risk, so they can communicate this information to individuals with diabetes and the people who care for them.

Connecting hypoglycemia and CVD risk

2019-02-01T20:20:28+00:00Cardiovascular Disease, CV Risk, Severe hypoglycaemia|

By: Dr. Lawrence Leiter |Date: 31 January 2019| Categories: Cardiovascular Disease, CV Risk, Severe Hypoglycaemia
Patients with diabetes remain at greatly increased risk of cardiovascular disease (CVD). Hypoglycemia from glucose-lowering medications, especially if severe, compounds the risk. While totally eliminating all diabetes-related hypoglycemia may be an overly ambitious goal, we could be doing more to reduce its occurrence.

Pediatric Diabetes

2018-12-01T02:00:50+00:00Continuous glucose monitoring, Diabetes in Children, Fear of hypocalcaemia|

By: Tim Jones |Date: 30 November 2018| Categories: Continuous Glucose Monitoring, Fear of Hypoglycaemia, Pediatric Diabetes
Children and teens are a lot of wonderful things. “Easy” is not one of them. When dealing with pediatric diabetes, clinicians should prepare for a different clinical picture, different behaviours, and different thresholds for hypoglycaemic symptoms. They should also anticipate a high level of parental stress and worry.

Dead in bed syndrome

2019-02-01T01:53:30+00:00Severe hypoglycaemia, Type 1 Diabetes|

By: Simon Heller | Date: 30 October 2018| Categories: Dead in bed syndrome, Nocturnal Hypoglycaemia, Severe Hypoglycaemia, Type 1 Diabetes
Dead in bed syndrome understandably strikes terror in the hearts of people with type 1 diabetes and their families. Clinicians, for their part, may find it difficult to discuss the syndrome with patients and thus avoid the topic. Fortunately, the syndrome is rare enough that the key message to patients is reassurance.

The Sniff Test – Benefits and limitations of diabetes alert dogs

2018-11-22T01:33:46+00:00Continuous glucose monitoring, Diabetes alert dogs, Impaired Awareness|

By: Linda Gonder-Frederick | Date: Friday 22 August 2018| Categories: Impaired awareness, Diabetes alert dogs, Continuous glucose monitoring
The use of diabetes alert dogs (DADs) has been steadily gaining in popularity, and research is yielding new insights into their benefits and limitations. In this article, an expert on hypoglycaemia detection strategies provides a balanced overview of DADs and evidence-based guidance on their use.

A Blow to the Brain

2018-11-22T01:34:03+00:00Hypoglycaemic Stress, Impaired Awareness, Neuroimaging|

By: Stephanie Amiel & Bastiaan de Galan | Date: Friday 27 July 2018| Categories: Impaired awareness, Neuroimaging, Hypoglycaemic Stress
Impaired awareness of hypoglycaemia (IAH) is a common, frustrating, and potentially dangerous problem for people with diabetes who use insulin. While researchers have yet to unravel the physiological underpinnings of IAH, neuroimaging studies have shed light on how the brain responds to hypoglycaemia—and how these responses may change as IAH sets in.

Tailored Targets – When to loosen the reins on glucose control

2018-07-29T19:00:46+00:00Glucose Control, HbA1C, Hypoglycaemia, Individualized Therapy|

By: Kamlesh Khunti, Prof. MBChB, PhD, MD, FRCGP, DCH, DRCOG |Date: Thursday 28 June 2018| Categories: Hypoglycaemia, Glucose Control, Individualized Therapy, HbA1C
Tight glucose control improves clinical outcomes. While this evidence-based principle continues to guide diabetes management, the truth is not so simple.

Invisible Damage – When hypoglycaemia goes silent

2018-07-04T14:43:46+00:00Asymptomatic hypoglycaemia, Hypoglycaemic events, Impaired Awareness, Type 1 Diabetes|

By: Ulrik Pedersen-Bjergaard |Date: Thursday 31 May 2018| Categories: Hypoglycaemia, Driving performance, Insulin-treated, Impaired Awareness
Asymptomatic hypoglycaemia (AH) is where clinical and biochemical realities diverge.

Restoring Awareness, Reducing Severity: A strategic approach to mitigating the damage of hypoglycaemia

2018-07-04T14:43:46+00:00Glucose-Monitoring Technology, Impaired Awareness, Patient education, Severe hypoglycaemia|

By: Stephanie Amiel, BSc, MD, FRCP |Date: Monday 30 April 2018| Categories: Severe Hypoglycaemia, Glucose-Monitoring Technology, Patient Education, Impaired Awareness
An awareness of hunger prompts people to open the refrigerator. The same process alows people to limit the damage of hypoglycaemia: a mental awareness of symptoms gives people a chance to take corrective action.

Hypoglycaemia on the Road

2018-07-04T14:43:46+00:00Driving performance, Hypoglycaemia, Impaired Awareness, Insulin-treated|

By: Brian Frier, MD, FRCPE |Date: Thursday 29 March 2018| Categories: Hypoglycaemia, Driving performance, Insulin-treated, Impaired Awareness
Driving is a complex activity that requires cognitive integrity, and hypoglycaemia impairs cognition across a range of domains. The inevitable result? Impaired driving performance.