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Advice Needed Please

julesv

Newbie
Messages
3
Good evening all,

I have a 4 year old with query hypoglycaemia now my question is what should her blood glucose levels be and when should I be concerned?

I have pretty much been left to monitor them now I have been told what to do if they drop below a certain level but I have just checked her as she's struggling to get to sleep again and she was 8.5 (3 hours after food)?

Thank you to anyone that can advise me

Julie
 
Hi. The guidelines for a child of that age are between 4-8mmol before meals and less than 9/10 mmol 2 hours after eating.

At night some parents prefer to have their child's blood slightly higher as they are worried about night time hypos. Only by testing at random times in the night will you have an idea of the changes in your child's BG.

Giving a small slow acting snack before bed helps to avoid the lows, but in turn you don't want their blood to be high. It can often be a big task to get the balance right and adjustments may need to be made to the background insulin. Pumping can provide tighter control especially at night.
Leggott
 
i wouldnt give insulin to bring that result down being as its bedtime dylan always needed to be higher before bed to avoid a hypo midway, the only way to know for sure is get up in the night and do some test being as everyone is different dylan always had to be above 10 pre pump now he goes to bed with a result of 5 or 6 and wakes up absolutley fine

anna marie
 
she isn't diabetic she is being investigated for low blood sugars as they drop into the 3's but we have never had it that high before. They asked me to monitor her but didn't tell me what was too low or what was too high :?

thanks for the reply though
 
ah sorry i miss read then, under four is classed as hypo in a diabetic and they should be under 10 2hrs after a meal for dylan i would be happy with an 8 but if she isnt diabetic then im not too sure

anna marie
 
I'm surprised they didn't tell you what your target range should be. A non-diabetic can get down to 2.5mmol but probably wouldn't be feeling great and would be hungry and tired. Are they looking for a condition that causes too much insulin to be released from the pancreas? Has she had frequent fainting episodes? Is she a picky eater that isn't eating many carbohydrates throughout the day?

Hope all is okay.
 
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