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Chapter-20 Hypoglycemia

BOOK TITLE: CDiC Textbook of Pediatric Diabetes

Author

1. Shah Nalini
2. Khadilkar Kranti S
3. Vyankatesh Shivane
4. Anurag Lila
5. Tushar Bandgar

ISBN

9789352700868

DOI

10.5005/jp/books/14155_21

Edition

1/e

Publishing Year

2018

Pages

Author Affiliations

1. Seth GS Medical College and KEM Hospital, Mumbai, India, Seth GSMC and KEMH, Mumbai, King Edward Memorial Hospital, Mumbai, Maharashtra, India, KEM Hospital, Mumbai, Maharashtra, India, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India
2. Mazumdar Shaw Medical Centre, Narayana Health City, Bengaluru, Karnataka, India
3. King Edward Hospital, Shushrusha Citizens’ Co‑operative Hospital, Mumbai, Maharashtra, India
4. King Edward Memorial Hospital, Mumbai, Maharashtra, India
5. King Edward Hospital, Mumbai, Maharashtra, India

Chapter keywords

Hypoglycemia, T1DM, continuous glucose monitoring system, hypoglycemia-associated autonomic failure, HAAF, glucose monitoring, DCCT

Abstract

Abstract

This chapter summarizes the awareness about the problem of iatrogenic hypoglycemia and recognition of risk factors for hypoglycemia especially hypoglycemia-associated autonomic failure (HAAF). Iatrogenic hypoglycemia is the most common and feared complication of intensive glycemic control. It forms the biggest barrier in the quest for maintenance of euglycemia and prevention of complications especially in type 1 diabetes mellitus (T1DM) as depicted by the Diabetes Control and Complications Trial (DCCT). Empowering, educating, and counseling the patient and the caregiver to seek a balance between aggressive intensive strategies for euglycemia and occurrence of hypoglycemias have been also elaborated. Personalizing glycemic management and utilization of technology to enhance glucose regulated insulin-delivery systems are also discussed.

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