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Item #8
Diabetic
Children With Asthma Have Fewer Hypoglycemic Episodes
Diabetic
children with treated asthma experience significantly fewer episodes
of hypoglycemia and better glycemic control than do children with
diabetes alone.
Investigators
from Sheffield Children's Hospital in Sheffield say that the
observation needs further investigation, however. They suggest the
finding raises an interesting question: do drugs used to treat asthma,
particularly beta agonists, have therapeutic potential for reducing
hypoglycemia and improving glycemic control?
The observational study included 226 children attending pediatric
diabetes clinics at five area hospitals. Data recorded on the
children's clinic visits included the frequency of hypoglycemia in the
preceding three months, asthma treatment and the child's latest HbA1c
results.
Results indicate 27 of the diabetic children (12%) also had treated
asthma. Eleven were taking the inhaled steroids, but all used beta
agonists at least once a week.
Diabetic children with asthma had a 20% reduction in incidence of
hypoglycemia. A total of 52% reported an episode in the previous three
months, compared with 72% of the children who had diabetes alone.
There was no difference in the proportion of children with and without
asthma experiencing either nocturnal or severe hypoglycemia.
Children with both diseases also had better overall glycemic control,
but the difference was not significant, the researchers add. Archives
of Disease in Childhood, 2003; 88: 155/156.
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FACT:
Herb
Use is Prevalent In Diabetes and 75% of them do not inform their
doctors of herb use. Herbs can effect bg's, HbA1c's and overall
health. Doctors caring
for diabetic patients should encourage them to talk regarding the use
of herbs as it may effect the outcome and the management of their
disease. Saudi
Med J 2002 Nov;23(11):1327-31
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