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Hypoglycemia

I have had type 1 for 17 years and have switched from NPH to Ultralente. I am having problems with lows during the night.

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My daughter recently tried the new CGMS. We saw that her sugar rises on it’s own (without eating food or glucose) when she’s been low, and then can stay high for a long time, in spite of correction boluses. I have a lot of questions about rebound hyperglycemia.

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I am caring for a 67 day old pre-term baby with intractable hypoglycemia and hepatosplenomegaly [enlargement of the liver and spleen]. No other anomalies have been found. The hypoglycemia is corrected by hydrocortisone. Please direct me toward me further management.

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My 15 year old daughter has type 1 diabetes since age 7. She has been experiencing lows at night and failing to wake up. When I find her, usually about 2 to 3:30 A.M., she is rigid and unresponsive.

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We have twin boys who are 6 weeks of age.They sometimes sleep six to seven hours at night. We were advised to wake them at five hours until they are two months of age to prevent hypoglycemia. Should we follow this doctor’s advice?

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My son has never had good control with dramatic blood glucose numbers swings from 25 to 450 in the same day. What causes him to lose consciousness and have a grand-mal seizure at around 5:00 am even when his number is 84?

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My son was diagnosed with ketotic hypoglycemia when he was 11 months old. His doctor recently suggested that he may have a rare metabolic disorder. Can you shed any light on what the disorder may be called? The doctor said it involved a lack of ability for the liver to process protein into sugar.

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My child had type 1 diabetes which developed during his third year. In many cases, although he has eaten much food containing much quantity of sugar and his psychological state is very good, the rate of the sugar lowers.

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What do you do when your blood sugars are low, and you have high ketones?

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When my seven year old son was first diagnosed, he would start having symptoms of being low at around 56-60 mg/dl [3.1-3.3 mmol/L]. Now sometimes he gets down to 40 mg/dl [2.2 mmol/L] before he feels anything, and sometimes he says he feels low, but when a he is 107 mg/dl [5.9 mmol/L]. What would cause him to act this way?

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