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<blockquote data-quote="catapillar" data-source="post: 1544486" data-attributes="member: 32394"><p>Night time hypos are seriously to be avoided. Especially ones that don't wake you up - which by the way does make questions about your hypo awareness rather more prominent, you should get woken up by a hypo,might you have good awareness. You know you can't drive if you don't have hypo awareness?</p><p></p><p>Have you heard of dead in bed syndrome? That's when a type 1 diabetic goes to bed and doesn't wake up due to a nocturnal hypo. So if you are so low that you are having nocturnal hypos that you aren't waking from you are swapping minimal risks of diabetic complications for risks of dying. Too low is to be avoided just as much as too high.</p><p></p><p>How much education / understanding of the risks and how they relate to post prandial spikes have you had? What do you consider "too high", I'm assuming it's seeing what you consider "too high" that makes you not want to eat. Have you experimented with pre bolusing to reduce post prandial spike? Have you experimented with macros to reduce post prandial spike? as well as giving you much needed more calories, adding fat to you meals should help to reduce the spike: it slows down the process of carbs in the meal turning into blood sugar rise so adding fat to your meals can create lower, gentler spikes.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1544486, member: 32394"] Night time hypos are seriously to be avoided. Especially ones that don't wake you up - which by the way does make questions about your hypo awareness rather more prominent, you should get woken up by a hypo,might you have good awareness. You know you can't drive if you don't have hypo awareness? Have you heard of dead in bed syndrome? That's when a type 1 diabetic goes to bed and doesn't wake up due to a nocturnal hypo. So if you are so low that you are having nocturnal hypos that you aren't waking from you are swapping minimal risks of diabetic complications for risks of dying. Too low is to be avoided just as much as too high. How much education / understanding of the risks and how they relate to post prandial spikes have you had? What do you consider "too high", I'm assuming it's seeing what you consider "too high" that makes you not want to eat. Have you experimented with pre bolusing to reduce post prandial spike? Have you experimented with macros to reduce post prandial spike? as well as giving you much needed more calories, adding fat to you meals should help to reduce the spike: it slows down the process of carbs in the meal turning into blood sugar rise so adding fat to your meals can create lower, gentler spikes. [/QUOTE]
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