Constant hypos

phdiabetic

Well-Known Member
Messages
880
Type of diabetes
Type 1
Treatment type
Insulin
Sounds dreadful. Firstly, consider getting glucagon. Your husband should NOT be putting anything in your mouth while you are unconscious as you could choke.

Have you been exercising more in the warmer weather, causing lows?

Also, set some alarms so you can wake up before the lows become a problem, and have a midnight snack :)
 

SallyEzra

Active Member
Messages
36
Type of diabetes
Type 1
Treatment type
Pump
Hi TerriH,

I agree with Mel dCP, it really doesn't seem like you have the focussed care you really need at the moment.

I also grew up in South Wales & was diagnosed there at the age of 11yrs - although it had been missed by several GPs, resulting in severe DKA, several stone underweight, inability to walk, hair fallen out & 3 months in hospital to recover (lovely!). When I hit 14yrs, my blood sugars became an absolute nightmare with constant hypos and like you for some reason I was only being provided with the help of a DSN, who kept telling my parents & I that the insulin regime she had recently put me on was perfectly fine & just needed tweaking & for me to eat more carbs pre-exercise/exertion etc. At the time it got so severe that my Mum worked with me so closely every step of the way, making sure that I was doing everything according to the advice we were being given. Despite that, the week it resulted in 4 hypo comas overnight, so 4 hospitalisations, was when my parents drew a line under it & booked me a private appointment with the hospital consultant I should really have been seeing anyway in the nhs. He immediately changed my insulin regime onto a slightly more expensive one than the DSN had placed me on & the issue was fairly instantly resolved & he referred me for follow up appointments with him on the NHS. In retrospect it seems like a pretty drastic position to get into before the right combination of correct meds with appropriate level of diabetic care was provided.

Nowadays I do get really supportive care from my local GP Surgery in South East England, but unfortunately whilst I do get an annual appointment with my local hospital, it is a pretty poor service, which like the hospital I was diagnosed in as a child, is cash strapped & on special measures. So rather than focus on the correct approach/treatment for the patient, the focus is often on what is the cheapest option that sits on their predefined list of what is 'approved' for patients. At the moment I am pregnant however & my GP practice have supported me in getting my Ante Natal diabetic care at a different hospital which is really close but under a different health care board, which invests differently in the services they provide - it is so much better - & you can see as a team that they are so much more motivated to genuinely help their patients. It must be tough working in these hospitals that are under special measures.
So I am wondering if rather than phoning your GP, where you are stuck waiting on the line, would it be possible to walk through the door, briefly explain what you have going on & that you need a call back from a GP, who you could ask to refer you to a consultant?. Or could you manage to buy an hour appointment with that consultant privately & get him/her to refer you back to see them on the NHS?. The reason I say this is that it sounds to me like in order to get this sorted you are going to have to fight your own corner on this one to get the focus you need. It is a lot of pressure & concern on you & your husband to have to keep slightly vigilant in the middle of the night when and dangerous. So I am hoping you can get some local support as soon as possible.
 
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TerriH

Active Member
Messages
34
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Noise, hooligan drivers and most of all rude, selfish and totally inconsiderate people.
Hi TerriH,

I agree with Mel dCP, it really doesn't seem like you have the focussed care you really need at the moment.

I also grew up in South Wales & was diagnosed there at the age of 11yrs - although it had been missed by several GPs, resulting in severe DKA, several stone underweight, inability to walk, hair fallen out & 3 months in hospital to recover (lovely!). When I hit 14yrs, my blood sugars became an absolute nightmare with constant hypos and like you for some reason I was only being provided with the help of a DSN, who kept telling my parents & I that the insulin regime she had recently put me on was perfectly fine & just needed tweaking & for me to eat more carbs pre-exercise/exertion etc. At the time it got so severe that my Mum worked with me so closely every step of the way, making sure that I was doing everything according to the advice we were being given. Despite that, the week it resulted in 4 hypo comas overnight, so 4 hospitalisations, was when my parents drew a line under it & booked me a private appointment with the hospital consultant I should really have been seeing anyway in the nhs. He immediately changed my insulin regime onto a slightly more expensive one than the DSN had placed me on & the issue was fairly instantly resolved & he referred me for follow up appointments with him on the NHS. In retrospect it seems like a pretty drastic position to get into before the right combination of correct meds with appropriate level of diabetic care was provided.

Nowadays I do get really supportive care from my local GP Surgery in South East England, but unfortunately whilst I do get an annual appointment with my local hospital, it is a pretty poor service, which like the hospital I was diagnosed in as a child, is cash strapped & on special measures. So rather than focus on the correct approach/treatment for the patient, the focus is often on what is the cheapest option that sits on their predefined list of what is 'approved' for patients. At the moment I am pregnant however & my GP practice have supported me in getting my Ante Natal diabetic care at a different hospital which is really close but under a different health care board, which invests differently in the services they provide - it is so much better - & you can see as a team that they are so much more motivated to genuinely help their patients. It must be tough working in these hospitals that are under special measures.
So I am wondering if rather than phoning your GP, where you are stuck waiting on the line, would it be possible to walk through the door, briefly explain what you have going on & that you need a call back from a GP, who you could ask to refer you to a consultant?. Or could you manage to buy an hour appointment with that consultant privately & get him/her to refer you back to see them on the NHS?. The reason I say this is that it sounds to me like in order to get this sorted you are going to have to fight your own corner on this one to get the focus you need. It is a lot of pressure & concern on you & your husband to have to keep slightly vigilant in the middle of the night when and dangerous. So I am hoping you can get some local support as soon as possible.
Thank you so much and thank you to all forum members who have replied to my initial post. The situation here is worse than ever. I have not seen anyone for over two years from the medical profession and have not had an annual review since 2019 nor retinopathy because they are still "seeing" patients from 2019.
I feel like so many forum members that medics have no idea about diabetes despite all my efforts to educate them!! I fight my corner with the best but I also know that it is all down to me and it is not what you know but WHO you know and self-preservation is the strongest motivation of all!!!