Recurrent Severe Hypoglycaemic Events: What to do?

In this episode, experts from the University of Amsterdam (Prof. J. Hans de Vries), the University of Newcastle (Prof. James A.M. Shaw) and Deakin University (Prof. Jane Speight) explore one of the most feared complications of type 1 diabetes: severe hypoglycaemia. While advances in continuous glucose monitoring and automated insulin delivery have reduced severe episodes by around 40%, they have not eliminated the problem. The discussion examines why technology has limits, the challenges of impaired awareness and when transplantation may be considered for people with recurrent severe hypoglycaemia. The conversation also highlights the profound psychological burden of hypoglycaemia; from trauma and anxiety to the long-term impact of messaging around glucose targets and emphasises the importance of listening to people with diabetes when shaping future care.