Blood Level Issues(2.5 to 14)

Hi there @wheelsme . I too suffer from significant blood sugar swings. From what I have learnt it’s not usual for T2s to hypo. I see you are on Jardine, I am not on that blood lowering med so I can’t comment on that, but I can speak more generally on what can potentially cause an hypo.

Hypos can and do occur on blood lowering meds and of course when you are on insulin.

Reactive lows - if you have had something high in carbs your pancreas can overshoot its insulin production and send your blood sugars downwards. Generally, if everything is operating as it should the liver will detect the falling blood sugars and release a form of glucose , at the same time the pancreas ceases insulin secretion and your blood sugars rises again.

Alcohol - alcohol inhibits the liver and this causes the potential for low blood sugars. I cannot drink alcohol as I go low, like in the low 2’s.

CGM Compression lows - when you sleep on your sensor

Reactive Hypoglycaemia - a none diabetic disorder whereby there are significant blood sugar swings caused by the pancreas overshooting insulin causing dangerously low blood sugars. It can be a precursor for diabetes.

Damage to the pancreas such as you see in Post-pancreatitis or PPDM a secondary form of diabetes that can also cause unstable blood sugars.

wheelsme said:

metformin timed release and Jardine.

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Do you mean jardiance (also called empaglifozin)?