Our severe percentage is higher by design honestly. From what I’ve learned here about the GLUT3 enzyme and how little to no scientific studies can be linked to brain development issues from children who have had hypoglycemic episodes, I’ve become less concerned about his BG’s dipping into the 60’s, 50’s and even 40’s - AS LONG AS THEY DIP IN AND OUT QUICKLY. 30’s are a problem due to the GLUT3 enzyme being unable to operate under 39 to supply the brain with the glucose it needs. So I’ve made a conscious decision to care less, honestly, about when he dips under 70.
Do we want him to go under 54 (the “Very low” cutoff point in Clarity)? Of Course not! But am I going to beat myself up over them any longer and try to prevent all of them? No…it’s just not critical to avoid them. The important part, as I’ve learned, is to just make sure you get in and get out quickly.
So the problem, in my opinion, is in that “Severe Low” percentage even being tracked by Endos, because it’s misleading to say that anything under 54 is “bad”…nothing is provided that can prove that conclusion.
So, yes I want to prevent all lows…but I also know that temporary lows in the 40’s, 50’s and 60’s is not going to HURT Liam, so if it happens, it happens. And if you’re tightening your BG range and lower your SD, you will dip into those numbers occasionally and that will bring up your “severe low” percentage. I’m prepared to argue the point with the Endo if it comes up as a problem.
Endo - do you know what the GLUT3 enzyme is, and what’s it’s function is? Do you know the threshold that it works within and did you know that it’s working even when there are only trace amounts of glucose in the system? (Thanks, @Eric for that valuable knowledge)
What I am most concerned with is in giving Liam the best health NOW as well as IN HIS ADULTHOOD. Driving that A1C down is what’s going to make this possible in his adulthood.