Chapter 12: Hypoglycemia
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11/1/2017 at 12:24:15 PM GMT
Posts: 3
Chapter 12: Hypoglycemia

Dear ISPAD member/friend,

The 2014 ISPAD Practical Consensus Guidelines were much appreciated. We are happy to announce that preparations for the 2018 Guidelines are now well underway and that the first draft chapter is now ready for your comments and input. We look forward to hearing your thoughts and ideas on the Hypoglycemia chapter here below!

Kind regards,

David Maahs
ISPAD Secretary General

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11/6/2017 at 1:36:47 PM GMT
Posts: 3
Thank you, very nice chapter!
A few aspects:
1.Please use mmol/mol as a HbA1c value as well.
2.The spelling of "analogs" or "analogues" should be consequent in the paper.
3.Reference 15 lacks authors.
4.To me it locks strange to write 2.15 hours (p17) - we usually do not think we divide an hour into centesimals?
Best wishes, gun forsander

11/8/2017 at 1:37:19 PM GMT
Posts: 1
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 sports

Suggestion 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,

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