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Pediatric Diabetes
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Pediatric Diabetes

Continuous glucose monitoring, Diabetes in Children, Fear of hypocalcaemia

Pediatric Diabetes

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
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Dead in bed syndrome

Severe hypoglycaemia, Type 1 Diabetes

Dead in bed syndrome

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
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The Sniff Test – Benefits and limitations of diabetes alert dogs

Continuous glucose monitoring, Diabetes alert dogs, Impaired Awareness

The Sniff Test – Benefits and limitations of diabetes alert dogs

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
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A Blow to the Brain

Hypoglycaemic Stress, Impaired Awareness, Neuroimaging

A Blow to the Brain

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
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Tailored Targets – When to loosen the reins on glucose control

Glucose Control, HbA1C, Hypoglycaemia, Individualized Therapy

Tailored Targets – When to loosen the reins on glucose control

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
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Invisible Damage – When hypoglycaemia goes silent

Asymptomatic hypoglycaemia, Hypoglycaemic events, Impaired Awareness, Type 1 Diabetes

Invisible Damage – When hypoglycaemia goes silent

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

Glucose-Monitoring Technology, Impaired Awareness, Patient education, Severe hypoglycaemia

Restoring Awareness, Reducing Severity: A strategic approach to mitigating the damage of 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
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Hypoglycaemia on the Road

Driving performance, Hypoglycaemia, Impaired Awareness, Insulin-treated

Hypoglycaemia on the Road

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.

Hypoglycaemia is a Family Affair
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Hypoglycaemia is a Family Affair

Uncategorized

Hypoglycaemia is a Family Affair

By: Belinda Childs, APRN, BC-ADM, CDE |Date: Wednesday 28 February 2018| Categories: Hypoglycaemia, Family, Continuous Glucose Monitoring

Hypoglycaemia affects not only people with diabetes, but everyone who loves and cares for them. Having a brother with type 1 diabetes, I have seen this phenomenon up close. My brother would sometimes drive to unfamiliar places without remembering how he got there. He would awaken at night, confused and belligerent. On several occasions, a family member had to call emergency medical services to treat him. Over time, these episodes created a chronic weariness and wariness in our family, which persisted even after a continuous glucose monitoring (CGM) system significantly reduced his lows. Having a sister who knows quite a lot about hypoglycaemia has not fully solved his challenges with hypoglycaemia.

Severe Hypoglycaemia in Children: A Shifting Landscape
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Severe Hypoglycaemia in Children: A Shifting Landscape

Diabetes in Children, Hypoglycaemia, Type 1 Diabetes

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.

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