So common theme – child faints at school and the staff ask did you eat breakfast. Why?
Because hypoglycemia is common. Common things happen commonly. Kids especially have brains that “chow” sugar. In other words a child’s brain is glucose hungry and thus the need to feed food that keeps blood glucose levels constant, not spiking and dipping, but a constant availability of glucose for all cells but brain hungry cells especially.
How much more so is the problem in a type 1 diabetic whose “automatic” controls and back up systems have failed altogether.
Hypos -ARE BAD!
Hypoglycmia – low sugar is really bad for you and for this reason the bodies alarm bells go off properly when your sugars are dropping or go very low and the possible end result is loss of consciousness or death.
So when I write motivation after motivation as if my words have magic power and attempt to explain to a fellow colleague who should know these things and have to re-explain why multiples hypos are BAD. That’s what I mean they are bad in so many ways but the death way really pertinent.
The only real way to get good “time in range” in type 1 diabetes is with a pump and an accurate CGMS – continuous glucose monitoring.
In my opinion this should be standard care. Before the funders have apoplexy. It saves lives, it saves complications and many downstream costs. But that’s just my opinion.
But mostly if I had a type 1 child I would not be able to rest easy without such a system. Finish and klaar.
I don’t know, call me crazy, but death is a bit off-putting as a side-effect, in my opinion the best way to prevent hypos is the best surely? And by best I mean detecting them before they happen and only an accurate CGM can do this. #CGMS