Management
- there is some study evidence that as little as 2-3 weeks of scrupulous avoidance of hypoglycemia can reverse hypoglycemia unawareness (1)
- assess risk factors for hypoglycaemia such as beta blockers
- loss of awareness of hypoglycaemia in the elderly (2)
- distinct hypoglycemia unawareness in the presence of pronounced hypoglycemia-induced reaction time prolongation in older type 2 diabetic patients
- may, at least in part, explain why older patients are at a particularly high risk of suffering from severe hypoglycemic episodes
- distinct hypoglycemia unawareness in the presence of pronounced hypoglycemia-induced reaction time prolongation in older type 2 diabetic patients
Reference:
- 1) Unger J.Uncovering undetected hypoglycemic events.Diabetes Metab Syndr Obes. 2012;5:57-74. Epub 2012 Mar 8.
- 2) Bremer JP, Jauch-Chara K, Hallschmid M, Schmid S, Schultes B.Hypoglycemia unawareness in older compared with middle-aged patients with type 2 diabetes. Diabetes Care. 2009 Aug;32(8):1513-7
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