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continual or prolonged hypos?

C

CaitlinGibbons

Member
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19
Hi

Don't know if anyone has had a similar experience of this but yesterday my 3 yr old woke up with a BG of 10.1, dropped to around 3 at lunchtime and didn't come back up all day despite reduced Novorapid and plenty of apple juice & biscuits. She was still at around 3 at bedtime (7.30) and nothing we gave her seemed to bring it back up to normal. The day was otherwise fairly normal, nothing to strenuous or exciting, she ate normally all day. We ended up on the phone to our consultant at 8.30, too worried to send her to bed with such a low reading. She thought it very strange and said 200 ml apple juice should be more than enough to bring her levels up. We checked her spare meter and new strips and the results were the same so it can't have been technical problems. She advised us to wait an hour and test again, and after giving her some lemonade as well she eventually came back up to 4.5. We then didn't give her any glargine over night and by this morning she was 14. We were just so confused as we can't work out why she was so low and not responding to the apple juice. She showed no sign of being low, other than saying she was hungry which she says a lot anyway, regardless of her BG... Could it be the weather? Although previously the heat has seemed to have had the opposite affect and sent her high.... Any thoughts really would be appreciated!

Thanks
Caitlin
Mum to Sylvie, diagnosed Oct 2010 aged 2 yrs, 7 months
 
We find the heat makes our children's bg drop and also seems to make the insulin work much quicker!

If your daughter is honeymooning they can sometimes go through erratic periods which might explain this.
 
Me too...heat affects me--- not necessarily the first day.....

You may well find that there will be other things that can affect rading long term wise...i.e weeknds...not going to school...holidays etc....

Unsore whether you have a day similar previously to activitys that you could compare readings to....

I do also go exactly through the same....but have now recognised patterns, for me I now have to alter my basals down 10% from Friday Nights to Sunday mornings.....

This may be a one off, but may be not....bear in mind what your child did, qtys of basal/bolus etc...you may well find that there are certain days that may run like this...
 
If Khaleb is low and after 10-15 minutes hasn't come back up I tend to mix up some glucose powder in fruit puree. It is concentrated and tends to have a better lift effect in him. Pure apple juice is fairly low GI and drinking more liquid may rehydrate after being a hot day. More liquid would then dilute the blood a bit. Just a theory. The honeymooning sounds very likely also.
 
Is it possible her Lantus was given twice or too much of it the previous night? Otherwise it could be something to do with honeymooning which is very possible.
 
Hi

We've had this problem before too and I blamed tiredness following a late night so now we reduce the novorapid at lunch time if he's been late the night before. All we could do was keep feeding him apple juice or jelly babies. He ate normally too. One of the many mysteries of having a wee one with type 1!

Annette
 
SophiaW said:
Is it possible her Lantus was given twice or too much of it the previous night? Otherwise it could be something to do with honeymooning which is very possible.
Click to expand...


I find myself agreeing with Sophia again here.
 
thanks everyone for your thoughts - really useful! weirdly we have found that heat has sent her BG readings up before but I think it has got to be the most logical explanation, or that she had a very full day the day before and was maybe just really tired. I know for sure she didn't get her levemir twice, although the pen could be faulty as we've had a couple of occasions where it hasn't worked properly.

Cx
 
If you suspect the pen could be faulty please dispose of it and have it replaced with a new one, don't take any chances with faulty pens, way too dangerous.
 
yes - don't worry, we have disposed of faulty pens as and when we have come across them... unfortunately you don't know if one hasn't worked until you test again! Also, as her doses are so small (3 units) any inaccuracy is bound to have more of an effect... anyway, onwards and upwards...
 
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