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September 22, 2000

Hypoglycemia

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Question from Iraq:

My first child was born nine years ago. He is my first child. His weight was 4.2 kilograms when born, and his health was very good. He didn’t see any doctor until he had “the Insulin Dependent Diabetes” Type 1 develop during his third year. Only one week was taken to know his disease. This was six years ago. He entered the hospital to define the quantity of the required insulin. His case didn’t stabilize. More than five times, the sugar in his blood has been lowered. He fell down unconsciously during the night which required taking him to hospital, and, sometimes curing him home by giving him the concentrated sugar. Although this child has taken the same required insulin, which he takes every day, and he has taken an extra meal, before and during his sleep, the sugar in his blood lowers and he falls down unconsciously. Sometimes the sugar is high, when tested before sleep, but this sugar lowers, and he falls down unconsciously.

From what was mentioned above, we can see that the child’s case concerning the rate of the sugar in the blood is not stable. 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. There is another note. The fear which he began feeling in after his disease was diagnosed, is affecting his psychological state, and, consequently, the rate of the sugar in his blood, though he wasn’t afraid of anything until his disease. The rocket attack during the Gulf war may be the reason behind this fear.

There is another important note, which is that in some cases, the “pancreas gland” works and gives the insulin, which means, according to my opining, that there is harmonic failure. This causes the disability of the pancreas gland, which requires knowing the capability of the pancreas, gland in giving insulin, and which cause the failure of the pancreas.

In addition, can we get benefit of the scientific progress in curing the patients of sugar disease such as using new cells or connecting special equipment used for regulating the sugar rate in the blood or any other remedy or modern technique, which we (The Iraqis) don’t hear because of the sanctions against our country, which causes the shortage of even the test tape of the sugar in the urine.

As for the child, he has excellent health. His growth is usual. His weight is 32 kilograms, and his length is 132 centimeters now. He is a clever and a brilliant pupil. For six months, he is taking two injections one in the morning, which consists of 18 units of Monotard ((Lente) insulin and 6 units of Actrapid (Regular) insulin and another one in the evening, which consists of 6 units of (Actrapid. Six months ago, he was taking 4-14 units of Monotard insulin in the morning only.

I hope that you many study this case and find out the suitable remedy in order to help my child to live a usual life as the others. And help us to rest after these difficult years in the continuous taking care of the child, which were very tiring for the child and for us. ———————————————–

Answer:

From: DTeam Staff

The blood sugar control for your child does sound very tricky. There are several reasons for the blood sugar varying so much. You should try and make sure he is on a healthy and regular diet, he is changing his injection sites regularly, and he is taking his insulin correctly.

It is unusual at this stage to still have a honeymoon phase.

The use of islet cell transplants is still very much a research tool in the west, and by no means standard treatment.

Do you have access to testing blood sugars using finger prick tests? Urine checks are very approximate and can be unreliable.

Despite all your problems, your son and you seem to be doing remarkably well.

JS