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Do Type 2s get hypos and hypers?

S

Sue Morton

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I was told by my DN that type 2s don't get hypos or get hyper especially if they are on metformin (2x500mg twice a day morning and evening).

Yesterday I had my niece round and we played board games. When I went to get some lunch all of a sudden I started to shake and felt so ill my whole body was shaking so much that I asked my neice to get me have one of her sweets. I then was able to just about take my BS which was 4.4 and I hadn't washed my hands before as I normally do (I did have a bit of a chew that my neice had about 10:30 and at first thought I might be having a high because of the sweet) I immediately made myself a sandwich and after a while felt better and was okay for the rest of the day.

Yesterday and today I had 2 slices of this brown bread with seeds and bacon cooked in the microwave for breakfast. I did have an apple in between today. Took my BS before having my salad it was 4.7. About 15 minutes later as I started to eat my salad I felt a bit shaky but just slightly and it soon passed.

Sometimes I don't feel hungary today I wasn't particuarly hungary but had my salad any how because of the reading.

Do we as Type 2 get highs and lows :?: should we get them and why am I all of a sudden getting these lows :?:

I had a bad sleep night on Friday and woke about 3am and couldn't get back to sleep and felt awful through not having my full nights sleep for the rest of Saturday and must have been over tired as couldn't sleep at all during the day as I did try. But did have a normal night Saturday night and woke up feeling okay on sunday. My reason for waking at 3 was a drunken husband and the reason why there was no chance of getting any sleep until he went to bed which was about 4:30 but even then I couldn't sleep suppose I was pretty angry and upset. Would this have an affect on m BS being a bit depressed about him :?:

Sue :?
 
As far as I have been told a hypo is below 4 and you are unlikely to get one on metformin alone. Add in gliclazide and then it is possible. With metformin, gliclazide and byetta and then it is very possible.
However (and I found this) if you have been quite high for a while and then you get better control when you get into the low 4's which officially are not hypos you can feel a bit that way simply because you are used to being higher. Hope that makes sense. I used to get like it when I first got better control but it hasn't happened for a while now and only feel strange below 4.
 
I had similar when I first started going below 5. I think it is called a false hypo.
Now I am used to that level I feel fine.
 
You can certainly get high blood glucose levels, just see what happens if you eat a large candyfloss :roll: normally though unless you neglect your control for some time hopefully you are unlikely to get the very high spikes as you have some insulin of your own to counteract it.
Anyone can get low blood glucose levels, my non diabetic husband gets them from time to time after hard manual work. However unless you are taking insulin or sulfonylureas a level just around 4mmol its nothing to be anxious about, the problem with those drugs are that if there is too much of them in the system they can quickly drive levels very low indeed.
Indeed Even on insulin a level of 4 isn't anything to panic about. Indeed this afternoon I was on a long walk and was beginning to feel a little low as I got to a steep hill, a few steps up it confirmed it, I hadn't enough energy, reading was 3.8mmol. I took 1 dextrose (4g carb) waited a few minutes and then continued the final 6k of the walk (with another dextrose about 40 min later).
I agree with the previous posters you probably feel shaky because you're not used to these very normal levels, just have a few carbs and carry on.
 
Thank you for your responses. I am normally on average in the 6s occasionally i have been in the 5s but very rare. My doctor told me I should be anything between 6 to 7. I assume this is due to my age being 61.

Even though I have been diagnosed since March of this year it is a learning curb all the time.

Thank you for taking the time to reply it is much appreciated as I wasn't sure why I was suddenly dropping low and if its good to be that then hopefully it will carry on. I have lost 3 stone and have 2 more to go so we are on track to gerring this under control.

Sue :D
 
Sue.

As a T2 the 2010 NICE guidelines are as follows:
Fasting (waking).........between 4 - 7 mmol/l.
2 hrs after meals.........no more than 8.5 mmol/l.
If the post meal levels can be lower so much the better. Remembering that 4 mmol/l is considered the 'floor.' When my levels drop to around 4.5 I get the hypo symptoms as described, not very pleasant but easily remedied by a couple of Glucose Tabs and/or a carby snack.

The levels qouted apply to all adults, regardless of age unless your HCP tells you otherwise.

I did answer this question in another of your posts but you obviously missed it. My answer was pretty much the same as Phoenix's.

Ken
 
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