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From Gateshead, County Durham, England:

I wish to know whether, according to current thinking, anything can be done to reduce the risk of dead in bed syndrome occurring. From what I have read, the following have been suggested by various people in various places.

  • taking the usual measures to reduce the risk of nighttime hypoglycemia (such as a bedtime snack, occasional nighttime readings, checking the child during the night for signs of hypoglycaemia, ensuring the blood sugar reading is not too low at bed-time);
  • being particularly observant for any evidence of hypoglycaemic unawareness and trying to reduce this as quickly as possible by aiming for slightly higher readings for a few weeks;
  • not aiming for too tight control.

Is it worth doing any of these in the hope of reducing the risk of a twelve year old girl dying from this syndrome and, if so, which?

Am I correct in thinking that the A1c reading, even if suggestive of not too tight control, could still allow for many readings below 4 mmol/L [72 mg/dl] if these are offset by a lot of above average readings?


All these are quite reasonable approaches. All must be individualized for each person/child/teen. It is best to talk to your care team for more specific advice.


[Editor's comment:

With respect to your last question, you may wish to read a previous question explaining a bit about A1cs.


Original posting 8 Sep 2008
Posted to Other and A1c, Glycohemoglobin, HgbA1c


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Last Updated: Tuesday April 06, 2010 15:10:16
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