ISPAD Clinical Practice Consensus Guidelines 2018
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Chapter 12: Hypoglycemia 2 D. Maahs Dear colleagues,Thank you, nice piece of work!just a few comments/suggestions: **p4** Treatment of hypoglycemia should increase the blood glucose by nearly 3 to 4 mmol/L (54 to 70 mg/dL). This can be accomplished by giving glucose tablets or sweetened fluids. Approximately 9 grams of glucose is needed for a 30 kg child and 15 grams for a 50 kg child (approximately 0.3 g/kg).(C) --> comment: (1) any need to distinguish hypo-treatment in CSII vs MDI? (2) should a maximal glucose intake be advised in order to prevent reactive hyperglyc?** p4** Blood glucose monitoring should be performed prior to exercise, and extra carbohydrates should be consumed based on the blood glucose level and the expected intensity and duration of exercise (B). --> comment: please also mention insulin dose reduction prior to sportsSuggestion to add a paragraph (or refer to the specific ISPAD chapter) on technical issues in the measurement of hypo by glucose meters, sensors, FSL etc: what are common pitfalls, how about reliability and precision of the different systems in the hypo-region.Sincely, Dick Mul,
by D. Mul
Wednesday, November 8, 2017

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