Maybe not a solution, but have you tried some carbs before going to bed????
Hypos are defined as anything less than 3.5 mmo/l on DAFNE.Both are hypos, I think anything below 3.6 (or maybe 3.8 , cant remember) is classed as a hypo
Though people without diabetes and blood-glucose lowering medicine can drop that low naturally - but that's generally not an issue (RH can also drop it too low as well)
Have you tested your basal insulin recently? Libre is good for trends but it certainly misses events like this due to accuracy.You are woken at 2.30am with a 2.2low, you take 20g carb (yoghurt). You then wake up at 5am with a reading of 11. So, annoying, it’s so difficult to make a recovery from a low without going to a high, especially in those early hours?
My DN was pleased with my recent HBa1C, but immediately followed with 'how many hypos are you having though?' I can't fool them!I never ask them to be specific. But for me when they ask if you've had any hypo's, I consider that to mean have you had instances of needing assistance to recover from low bg.
I sometimes don't even immediatly react if say I'm 3.5, but food is not for 30 minutes for eg.
I even sometimes think that will help the average numbers and hbac1 a bit.
Tested?Have you tested your basal insulin recently? Libre is good for trends but it certainly misses events like this due to accuracy.
DAFNE was run by the same endo team I still see, yet a recent questionnaire from them for pump Clinic had hypo's defined as under 4.0. Interesting, I'd forgotten what DAFNE said.Hypos are defined as anything less than 3.5 mmo/l on DAFNE.
You are woken at 2.30am with a 2.2low, you take 20g carb (yoghurt). You then wake up at 5am with a reading of 11. So, annoying, it’s so difficult to make a recovery from a low without going to a high, especially in those early hours?
Yeah, you get asked, have you had any hypo's lately.
Well, you think.. please can you quantify what you mean by the term 'hypo'!
That’s interesting. Never would’ve thought to try this, but the logic for how that all works makes sense.Hi,
Interesting topic. am I right in thinking your night hypo was a basal low..? (No fast acting insulin on board.?)
To be frank, I find my basal lows can be a slow creeper. (Lantus.) which can be treated with what others term as slower acting carbs. I find just hitting it with anything fast acting sugar wise can cause a reoccurrence an hour later?
Not what one needs during a day's graft.. So I have been known to sucessfully use milk, a biscuit or even utilising the carbs & protien from a mini pork pie.. Pending on how low & which direction I maybe heading.. Sometimes I can settle just under the "official" number wich looks like I could be cruising at..? But then, we got some reasonable BG monitoring tech these days..
The question about hypos. My answer to date. Is, "none I can't handle myself."
The old regime with Porcine insulin in the late 1970s as a kid was a pretty tough "training ground."
I was raiding the milk in the fridge going full on "Steel magnolia" whilst the house slept.. At least these days I've learned to leave enough for a cup of tea for my wife.. Lol, my dad wasn't so lucky when he got up for work..
I change my basal on a daily basis.Tested?
Yes basal level is crucial. Mine is slightly low atm, currently being tweaked day by day.
When it's low I get spiking due to higher bolus doses.
I get my basal spot on and everything is so much easier.
But then it drifts off again. Rhyme or reason, none, as you all know.
Interesting!I change my basal on a daily basis.
I'm running for 1.5 hours in the morning with a lot of speed training. So I need to take a lot less all around - fasting acting and basal) and it will have a lag of 24 to 36 hours. It's a bit like jetlag.Interesting!
So, how do you calculate tomorrow's dose?
Ah right, thought you were about to tell me you had a magic algorithm that told you what to dial in for tomorrow. I wish!I'm running for 1.5 hours in the morning with a lot of speed training. So I need to take a lot less all around - fasting acting and basal) and it will have a lag of 24 to 36 hours. It's a bit like jetlag.
It's a lot of guesswork isn't it. But you have to keep trying. Every day is different. I just posted how I only had 2 hypos a month last week, then I had 4 bad days in a row this week due to not cutting back enough when I knew better. I'm better on a Dexcom, which is silly accurate. The Libre was good for trends, but I often found myself with a hypo and it still was reading 6 (which is in the range of its accuracy.)Ah right, thought you were about to tell me you had a magic algorithm that told you what to dial in for tomorrow. I wish!
Basal level is key for me. I'll, do up to 2hr hardish bike rides. But the outcome on levels is not always that predictable.
Anyway, off topic a bit. Enjoy your run!
Hi,
Interesting topic. am I right in thinking your night hypo was a basal low..? (No fast acting insulin on board.?)
To be frank, I find my basal lows can be a slow creeper. (Lantus.) which can be treated with what others term as slower acting carbs. I find just hitting it with anything fast acting sugar wise can cause a reoccurrence an hour later?
Not what one needs during a day's graft.. So I have been known to sucessfully use milk, a biscuit or even utilising the carbs & protien from a mini pork pie.. Pending on how low & which direction I maybe heading.. Sometimes I can settle just under the "official" number wich looks like I could be cruising at..? But then, we got some reasonable BG monitoring tech these days..
The question about hypos. My answer to date. Is, "none I can't handle myself."
The old regime with Porcine insulin in the late 1970s as a kid was a pretty tough "training ground."
I was raiding the milk in the fridge going full on "Steel magnolia" whilst the house slept.. At least these days I've learned to leave enough for a cup of tea for my wife.. Lol, my dad wasn't so lucky when he got up for work..