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Hypoglycemia

My 13 year old son has been recently diagnosed with type 1 diabetes, and he is taking Humalog with NPH at breakfast and dinner. Is there a maximum dose of NPH that should be given at the bedtime dose to reduce risk of nighttime hypoglycemia?

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Yesterday morning, our six year old daughter, who has had type 1 diabetes for about 19 months, had a blood sugar of 48 mg/dl [2.7 mmol/L] and went immediately into a full blown seizure. She has been as low as 21 mg/dl [1.2 mmol/L] in the past and has never had a seizure. Now all of a sudden, we have to worry if she drops below 50 mg/dl [2.8 mmol/L]. Can you comment on this?

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Once in a while when my 12 year old son is low, he gets very agitated, and I am concerned as he gets bigger something bad could happen. We want to know is what we can do about these behaviors when he is low.

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Is it normal to have chest pain when your blood glucose is low?

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Today, my 10 year old daughter was diagnosed with hypoglycemia. My husband has type 2 diabetes, and I really need some information on how to care for my daughter and how to explain to her what is going on with her body. I really worry about her. Her headaches are really bad, and the dizziness really scares me. How do I get her involved with her treatment?

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Although I haven’t as yet been diagnosed with diabetes, I do have a problem with my blood sugar bottoming out. At times, it’s too low to read with a glucose meter, and I get all the associated effects of hypoglycemia. What can I do? Should I be concerned?

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My 42 year old brother passed away, his formal inquest was postponed at the family’s request because of an inconclusive result on an insulin test, and a sample of his blood is now being tested for insulin at a major medical center. The lawyer we have representing the family at the inquest told us that it looks as if suicide or criminal action are the choices which may be given to the inquest panel. I have several questions.

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In the past six months, my son has had two reactions which were very different from any that he has had in the past. He seized both times, needed glucagon, and took a long time to respond. We have completely changed his nighttime NPH dose, but we still are anxious about this happening again. What could explain this change in severity?

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What is the appropriate dose of glucagon to be administered to an 80 pound child? Half of the vial, then repeat in 20 minutes if needed or full vial?

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In the instructions in the Glucagon Kit, it says that my 11 year old daughter should get the full amount (1 cc), but in the book the hospital gave us, it says a child under the age of 18 should only get half that amount (0.5 cc). Which is the correct dose? Can a larger dose hurt her?

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