Nocturnal Hypoglycemia In Toddlers

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Nocturnal Hypoglycemia And Physical Activity In Children With Diabetes: New Insights By Continuous Glucose Monitoring And Accelerometry

Nocturnal hypoglycemia often remains unrecognized (1). Detection and prevention of such events is, however, important: repeated nocturnal hypoglycemia might compromise daytime performance and counterregulation (2). Hypoglycemia incidence has been reported to be much higher in children than in adults (3). Therefore, identification of nocturnal hypoglycemia is of special importance in clinical pediatric diabetology. The aim of this study was to evaluate the frequency and duration of nocturnal hypoglycemia in children with diabetes and to identify risk factors for such events. As hypoglycemia is associated with exercise, the influence of physical activity was studied by combining glucose measurements with accelerometry. A total of 60 children with type 1 diabetes for >6 months were included, and data from 51 subjects (29 male, 22 female; aged 2–17 years; HbA1c 8.1 ± 1.5% [65.4 ± 16.4 mmol/mol]) were complete. A total of 36 subjects received multiple injection therapy (MIT), and 15 subjects were on continuous subcutaneous insulin infusion (CSII). The insulin types used were aspart and detemir in most of the patients. For 6 days, continuous glucose monitoring was performed (Medtroni Continue reading >>

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  1. Mommyx12

    First, I am pretty sure I've had undiagnosed GD in most of my pregnancies, as I've had large babies and several that had shoulder dystocia. Doc said I "just had big babies" since I passed the 3hr glucose test. But after I had an 11lb baby, my doc said I might have a sugar problem after all. So my next pregnancy, I bought a monitor and tested and I did end up having GD and was put on insulin at the end mainly because of my continually high fasting blood sugar readings. I could usually control my post meal readings by my diet but had an occassional high reading. My little girl weighed 7 lb 14 oz and my smallest full term baby. Huge difference from my others!
    We have since moved to another state and I'm pregnant again. My fastings have been high since I started testing. I haven't had any in the normal range, some in the low 100's, some in the 120's, most around 113-118. I have had an occassional high post meal reading but I've mostly been spot checking and most of those are good. I told my doc at my first appt and he said he wasn't concerned about the fastings so much, that the post meal readings were most important and acted like I really shouldn't bother testing until I'm closer to mid pregnancy. He said if we treated the fastings that he was afraid my other numbers would drop too low. Made sense to me, just very different than my other doc. My fastings were not as bad and she was concerned. But I have been talking to another person who has a similar experience and she said her doc put her on insulin in the first trimester due to her fasting blood sugars. So I was wondering what other docs did. I am over 12 weeks and have an appt tomorrow. I decided I'd write all my numbers down and bring them in for him to see, just so he knows what is going on. I really don't feel like the insulin helped that much since I only had it for 2-3 weeks before she was born. I think the diet made the biggest difference in her size. I'm just curious as to what other docs are doing.

  2. emsketch

    I have no help for you, but wanted to say Hi!
    There are lots of women here who are a wealth of information and I am sure you will get some insight from them!

  3. Renwick2002

    I was diagnosed 2 weeks ago and put on the diet approximately one week ago. Right now they are working on the diet with me and I have to be consistent, like a machine, or my numbers falter. Your fastings seem a little high to me, especially the 120's. If diet and exercise won't lower them they may consider a form of glucose that helps lower your fasting. It doesn't appear you need insulin if your 2 hours are fine. I was a little surprised that your doc wasn't concerned so I hope everything turns out ok!
    I'm not a doc but from my understanding one of two things is happening: You aren't getting the right amount of carbs during the day so your body spikes at night or you drop too low at night so it rebounds and gets higher. Don't quote me though, best to talk to a dietitian.
    Are you having a snack sometime before bed with a carb/protein balance? I have to do the max, 30 g carbs, and my numbers seem to stay around 93-97. If I exercise after dinner it will go as low as 89. It's only been 1.5 weeks but I'm already noticing a pattern.
    Good luck!

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