Worried about my sister

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Susie54

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My sister has had Type 1 for 14 years - it 'hit' her at age 46. We have no history of diabetes in the family, and I'm feeling extremely worried right now.
Her husband (in the states) phoned me (UK) yesterday saying my sister is in intensive care in the hospital after being found unconscious on the floor of my condo. She has managed my townhome until I finally leave the UK next year. I don't know all that's happening, but she had severe hypoglycemia, was sedated, and has tubes in her mouth. Luckily no brain damage. I'll learn more later what the doctors are doing to stabilize her, but it seems quite serious as she's been in the ICU for three days. My sister had several previous episodes, but the paramedics who came to the house were able to wake her up with the glucagon injection kit.
I don't get along with the husband (of 3 years) but have to be civil as he updates me through emails. Melissa has always been anxious, dreads going to work as a psych nurse on night shift, and wants to quit after 30 years. When I mentioned to Gary this job is killing her and she should quit asap, he said that's Melissa's decision. And he thinks it's 'awesome' she's been working at this unit for so long. He's in La la land. Her shift can alter her regular rhythms, the blood sugar levels can be affected and lead to uncertain sleep times. Working her 12 hours, she's at an increased risk for insulin resistance, and can wreak havoc on blood glucose control. The emotional strains of shift work in an already stressful person can rise her blood glucose level sky high. Just in case I'm being too hard on Gary - he's Type 2, obese, and the doctor said if he doesn't lose weight, he may as well cut 15 years off his life. Did he shed any weight and exercise after this diagnosis? No. Had to vent.
 
Oh goodness @suzie54 how very stressful and upsetting for you :(

Hopefully you’ll get some encouraging news about your sister soon. Must be so difficult this all happening so far away.

Sounds like you are quite close? When are you due to move over?

Does your sister use an insulin pump or CGM? I know these can be quite costly in the US, with insurance and co-pay, but modern systems can actively help protect against hypos, and the results can be viewed (or alerts received) by family members if the person with diabetes would value that safety net.
 
How awful for your sister (and you) @Susie54 I second a good CGM if she hasn’t already got one. Setting the Low alarm at a higher level can give more warning. It’s not foolproof but it’s a massive help.

I hope your sister is stable and improved very soon. I’d leave the job change talk for a little while until she’s back to herself, but I understand why you’re concerned.

Wishing her and you all the best.
 
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