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Type 1 Diabetes
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<blockquote data-quote="JMK1954" data-source="post: 1628396" data-attributes="member: 352098"><p>My current doctor at the hospital always insists that I do not need to eat more than 20g of carbohydrate in the form of 2 digestive biscuits when I have my basal injection at night. (I have been going hypo occasionally at night since the basal/bolus treatment was introduced for me in the 1980s.) Most of the DSNs just repeat this like parrots. The one in charge of the rest has a working brain and basically says do what works for you. That is what I do, but I have to remember not to mention this to the doctor. </p><p>My sister's death made me realise how casual the attitude to overnight hypos can be. DSNs tell new patients (and me) 'but a hypo should wake you'. We hope it will wake us, but if we have no glucose handy we may still end up dead. I once had to explain to a doctor that the reason I kept a bottle of Lucozade in the wardrobe was because if I was hypo, I couldn't be sure I could get down 2 flights of stairs, put off the burgular alarm, get into the kitchen, find the bottle (only used when I was hypo so possibly at the back) etc etc, without falling as I would be shaky/unsteady on my feet. A diabetic who can't get their glucose is a dead diabetic to put it bluntly. I can look after myself and have a helpful husband who is a valuable ally. I just don't think all the HCPs really understand how disabling a hypo can be.</p></blockquote><p></p>
[QUOTE="JMK1954, post: 1628396, member: 352098"] My current doctor at the hospital always insists that I do not need to eat more than 20g of carbohydrate in the form of 2 digestive biscuits when I have my basal injection at night. (I have been going hypo occasionally at night since the basal/bolus treatment was introduced for me in the 1980s.) Most of the DSNs just repeat this like parrots. The one in charge of the rest has a working brain and basically says do what works for you. That is what I do, but I have to remember not to mention this to the doctor. My sister's death made me realise how casual the attitude to overnight hypos can be. DSNs tell new patients (and me) 'but a hypo should wake you'. We hope it will wake us, but if we have no glucose handy we may still end up dead. I once had to explain to a doctor that the reason I kept a bottle of Lucozade in the wardrobe was because if I was hypo, I couldn't be sure I could get down 2 flights of stairs, put off the burgular alarm, get into the kitchen, find the bottle (only used when I was hypo so possibly at the back) etc etc, without falling as I would be shaky/unsteady on my feet. A diabetic who can't get their glucose is a dead diabetic to put it bluntly. I can look after myself and have a helpful husband who is a valuable ally. I just don't think all the HCPs really understand how disabling a hypo can be. [/QUOTE]
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