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I'm not telling you how to parent, in saying that waking a growing boy in the night and limiting food during the day, may be more harmful in the long term. Chil

by godmode2019 4y ago

I'm not telling you how to parent, in saying that waking a growing boy in the night and limiting food during the day, may be more harmful in the long term. Childhood sleep and nutrition is probably the most important thing to a boys health. Forgive me if any offence is taken. Sometimes more data is not better and only leads to increased anxiety and over reactions.

bayesian_horse 4y ago
That you feel the need to give advice despite being monumentally unqualified to do so should give you pause. Your chosen name "godmode2019" speaks for itself. None of that comment is true except in the most general sense. You think you are giving advice, but the OP and other parents of Type-1 children have vastly more knowledge about diabetes, "childhood sleep and nutrition" and what it all means for their lives. Twice nightly blood sugar tests are unavoidable in many patients. No, you don't have to wake up the child necessarily. It's a simple finger prick at worst, so they might not even wake up or go right back to sleep. With modern sensors (which are less reliable) you only need to swipe the reader over the sensor.
- godmode2019 4y ago
  39min of rem sleep is not enough for any human. My Grandad has type 1 diabetes he treats it with a strict routine of eating at the same time every day and injecting at the same time, and testing only if he feels low. The article I read was a parent in panic, and my only advice could possibly be to try and chill out, which is almost impossible as its your son and you would want to do as much as you can. Which is why I felt empathy to the poster, I could feel his anxiety.
  - grahar64 4y ago
    Your grandad was following advice given before the 1980s when typically using only long lasting insulin (which was all that was available) and strict routines were the only way to survive and be healthy with T1D. You should read that DCCT citation I link in my post, it is a good read, about the impact of following the treatments of nearly 1,500 diabetics and their long term complications. DCCT lead to a lower HbA1c being the goal as it is the largest predictor of long term issues. There are many books like “think like a pancreas” and “sugar surfing” which explain and use the same methods I explain in the post. If you are interested. Also, I would love to meet a person who can write a multi page blog post in a panic. Like “help my car is on fire: a history of car fires”
  - bayesian_horse 4y ago
    The post mentions twice a night. Not twice an hour. Your granddad is a much larger organism which means he has more stability and buffering than an infant. He also doesn't grow (which means carb intake and insulin requirements change even with every other variable being the same). To me it didn't read as panic. Telling someone to chill out is almost never a good idea.
wolfendin 4y ago
Severe hypoglycemia is a medical emergency, making sure that doesn’t happen is less harmful in the long term.
- grahar64 4y ago
  DCCT found reducing hyperglycemia to optimize for low HbA1c was 3x less risky than trying to reduce hypoglycemic episodes. Hypos are bad, but long term hyper is worse. That’s why you get a HbA1c test when ever you get a physical. It’s like you didn’t read all my citations :)
  - fredrikholm 4y ago
    Short term death is pretty bad.
  - wolfendin 4y ago
    I’m aware of both of these things. My overall point to the GP is that the sleep disruption of finger sticks is less bad then the sleep disruption that happens when you go too high OR too low.
    - grahar64 4y ago
      Oh, 100% agree. I read your comment in the wrong context from an above comment. As a non-T1D person I can only guess how shit being low or high feels. So listening to T1D people describe how it feels is very useful for me as a T1D parent.
deleted 4y ago
[deleted]
Jarmsy 4y ago
It's funny how the two most idiotic and repulsive replies in this thread (this one and the pro-eugenics one - ah HN, you keep surprising with new lows) both include "forgive me".
HelloNurse 4y ago
"Forgive me" for pointing out the obvious, but sleep deprivation is better than dying.
fredrikholm 4y ago
The rebound effect of coming back from a very low low is horrible, and potentially throws you off for several days. So even if you don't come to the stage of say, death, the shuttering-in-a-cold-sweat-and-anxiety stage is way, way worse than being pricked in the finger in your sleep.
GiorgioG 4y ago
You're an ignorant fool. Go educate yourself.
mrsharpoblunto 4y ago
We have a new entry for the Dunning-Kruger hall of fame right here.
grahar64 4y ago
The way I put it is my son is a slice of bread away from hospital at any point during the day. If he has bread and no insulin he will go dangerously high and if left untreated he will need to go to hospital. If he has the insulin and doesn’t eat the bread he will go low have seizures then maybe death. I am trying to understand what you are saying. Are you saying I should just give him a sandwich.

bayesian_horse 4y ago

That you feel the need to give advice despite being monumentally unqualified to do so should give you pause. Your chosen name "godmode2019" speaks for itself. None of that comment is true except in the most general sense. You think you are giving advice, but the OP and other parents of Type-1 children have vastly more knowledge about diabetes, "childhood sleep and nutrition" and what it all means for their lives. Twice nightly blood sugar tests are unavoidable in many patients. No, you don't have to wake up the child necessarily. It's a simple finger prick at worst, so they might not even wake up or go right back to sleep. With modern sensors (which are less reliable) you only need to swipe the reader over the sensor.

godmode2019 4y ago
39min of rem sleep is not enough for any human. My Grandad has type 1 diabetes he treats it with a strict routine of eating at the same time every day and injecting at the same time, and testing only if he feels low. The article I read was a parent in panic, and my only advice could possibly be to try and chill out, which is almost impossible as its your son and you would want to do as much as you can. Which is why I felt empathy to the poster, I could feel his anxiety.
- grahar64 4y ago
  Your grandad was following advice given before the 1980s when typically using only long lasting insulin (which was all that was available) and strict routines were the only way to survive and be healthy with T1D. You should read that DCCT citation I link in my post, it is a good read, about the impact of following the treatments of nearly 1,500 diabetics and their long term complications. DCCT lead to a lower HbA1c being the goal as it is the largest predictor of long term issues. There are many books like “think like a pancreas” and “sugar surfing” which explain and use the same methods I explain in the post. If you are interested. Also, I would love to meet a person who can write a multi page blog post in a panic. Like “help my car is on fire: a history of car fires”
- bayesian_horse 4y ago
  The post mentions twice a night. Not twice an hour. Your granddad is a much larger organism which means he has more stability and buffering than an infant. He also doesn't grow (which means carb intake and insulin requirements change even with every other variable being the same). To me it didn't read as panic. Telling someone to chill out is almost never a good idea.

wolfendin 4y ago

Severe hypoglycemia is a medical emergency, making sure that doesn’t happen is less harmful in the long term.

grahar64 4y ago
DCCT found reducing hyperglycemia to optimize for low HbA1c was 3x less risky than trying to reduce hypoglycemic episodes. Hypos are bad, but long term hyper is worse. That’s why you get a HbA1c test when ever you get a physical. It’s like you didn’t read all my citations :)
- fredrikholm 4y ago
  Short term death is pretty bad.
- wolfendin 4y ago
  I’m aware of both of these things. My overall point to the GP is that the sleep disruption of finger sticks is less bad then the sleep disruption that happens when you go too high OR too low.
  - grahar64 4y ago
    Oh, 100% agree. I read your comment in the wrong context from an above comment. As a non-T1D person I can only guess how shit being low or high feels. So listening to T1D people describe how it feels is very useful for me as a T1D parent.

deleted 4y ago

[deleted]

Jarmsy 4y ago

It's funny how the two most idiotic and repulsive replies in this thread (this one and the pro-eugenics one - ah HN, you keep surprising with new lows) both include "forgive me".

HelloNurse 4y ago

"Forgive me" for pointing out the obvious, but sleep deprivation is better than dying.

fredrikholm 4y ago

The rebound effect of coming back from a very low low is horrible, and potentially throws you off for several days. So even if you don't come to the stage of say, death, the shuttering-in-a-cold-sweat-and-anxiety stage is way, way worse than being pricked in the finger in your sleep.

GiorgioG 4y ago

You're an ignorant fool. Go educate yourself.

mrsharpoblunto 4y ago

We have a new entry for the Dunning-Kruger hall of fame right here.

grahar64 4y ago

The way I put it is my son is a slice of bread away from hospital at any point during the day. If he has bread and no insulin he will go dangerously high and if left untreated he will need to go to hospital. If he has the insulin and doesn’t eat the bread he will go low have seizures then maybe death. I am trying to understand what you are saying. Are you saying I should just give him a sandwich.