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2.3 one hour after dinner - 3 years old - Why????

A

alfietom

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10
Hi,
Our son was Diagnosed type 1 last week. He is 13, we are trying to get things settled and our still on prescribed insulin doses.

He had his 5 units of insulin with a BG reading of 7.1 before a large dinner this evening of Wholegrain Brown rice, Chicken, egg, onion, sweetcorn, peas etc (Own recipe Egg fried rice)
An hour after dinner and some gentle rough and tumble with his brother he felt dizzt etc and tested his blood which was 2.3

Were really confused by this figure so soon after dinner - Please help?
 
Could have been the exercise ? Sometimes diabetes makes no sense though unfortunately. We all get the odd dodgy reading ! At least he realised and it was sorted !


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If his blood sugar level keeps dropping tonight, he should have some glucose or sugar followed by some slow acting carbohydrate like wholemeal toast. Go to bed with a reading above 8. Test him during his sleep about 4 or 5 hours after the last fast acting insulin to make sure he is not going too low.

Also ask his diabetic team if you can inject less insulin for the type of meal he had. If the team want you to keep the injection at 5 units give more carbohydrate with the meal.
 
Hi. I can only comment from my own situation where I'm 60Kg weight and sensitive to insulin doses. With that meal and for someone with lower weight then me I would probably have taken less than 5 units; perhaps 4? Diabetics on insulin are often started on 1 unit per 10gm carbs for the Bolus insulin; I was. I found this too high and go for something like 1 unit for 12gm carbs. Do discuss with the team
 
Thanks for the advice - Sorry but my heading is incorrect as our son is 13....not 3!

I think your correct regarding to large a dose of insulin - but this is the second time in 2 days he's gone Hypo within 1 1/2 hours of a healthy meal.
I'll speak to his nurse today
 
Hi. I have a son aged 17, who has had Type 1 for 5 years.

I think you will learn over time, that different foods break down at different rates. For my son, brown rice would be very slow and therefore the insulin would be at its peak effect 1-2 hours after the dose, but the rice would barely have hit his system - resulting in a low blood sugar and a high blood sugar hours later. The trick is to learn to match up the dose to the food, with a combination or carb-counting so that you can select the appropriate number of units to give and by timing the dose according to the sort of food. This may sound daunting at this stage, but with support from your team and more experience, you will become an expert. If you haven't already got it, I strongly recommend getting a copy of Ragnar Hanas's book 'Type 1 Diabetes in Children, Adolescents and Young People'.
 
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