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July 22, 2000

Complications, Hyperglycemia and DKA

Question from Fairfield, California, USA:

My daughter's blood sugar levels swing some pretty large distances. What are the dangers of levels higher than 250? She seems to be that a lot; even up to 300-350. If she stays this high, then she get a shot. I always thought that it should be around 150 but the wife feels that it should be around 190-225 for sleeping, and the same range seem to be normal. What adverse affects will this have on her internal organs?

Answer:

How old is she? I do worry more about the little ones.

Nighttime is always a worry, but we do try to keep the glucose a bit lower than 225 for sleeping. Talk to your team, seems you might do with a little adjusting at this time.

The DCCT does tell us to try to keep glucoses in a good range to protect the eyes, kidneys, etc. Too low is also bad, so we have to balance as best we can. Keep trying.

LD