All are risk factors for Severe Hypoglycemia except
(A) Sleep # Hypoglycemia-Associated:> Autonomic Failure(Nueropathy): The concept of hypoglycemia-associated autonomic failure (HAAF) in diabetis posts that recent antecedent iatrogenic hypoglycemia (or sleep or prior exercise) causes both defective glucose counterregulation (by reducirg the epinephrine response to a given level of subsequent hypoglycemia in the setting of absent insulin and glucagon responses) and hypoglycemia unawareness (by reducing the sympathoadrenal response to a given level of subsequent hypoglycemia).> Based on this pathophysiology, additional risk factors for hypoglycemia in diabetes include insulin deficiency that indicate; that insulin levels will not decrease and glucagon levels will not increase as plasma glucose levels fall; a history of severe hypoglyc emia or of hypoglycemia unawareness, implying recent antecedent hypoglycemia, that indicates that the sympathoadrenal response will be attenuated; and lower HbA1c levels or lower glycemic goals that, all other factors being equal, increase the probability of recent antecedent hypoglycemia
Sleep
Short duration of D.M
ACE genotype
Strict control of blood sugar level
Miscellaneous