Saturday, January 26, 2013

Recognized hypoglycemia is probable just the visible tip of a very large dangerous iceberg

 The discussions over the last few days have focused on  the importance of testing the fasting blood glucose to help regulate  Basal insulin production and/or injections.

What is the second most helpful glucose test of the day  ?

# 1      1 hour after a meal
# 2      before lunch or dinner 
# 3      before bedtime
# 4      at 2 to 3 am

The answer is  #4  because we are the most sensitive to the effects of insulin in the early morning hours. 

Some studies suggest that early AM unrecognized hypoglycemia is very common and that recognized hypoglycemia is less common .

  Recognized hypoglycemia is probable just the tip of a very large dangerous iceberg

Have fun , Be Smart and check a 3 am glucose
David Calder,MD

Question - Is hypoglycemia associated with increased mortality ? 
     Yes    or   no

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Your comments and questions are appreciated. David Calder,MD