Hypoglycaemia unawareness

doi:10.1136/bmj.d1474

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David H Cove, consultant physician1

¹Dorset County Hospital, Dorchester, UK

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 …