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<blockquote data-quote="kitedoc" data-source="post: 1842678" data-attributes="member: 468714"><p>Hi [USER=56436]@Saeeda[/USER] Sorry to hear of your woes !</p><p>When I have a hypo I often have what is called <strong>a rebound</strong> where my BSLs rises well above normal range. </p><p>What I was told by my doctor is that: the <strong>low BSL causes both glucagon, another hormone AND adrenaline (a further hormone!) to be released. Both these cause glucose stored in the liver to be released.</strong> </p><p>Why ? <strong><em>Our brain mainly runs on glucose and it gets very tetchy</em></strong> <strong><em>when its 'fuel' supply dwindles</em></strong>. </p><p>The release of the hormones mentioned above is to <strong><em>prevent /reverse the low BSL.</em></strong></p><p>To add to the influence of these two hormones on BSL we naturally <strong><em>feel the need to treat the hypo with food, often sweet stuff</em></strong>. <strong>The net effect of hormones + sweet food causes a rise in BSL and this 'overshoots' the normal levels.</strong> </p><p>As diabetics our pancreas gland does not automatically deal with any imminent overshoot in BSL. What to do ?</p><p><strong>1)</strong> contact your dsn, try to work out with her/him <strong><em>why the hypo occurred</em></strong> and<strong><em> how it might be prevented in future</em></strong></p><p><strong>2)</strong> with dsn advice, work out <strong><em>what food and how much </em></strong>is likely to ease the hypo without overdoing it too much</p><p><strong>3)</strong> work out what <strong><em>ways to deal with a high BSL </em></strong>? correction doses of short-acting insulin etc</p><p><strong>4)</strong> <strong><em>be patient</em></strong>, as those on insulin like myself know, it takes hours to get one's BSL back to normal after hypo and overshoot. The important thing being to<strong><em> not get into a see-saw situation</em></strong> where the blood sugar oscillates with too much correction into another hypo with rebound etc</p><p><strong>With exercise </strong>I have found that <strong><em>if my BSL is >13 mmol/l </em></strong>any exercise seems to cause glucose to be released by the my liver. It sounds crazy but it does happen. I feel really lousy if I try, and my BSL just goes higher. I <strong><em>wait til my BSL is less than 12 and</em></strong> <strong><em>nearer 10 mmol/l before I exercise</em></strong> (but that is just me). </p><p>For me <strong>exercise</strong> with starting BSL say < 12 mmol/l <strong><em>can cause lowering of BSL some 6 + hours later</em></strong>. </p><p><strong><em>Exercising in the evening risks possible hypos in the early morning hours </em></strong>unless planned carefully.</p><p>I appreciate that coeliac disease and lactose intolerance are extra burdens on you. Are there glucose supplements that you could carry and tolerate to deal with hypos? I ask this because<strong><em> coke and similar sweet foods/drinks are not said to be good for one's teeth. </em></strong>My best wishes go with you on your journey. Please keep posting and sharing !!</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1842678, member: 468714"] Hi [USER=56436]@Saeeda[/USER] Sorry to hear of your woes ! When I have a hypo I often have what is called [B]a rebound[/B] where my BSLs rises well above normal range. What I was told by my doctor is that: the [B]low BSL causes both glucagon, another hormone AND adrenaline (a further hormone!) to be released. Both these cause glucose stored in the liver to be released.[/B] Why ? [B][I]Our brain mainly runs on glucose and it gets very tetchy[/I][/B] [B][I]when its 'fuel' supply dwindles[/I][/B]. The release of the hormones mentioned above is to [B][I]prevent /reverse the low BSL.[/I][/B] To add to the influence of these two hormones on BSL we naturally [B][I]feel the need to treat the hypo with food, often sweet stuff[/I][/B]. [B]The net effect of hormones + sweet food causes a rise in BSL and this 'overshoots' the normal levels.[/B] As diabetics our pancreas gland does not automatically deal with any imminent overshoot in BSL. What to do ? [B]1)[/B] contact your dsn, try to work out with her/him [B][I]why the hypo occurred[/I][/B] and[B][I] how it might be prevented in future[/I] 2)[/B] with dsn advice, work out [B][I]what food and how much [/I][/B]is likely to ease the hypo without overdoing it too much [B]3)[/B] work out what [B][I]ways to deal with a high BSL [/I][/B]? correction doses of short-acting insulin etc [B]4)[/B] [B][I]be patient[/I][/B], as those on insulin like myself know, it takes hours to get one's BSL back to normal after hypo and overshoot. The important thing being to[B][I] not get into a see-saw situation[/I][/B] where the blood sugar oscillates with too much correction into another hypo with rebound etc [B]With exercise [/B]I have found that [B][I]if my BSL is >13 mmol/l [/I][/B]any exercise seems to cause glucose to be released by the my liver. It sounds crazy but it does happen. I feel really lousy if I try, and my BSL just goes higher. I [B][I]wait til my BSL is less than 12 and[/I][/B] [B][I]nearer 10 mmol/l before I exercise[/I][/B] (but that is just me). For me [B]exercise[/B] with starting BSL say < 12 mmol/l [B][I]can cause lowering of BSL some 6 + hours later[/I][/B]. [B][I]Exercising in the evening risks possible hypos in the early morning hours [/I][/B]unless planned carefully. I appreciate that coeliac disease and lactose intolerance are extra burdens on you. Are there glucose supplements that you could carry and tolerate to deal with hypos? I ask this because[B][I] coke and similar sweet foods/drinks are not said to be good for one's teeth. [/I][/B]My best wishes go with you on your journey. Please keep posting and sharing !! [/QUOTE]
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