It sounds like your son is definately suffering from diabetic seizures resulting from hypoglycemia (low blood sugar). Either he's getting too much insulin at night or he's not eating a snack before bed, but somehow you have to adjust his blood sugar to keep him from going so low. Im guessing he needs to readjust his insulin type and or doseage at the very least.
Now as to whats happening. The 30's is a good indicator of whats happening to him and that his seizures are truely diabetic seizures. The fact that you tested him during the other seizures and got a reading of 100 is probably due to the Somogyi Effect.
The Somogi Effect (rebound hyperglycemia) occurs after a rapid drop in blood sugar levels sometime during sleep. Your body responds by releasing stored glucose (released from glycogen stores) from the muscles and liver in an attempt to elevate blood sugar levels. Your body may overcompensate, releasing large amounts of glycogen which results in a "rebound" effect, causing hyperglycemia termed "Somogyi Effect."
This may happen anytime during sleep, but hypoglycemia usually occurs around 3 a.m. The hypoglycemic (low blood sugar) episode is followed by an elevated blood sugar level towards morning. As I said before, going to bed without a snack or low blood sugar, inadequate food eaten for exercise, and too much insulin contribute to this response.
As to your son's convulsions, I really wouldn't put anything in his mouth as with any muscle spasm, he could choke on whatever you put there and then you have an even more serious problem. You could also suffer serious injury if he suddenly bit your finger. Best to use the glucagon injections as thats what they are for!
Let's take a look at what we can do to help prevent these bouts of hypoglycemia in your son and the subesquent seizures. Check his blood sugar at bedtime before an evening snack. If your reading is less than 120 mg/dL (or whatever pre-betime target your doctor has given him) he may need to eat a larger snack containing carbs and protein. For kids, or those on an insulin pump, pre-bedtime target ranges may be slightly higher. Be sure you understand what your doctor has recommended for him and if it is not working well for him be sure to talk to your doctor.
You should check his blood sugar at least once during each night. If he wakes up in the morning with a headache, or high fasting sugars, it may be a sign that low blood sugar is still occurring during the night. If you suspect low blood sugar during the night check his blood sugar at 3:00am. If his blood sugar is low at that time, he may need a smaller dose of intermediate insulin (NPH) or long-lasting insulin (Lantus or Ultralente) in the evening. DO NOT CHANGE HIS INSULIN DOSES WITHOUT DISCUSSING THEM WITH YOUR DOCTOR FIRST!!!
I hope this helps shed some light on what's happening to your son. Im reasonably sure from what you've told me that this is a classic case of diabetic seizures and not epilepsy, but in any event, a talk with his pediatric endocrinologist is in order.
What some call health, if purchased by perpetual anxiety about diet, isn't much better than tedious disease. - George Dennison Prentice
- It's not that some people have willpower and some don't. It's that some people are ready to change and others are not. - James Gordon, M.D.
I can only please one person per day, today is not your day...tomorrow doesn't look good either.
Post Edited (Warren) : 7/6/2006 7:45:46 AM (GMT-6)