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Type 1.5/LADA Diabetes
How do you hypo on a ketogenic diet?
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<blockquote data-quote="smidge" data-source="post: 815495" data-attributes="member: 29301"><p>Sorry to hear about your cousin - that's awful.</p><p></p><p>These days DAFNE talks about hypo as 3.5, although they would call that level 'below target' i.e. aim higher. The low to mid 2s is clearly the clinical definition of hypo i.e. when it is actually immediately dangerous.</p><p></p><p>I was really surprised to see what [USER=8799]@iHs[/USER] said about the 70s and 80s - I had always assumed that the whole 4s the floor nonsense had come from that era when insulin wasn't so good, test kits were scarce etc - so the fact that lower levels were recommended then and the advent of better insulins and testing has seen a higher level being recommended really does astonish me.</p><p></p><p>Controversially, I wonder if the need to recommend higher levels to Type 1s for safety's sake coincided not directly with the use of basal/bolus, but more with the implication that Type 1s can eat what they like and jab to cover - i.e. the recommendation of a high carb diet and the increased use of insulin that brings?</p><p></p><p>I certainly agree with [USER=102150]@Spiker[/USER] that it is the speed of movement of BG rather than the actual level that causes the immediate danger. As I've said many times on the forum and have proven with my Libre, my BG generally creeps along very slowly - so slowly, Libre's directional arrows often miss it. I can hang around in the high 3s for several hours - but I don't take large doses of bolus. I actually find the basal hypos more scary. Having recently swapped to Tresiba, I'm now taking 9 or 10 units of basal in one shot - that's more insulin in a single jab than I've ever done before - and that scares me.</p><p></p><p>Smidge</p></blockquote><p></p>
[QUOTE="smidge, post: 815495, member: 29301"] Sorry to hear about your cousin - that's awful. These days DAFNE talks about hypo as 3.5, although they would call that level 'below target' i.e. aim higher. The low to mid 2s is clearly the clinical definition of hypo i.e. when it is actually immediately dangerous. I was really surprised to see what [USER=8799]@iHs[/USER] said about the 70s and 80s - I had always assumed that the whole 4s the floor nonsense had come from that era when insulin wasn't so good, test kits were scarce etc - so the fact that lower levels were recommended then and the advent of better insulins and testing has seen a higher level being recommended really does astonish me. Controversially, I wonder if the need to recommend higher levels to Type 1s for safety's sake coincided not directly with the use of basal/bolus, but more with the implication that Type 1s can eat what they like and jab to cover - i.e. the recommendation of a high carb diet and the increased use of insulin that brings? I certainly agree with [USER=102150]@Spiker[/USER] that it is the speed of movement of BG rather than the actual level that causes the immediate danger. As I've said many times on the forum and have proven with my Libre, my BG generally creeps along very slowly - so slowly, Libre's directional arrows often miss it. I can hang around in the high 3s for several hours - but I don't take large doses of bolus. I actually find the basal hypos more scary. Having recently swapped to Tresiba, I'm now taking 9 or 10 units of basal in one shot - that's more insulin in a single jab than I've ever done before - and that scares me. Smidge [/QUOTE]
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