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To the Editor:—
The central nervous system requires cellular glucose for neurological function. With low blood glucose, cellular level in the CNS falls and neurological response is similarly affected. Measure of this by light response on the retina is of value in insulin-treated diabetics to rule out hypoglycemia during sleep. The problem of hypoglycemic shock during the hours of sleep for those who require exogenous insulin in the management of diabetes mellitus has plagued since the advent of insulin. Signs such as perioral pallor, sweating, restless movements, or unusual vocal activity are not always present. They may represent more than mild hypoglycemia! To awaken an individual to ascertain his status is disturbing, to say the least. Most families seek to avoid this vexing action despite their deep concern.At Camp Seale Harris, full chemical control of the child with diabetes is carefully sought. Many campers have had little chemical control
Eichold S. Hypoglycemia Screening During Sleep. JAMA. 1965;194(8):935–936. doi:10.1001/jama.1965.03090210099041
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