Crazy hypo in the morning

EllieM said:

but I don't think anyone really knows, as it's not an experiment you do on purpose....

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Hill28 said:

This morning i had a really terrible experience.

i woke up around 6:00 and checked my bg: it was 12,2 mmol.

i decided to take my lantus log term insulin shot of 25 units.

i snoozed my alarm to wake up at 6:58 to wake up with a bg value of 2,2 and a further downward trend. 1 minute later my Libre indicated LOW. I immediately drank 1 liter of fruit juice (69g of carbs). 7:17 still low value and feeling dizzy.

so called an ambulance in case i wouldnt be able to stop the hypo, and then went to the local 24h store to buy 3 bottles of AA drink (14,5g carbs/100ml).

ambulance arrived to monitor me and i drank 2 bottles aa drink. Bg went back above 4,0 at 7:45 without further medical intervention.

i’m not sure if i could have accidentely switched the lantus insulin for novorapid. Or if the lantus can do such crazy stuff. I never had such heavy drops within just one hour. However, Not a nice experience at all.

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Hill28 said:

This morning i had a really terrible experience.

i woke up around 6:00 and checked my bg: it was 12,2 mmol.

i decided to take my lantus log term insulin shot of 25 units.

i snoozed my alarm to wake up at 6:58 to wake up with a bg value of 2,2 and a further downward trend. 1 minute later my Libre indicated LOW. I immediately drank 1 liter of fruit juice (69g of carbs). 7:17 still low value and feeling dizzy.

so called an ambulance in case i wouldnt be able to stop the hypo, and then went to the local 24h store to buy 3 bottles of AA drink (14,5g carbs/100ml).

ambulance arrived to monitor me and i drank 2 bottles aa drink. Bg went back above 4,0 at 7:45 without further medical intervention.

i’m not sure if i could have accidentely switched the lantus insulin for novorapid. Or if the lantus can do such crazy stuff. I never had such heavy drops within just one hour. However, Not a nice experience at all.

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EllieM said:

That's an interesting point, and I definitely agree that lower insulin doses reduces the risk of catastrophic hypos. Not sure about the 130g though. When I had a lantus low, based on 17 units of lantus, an equivalent dose of humalog would have required 50g of carbs. I probably had about 40g of glucose, and my liver helped out and/or not all the lantus acted in one hit (I suspect at least a bit of the latter because I think there was some lantus in my system the next day) and though I went down to the low 2s I retained consciousness. But without that 40g of glucose I think I would have been lower, so am not sure whether my liver would have supplied its 130g in time....

I guess we should now go out and look up a fatal dose of insulin for a non diabetic??? (Anyone remember the story about the GP who was found guilty of murdering his wife by insulin because he googled the dosage?).

OK, my googling was pretty inconclusive (but a lot, ie 100s of units) but I don't think anyone really knows, as it's not an experiment you do on purpose....

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Ushthetaff said:

Hope your feeling better , to be honest I read about half of your post and instinctively I thought he’s taken his short acting by mistake, it would certainly give you the same situation if you had, don’t know if you do but different coloured injection pens can help prevent this . Glad all is back to normal

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Hill28 said:

No not into muscle probably as i never inkect into my legs.
I could have switched the lantus and novorapid as it was early and still dark. But both insulinpens ‘feel’ very different (flexpens) so normally i wouldnt switch them. The ambulance crew told me to keep the novorapid in the kitchen instead of taking it with me to my bedroom from now on.

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