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Family conflict could negatively impact type 1 diabetes control in children
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<blockquote data-quote="kitedoc" data-source="post: 2048877" data-attributes="member: 468714"><p>Apart from stating the obvious: that stress can affect diabetes control, what is not ststed is that ADA recommendations for BSL level in adults and children/ teenagers are set higher the in some other countries, the underlying likely reason? Paediatricians and diabetes ohysuicians are worried about getting sued if the oatient suffers from a hypo, so setting the recommended BSLs higher helps avoid this. And possibly it is mire difficult to sue for diabets complications showing uo years later.</p><p>On a pump yes, control could be less disturbed by stress on some loop system but if Medtronic's bsl range is anything to go by Up to 9 mmol/l ( 9 x 18 mg/dL) is acceotable.</p><p>Furthermore where couples are separated, sometimes a paediatrician has obtained a court order specifying that the child/ teenager has to demonstrate insulin doses on pump consistent with a hi carb diet.</p><p>This despite the best control with least hypos for children who adopt a very low carb diet. (Ludwig et al).</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2048877, member: 468714"] Apart from stating the obvious: that stress can affect diabetes control, what is not ststed is that ADA recommendations for BSL level in adults and children/ teenagers are set higher the in some other countries, the underlying likely reason? Paediatricians and diabetes ohysuicians are worried about getting sued if the oatient suffers from a hypo, so setting the recommended BSLs higher helps avoid this. And possibly it is mire difficult to sue for diabets complications showing uo years later. On a pump yes, control could be less disturbed by stress on some loop system but if Medtronic's bsl range is anything to go by Up to 9 mmol/l ( 9 x 18 mg/dL) is acceotable. Furthermore where couples are separated, sometimes a paediatrician has obtained a court order specifying that the child/ teenager has to demonstrate insulin doses on pump consistent with a hi carb diet. This despite the best control with least hypos for children who adopt a very low carb diet. (Ludwig et al). [/QUOTE]
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