Letters Hypoglycaemia

Hypoglycaemia unawareness

BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d1474 (Published 08 March 2011) Cite this as: BMJ 2011;342:d1474
  1. David H Cove, consultant physician1
  1. 1Dorset County Hospital, Dorchester, UK
  1. david.cove{at}dchft.nhs.uk

Gupta and colleagues provide inadequate guidance on the diagnosis and management of hypoglycaemia unawareness.1 Avoiding blood glucose below 4 mmol/L for about six weeks usually re-establishes a higher and safer threshold for hypoglycaemic symptoms.2 3

Increasing numbers of insulin treated patients are followed up solely in primary care, but do …

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