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Diabetes killed Daniella, 13

11:03am Thursday 7th December 2006

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A TEENAGE diabetic died from massive brain damage after her blood sugar dropped to dangerously low levels.

Daniella Scott, aged 13, was found collapsed in the bedroom of her home in Red Thorpe Close, Bolton, by her mother Joanne Wolfendale early one morning in June this year.

She was rushed to the Royal Bolton Hospital, where she was put on a life support machine, then transferred to the Royal Manchester Children's Hospital, where she died the next day.

An inquest in Bolton heard how Daniella, a pupil at Ladybridge High School, had been diagnosed with diabetes at the age of eight and became used to administering insulin to control it herself.

The court heard she would sometimes be teased about her illness by fellow pupils, and at the time of her death had been suspended from school for fighting with another girl. The day before her mother found her collapsed, Daniella had appeared normal, took her insulin as usual and went to bed.

But at 5am, when she was found, her blood glucose levels had fallen.

Doctors told deputy coroner Alan Walsh that Daniella's diabetes had been poorly controlled and she had missed several clinic appointments.

Consultant endocrinologist Dr Catherine Hall explained that the lack of adrenal gland function meant Daniella would not have the same symptoms as other diabetic patients to warn her that her blood sugar was getting too low. She added that a risk of taking insulin, which brings down blood sugar levels that are too high, is that the levels can go the opposite way and drop too low, leading to a seizure and lack of oxygen to the brain.

Deputy coroner Alan Walsh recorded a verdict of death by misadventure.


Your Say YourThis Is Lancashire

Jane, says...
1:03pm Thu 7 Dec 06

Typical of the inadequate doctor to blame the patient.

We need a cure for type 1 diabetes and we needed one before this precious child lost her life to it.

Geoff, says...
8:30pm Thu 7 Dec 06

Such a sad incident
Comments by Jane inadequate doctor, and you are qualified to make that statement based on what? I suggest you read the report again

Sarah, says...
2:33am Mon 11 Dec 06

I agree with Jane. When the medical world expects a human being to be a pancreas 24-7, let alone a young child, this displays remarkable stupidity.

"Death By Misadventure"? Right.

I'd like to see your average MD try to have their pancreas removed and see how successful they are at maintaining "normal" BG levels every second of every day with our inadequate technology.

Stupid is not even the word to describe how ignorant the world is of Type 1 diabetes...

Adrienne, says...
4:30pm Mon 11 Dec 06

I agree with Jane also. Dr Hall is suggesting that all diabetics display symtoms of low blood sugar levels. This may be what is written in text books but in real life this does not happen. I am a mother of a diabetic child who has never in her life shown any symptoms of being low or high. I know many children with diabetes and approximately half display no symptoms so where Dr Hall gets her information from I have no idea. Type 1 Diabetes is extremely dangerous for everyone, child or adult and unless the public are educated properly and schools are made aware of the consequences if diabetes is taken too lightly, then there will be a lot more people dying or suffering from brain damage due to diabetes and the lack of care across the UK. Diabetes Type 1 needs to be taken far more seriously than it is at the moment. I would like to see Dr Hall live with a child who has diabetes for 24 hours let alone every day and see if she can then make the same comments as she has made.

I really feel for Daniella's family at this awful time.

Nico Kadel-Garcia, says...
7:36pm Mon 11 Dec 06

Given the girl's age, and the implication that the girl had a separate adrenal problem from the doctor's statement, I think we should get off the doctor's back. Teenages often handle their diabetes very poorly: sometimes they even try suicide via insulin overdose, believing deep down that it won't kill them but needing the attention. And sometimes they succeed in killing themselves.

It's also very easy, when depressed, to make a very dangerous mistake with insulin such as swapping long-acting with short-acting, or forgetting that you've already taken a meal-time bolus, or gorging on food and trying to compensate with insulin. These things happen to diabetic teenagers the same way overdrinking happens to healthy teens.

My heart goes out to the family, and my gratitude that I survived my teens as a diabetic.

Angela, says...
8:14pm Mon 11 Dec 06

The fact that this mother was checking her daughter at 5am shows her level of concern. My heart goes out to this mother. I have two very young children with type 1 diabetes and I often go into them in the night wondering if this will be the night... Pointing a finger of blame will not help Daniella or her family. The teenage years are notoriously difficult for someone trying to manage diabetes let alone all the other issues associated with growing up. Much more needs to be done to raise the awareness of the seriousness of type 1 diabetes.

Paula, says...
12:41am Tue 12 Dec 06

There is no other disease that doctors expect the patient to do 98% of their own medical care. It is insane to expect so much from anyone. Healthy people are often overwhelmed with the cares and stress of everyday living. Having diabetes is a full time job, but diabetics have all the responsibilities that healthy people do too. And I am disgusted that there are kids, who have not been taught by their parents to have compassion for others less fortunate, are allowed to bully in school. A lot of people have failed this girl and her family.

Angie, says...
3:21pm Tue 12 Dec 06

The lack of knowledge and understanding by the general public, and even our doctors, is terrifying when it comes to Type I. Geoff's response to Jane is a prime example. You only have to be a parent of a child with diabetes, such as myself, or have the disease yourself to understand why we are "qualified" to make such statements. We need a cure, plain and simple. And until the world wakes up to the epidemic of diabetes, sad stories like this will continue to happen. Every parent's nightmare.

Elizabeth, says...
9:10pm Tue 12 Dec 06

God Bless Daniella's family during this time of tradgedy. Diabetes is so hard to manage in children. I have a type 1 diabetic son who is 7 years old. He is very good at knowing when he feels low, but I do worry about when he sleeps and check him during the night. I am sorry for this family's loss

Kathy, says...
1:23am Fri 15 Dec 06

How tragic. Tragic that the girl died, but equally tragic that the girl and her family were fingered so. As a parent of a 9yr old Type I for 2yrs now, I agree that you cannot control their BS perfectly. They can be high one minute and twenty minutes later drop out of the sky - fast. I would say the mother probably knew this since she was checking the girl at 5am just as I and many other parents do diligently every night; and is why many of us are excited at the new continuous glucose monitors that are now breaking ground. I also agree that there needs to be so much more education to the general public on this condition. I find myself explaining my daughter's Type every week and it's particularly disappointing when I have to do so to medical personnel or even worse, face negative feedback when her numbers aren't perfect - I think if people lived with a child like this for even a week they'd come away more open-minded; and exausted.

christine mckenzie, says...
3:41am Fri 22 Dec 06

hello , wondered why doctor hall is involved with sorry to hear of your loss my child was diagnosed with diabetes , i was later transfered to endocrine team , who successfully saved my sons life the proffessor retired a brilliant man and since replaced by dr hall , im concererned to say the least by this distrubing item

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