How often do you worry about nighttime hypoglycemia?
Total votes: 44
How often do you worry about nighttime hypoglycemia?Poll dates: January 18 - 25, 2017
Total Votes: 44
While not often discussed during clinic visits, with the growing use of continuous glucose sensors, the true extent of nocturnal hypoglycemia has become clear -- it occurs often and for long periods of time. In November 2016, when we asked our readers about time time of day in which they were most worried about hypoglycemia, 89% reported the overnight period. The extent of nighttime glucose monitoring bears this out -- see our poll on this topic from March 2016. In addition, hypoglycemia and the fear of going low is rated as the hardest part of diabetes by CWD readers (see our poll on this topic from April 2016).
Given the growing awareness of nocturnal hypoglycemia, we asked our readers about how often they worry about it. A significant majority -- 68% -- report that they always worry -- essentially ever night. So how do we balance the fear of nighttime lows with the need for sleep? Not well, based on our poll in February 2016, in which 100% of parents and caregivers and 81% of people with diabetes report not sleeping as well as they did before diabetes.
The advent of continuous glucose sensors have finally given us a tool to help identify and reduce the impact of nocturnal hypoglycemia. While not perfect, alarms in response to low blood sugar can make a difference. New technologies that combine insulin pumps and sensors, with pumps stopping insulin delivery in response to lows or predicted lows, are very effective in reducing the incidence of overnight lows.
- Prolonged Nocturnal Hypoglycemia Is Common During 12 Months Of Continuous Glucose Monitoring In Children And Adults With Type 1 Diabetes.
- Nocturnal hypoglycaemias in type 1 diabetic patients: what can we learn with continuous glucose monitoring? See also Nocturnal hypoglycaemia in Type 1 diabetic patients, assessed with continuous glucose monitoring: frequency, duration and associations.
- Defective Awakening Response to Nocturnal Hypoglycemia in Patients with Type 1 Diabetes Mellitus. Free full text available in PDF format.
- Awakening from Sleep and Hypoglycemia in Type 1 Diabetes Mellitus. Free full text available in PDF format.
- Prevention of Nocturnal Hypoglycemia Using Predictive Alarm Algorithms and Insulin Pump Suspension.
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Last Updated: Wednesday January 25, 2017 19:10:08
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