Lg Cwd
icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
DTeam Archives

Review the entire archive according to the date it was posted.

icon-question-mark
April 18, 2002

Hypoglycemia

Question from Canberra, Australia:

My 13 year old son was diagnosed five years ago and has never had a hypo. Do you come across this often?

Answer:

It is highly unusual for a child who has had type 1 diabetes and been on insulin for five years to never have experienced hypoglycemia at some point. If by, “episode”, you mean a seizure, I would not find that uncommon. However, if your son has never had a low, my gut feeling is that he has had inadequate control.

Good control is defined as a hemoglobin A1c less than 1% above the upper limit of normal for the lab running the test. So if the upper was 7%, good control would be anything less than 8%. Typically people in good control will occasionally experience a low.

SS