Impaired hypoglycemia awareness and glycemic variability are important problems causing acute and chronic complications in children and adolescents with type 1 diabetes.
Professional continuous glucose measurement system is a valuable tool to diagnose impaired hypoglycemia awareness (IHA) in type 1 diabetic children and adolescents.
This is known as impaired hypoglycemia awareness (IHA) and can be defined as the inability to perceive the onset of hypoglycemia.
among insulin-treated patients with diabetes in Malaysia: A cohort subanalysis of the HAT study.
Foster, "Survey reveals low hypoglycemia awareness
among patients with diabetes," Accessed 2018, https://www.healio.
Patient characteristics include lifestyle; comorbidities such as cardiovascular (CV), kidney, or liver disease; potential for adherence; weight; hypoglycemia awareness
; and ability and willingness to self-manage.
M2 EQUITYBITES-April 17, 2012-Lilly Diabetes partners with Walgreens to introduce diabetes hypoglycemia awareness campaign in the Indianapolis area(C)2012 M2 COMMUNICATIONS http://www.m2.com
Lilly Diabetes and drugstore chain Walgreens on Monday jointly announced the launch of a diabetes hypoglycemia awareness campaign to help combat the growing problem of hypoglycemia unawareness.
"I usually find that 7-10 days after setting target blood glucose levels higher, the patient can regain hypoglycemia awareness
. Then you can reset the blood glucose targets.
In addition, there is an attenuated sympathetic response, primarily involving epinephrine, which is largely responsible for the development or worsening of impaired hypoglycemia awareness. Individuals with hypoglycemia unawareness have a 6- to 17-fold increased risk of severe hypoglycemia compared with individuals who have normal hypoglycemia awareness.
(16) As noted earlier, detection of these symptoms by the patient is often difficult since hypoglycemic episodes often occur during sleep, and many patients with DM have diminished or absent hypoglycemia awareness. (22,60,61) While the patient's awareness of hypoglycemia is often caused by the perception of 1 or more neurogenic symptoms, educating the patient's family, particularly regarding neuroglycopenic symptoms, is recommended as these individuals may be helpful in identifying the early signs and symptoms of hypoglycemia (TABLE 3).
Avoidance of hypoglycemia restores hypoglycemia awareness
by increasing beta-adrenergic sensitivity in type 1 diabetes.