Hi Kendall12 i have read the other posts but don't really see any positive advice so thought i would post some info to try and help
i am a type 1 diabetic and have been for 30 years i am also a Endocrinologist (diabetic specialist) and a diabetes educator but i am from australia so things may be a little dif in london
ok so before i go any further i will say genetics plays a big part to what happens to a diabetic so if you get another diabetic saying that anything that is happening to your bf is not true because it doesn't happen to them please disregard their statement
for instance you said you 2 just moved in together for, some diabetics stress and life style changes has very little effect on their diabetes but for others it does my first piece of advise would be to find out if this problem started as you guys moved in together his diabetic specialist will need to know this to adjust his insulin levels accordingly it will be different if its caused by stress rather than bad eating habits.
Let me just say that you should NOT become his carer but if you are living with him you should defiantly educate yourself with at least the basics of his condition so if you have not done so i would advise you to go along with him to his specialist once to get some info and don't worry we do this all the time have a chat and give pointers to family members, new partners and even friends when a T1 brings them in i would also suggest that your bf get a prescription for a glucagon injection and you get training on how to administer it it is very quick and will not help in this scenario but a danger time for hypo's is while sleeping and if he has fallen unconscious a glucagon shot will force the liver to release a dose of glucose into the system and will usually wake a T1 up in approx 10 min but be sure to follow up with post hypo protocol from his hypo pack immediately as the glucagon will only be effective for approx 30 mins but this would be the last step before calling emergency services if you have glucacon over there that is, His specialist will also tell you what to look for when he is going into a stage 1 (more on this latter) hypo he will usually still be in control at this point so to ask him to take his bgl here or to let him know he looks low can save these more aggressive hypo's or stage 2 hypo's so you do not have to be afraid all the time you should not have to feel this way.
You say you try to assist him hold him etc and let me just say that's a very beautiful gesture on your part well done the only thing i will say is that be careful when you do this if he is already in a or close to an aggressive hypo you first responsibility must be your own well fair and generally when i was younger and had these types of hypo's and someone did things like that it just made me more agitated but you and his specialist know him best so i leave that decision in your hands
So i feel i need to point out that this type of hypo can NEVER be controlled by counselling this is not an anger control issue or an emotional imbalance issue this is due because of the stage 2 symptoms just before unconsciousness as a result in the body be so overdosed on insulin his brain function has already started to shut down and he is not in control anymore hence why he usually not remember it his higher brain functions and reasoning skills have already diminished to far to just will himself out of it any statement by others to the contrary should be disregarded once again get him to talk to his specialist about it the idea is to stop these from happening not to get him to try and control them himself when he is in one its already too late and like i said before genetics also plays a role, i will also point out that not all hypo's are like this some he will probably never get angry or aggressive stress and life style changes can also play a part in the type of hypo
ok so diet if he knows he is not eating well he defiantly needs to change this you version of a diabetic educator will be able to help him here all i can tell you here is that after a lot of researched i went onto a lchf diet (low fat high carb) and have never looked back i have reduced my insulin intake levels by approx 90 - 95% less insulin = less hypo's the medical industry is a bit slow to catch up but i believe some diabetic authorities are endorsing this diet know as a better way to control diabetes get your bf to have a look on your countries diabetic authority website which i believe is
www.diabetes.org.uk if it appeals to him
Oh on a side note i will also point out that if he is going into these hypo's without any warning he may have Impaired Awareness of Hypoglycaemia (IAH) which can happen if he has had a number of hypo's in a short period of time or if he has had diabetes for a long time about 2 years plus but i find this problem usually doesn't start till the 9-20year mark there is that genetics thing again his specialist should be able to give him some ideas on how to get out of it
I will also point out that unlike most reasons for hypo's being a short duration of time eg injecting and not eating you will hypo quickly playing sports has a delayed effect of up to 12 hours something he should consider if he plays sports
This is just general info to cover all basis but this info should be readily available on your countries diabetic authority website
what i like to call stage 1 hypo symptoms are
- weakness
- trembling
- sweating
- paleness
- hunger
- nausea
- light headedness
- headache
what i like to call stage 2 hypo symptoms are
- lack of coordination
- not able to help oneself
- disorientated, unaware or seeming drunk
- not able to drink or swallow
- not able to stand
- not able to follow directions
- loss of consciousness
- seizures
- Confusion
- Slurred speech
stage 2 is where his aggression comes in but confusion can be in both so the idea here is if it happens to catch and treat it at stage 1
Ok WOW long post sorry about that kendall these are some things he can think about to get it under control
1. if he is on a mix of insulin taking 2 injections a day maybe change that to something like a novorapid and lantis solostar more injections but shorter time frame the lantis releases slowly over a approx 12 hour period taken for over night and novorapid is a fast acting with 4-5 working window with a peak time of about the 60-90mins and a onset of 10-15mins
2. insulin pump is always something to think about if you guys have a subsidized scheme over there these make it easier to control but will not stop hypo's
3. defiantly think about a CGM (continuous glucose monitor) if you guys have a subsidized scheme over there this comes with a ipod kinda like thingy with a screen to tell him his glucose levels he can also set an alarm so it goes of when his bgl goes down to say 4.0mmol/l for example these vary but take a reading every min or so
4. combine 2 &3 always a good combo
5. he has to get in the habit of testing more if his having these bad issues i would suggest every hour if he doesn't find any of the above appealing there are plenty of quick glucometers made for that and apps on phones to help him out to remember to do it and record everything
6. record his tests about atleast 4-6 times a day before he goes to his specialist if he is only doing it 2-3 times a day his specialist does not have enough info to make an informed decision
I hope the info here is helpful to you and i think it should be said thanks for taking the time to care enough about your bf to try and enlist some help sometimes us T1 can forget the effect our condition has on the people around us i wish you and your bf the best of luck in controlling his issue