People who are dealing with extreme complications of their diabetes, especially those with end-stage kidney disease , often have trouble with hypoglycemia. When a person's kidneys are not functioning properly, they cannot "clear" insulin from their bodies. Dialysis will perform this function, clearing either the body's own insulin or the injected insulin. But if someone on dialysis misses a dialysis appointment and does not change their insulin dosing regimen to accommodate for that, they may have an episode of hypoglycemia.
Once silage has entered the conveyor system, it can be handled by either manual or automatic distribution systems. The simplest manual distribution system uses a sliding metal platform under the pickup channel. When slid open, the forage drops through the open hole and down a chute into a wagon, wheelbarrow, or open pile. When closed, the forage continues past the opening and onward to other parts of the conveyor. Computer automation and a conveyor running the length of a feeding stall can permit the silage to be automatically dropped from above by each animal, with the amount dispensed customized for each location.