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<blockquote data-quote="EllieM" data-source="post: 2286960" data-attributes="member: 372717"><p>I'm going to assume you're in the UK. If not please say because diabetic care does vary by country.</p><p></p><p></p><p>Does his GP handle his diabetic review or is it done at the hospital? Most UK GPs are pretty clueless about T1 so he might need a telephone appointment with a DN at the hospital. He may get very very sick if he gets covid so I suspect the medical services won't be offering him many face to face appointments ....</p><p></p><p>Most T1s get hypos, and most of us get warning before the hypo gets too bad, so we take sugar (glucose tablets, jelly babies, even water with sugar dissolved in). If he's living with family then it's fairly easy for them to hand him glucose tablets if he is obviously confused, shaky, but if he's on his own then there is equipment which may help. He should always have some sugar by his bed so he can easily take it if he goes low at night.</p><p></p><p>Many T1s lose hypo awareness as they get older, some can restore awareness if they keep their levels a bit higher for a while (over 6 mmol/L, normal range for a non-diabetic is 4-8, hypos occur under 4). If you've lost awareness then you really need a cgm.</p><p></p><p><strong>Continuous glucose monitors</strong>. A tiny needle (thickness of a thread) sticks into your arm via a small patch. The freestyle libre is the cheapest, and you may be able to get your diabetic clinic to prescribe it if he meets various criteria (bad hypos being one of them) but they aren't easy to get. A lot of people self fund. You can buy an add-on transmitter (google miaomiao) to get it to send alarms to your phone. If money is no object then I'd argue that the dexcom is better, it includes the transmitter and it's very hard to ignore it if your blood sugar goes out of range.</p><p></p><p>Good luck at the appointment.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2286960, member: 372717"] I'm going to assume you're in the UK. If not please say because diabetic care does vary by country. Does his GP handle his diabetic review or is it done at the hospital? Most UK GPs are pretty clueless about T1 so he might need a telephone appointment with a DN at the hospital. He may get very very sick if he gets covid so I suspect the medical services won't be offering him many face to face appointments .... Most T1s get hypos, and most of us get warning before the hypo gets too bad, so we take sugar (glucose tablets, jelly babies, even water with sugar dissolved in). If he's living with family then it's fairly easy for them to hand him glucose tablets if he is obviously confused, shaky, but if he's on his own then there is equipment which may help. He should always have some sugar by his bed so he can easily take it if he goes low at night. Many T1s lose hypo awareness as they get older, some can restore awareness if they keep their levels a bit higher for a while (over 6 mmol/L, normal range for a non-diabetic is 4-8, hypos occur under 4). If you've lost awareness then you really need a cgm. [B]Continuous glucose monitors[/B]. A tiny needle (thickness of a thread) sticks into your arm via a small patch. The freestyle libre is the cheapest, and you may be able to get your diabetic clinic to prescribe it if he meets various criteria (bad hypos being one of them) but they aren't easy to get. A lot of people self fund. You can buy an add-on transmitter (google miaomiao) to get it to send alarms to your phone. If money is no object then I'd argue that the dexcom is better, it includes the transmitter and it's very hard to ignore it if your blood sugar goes out of range. Good luck at the appointment. [/QUOTE]
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