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feeling ill when blood are at 4.5 Type 2.

shebib

shebib

Newbie
Messages
2
Type of diabetes
Treatment type
Tablets (oral)
when my bloods hit 4.5 i feel shaky and sweaty and faint, is this normal
 
Type twos understanding false hypos
Here's a piece of very important information that doctors rarely give people with Type 2 diabetes which can make a huge difference in the success you have controlling your blood sugar.

If you are not injecting insulin or taking a sulfonylurea drug you do NOT have to worry about hypos!

The word "hypo" is short for "hypoglycemia", which in tern is mangled medical-Greek for "low sugar". A true hypo is an emergency when it strikes someone who is injecting insulin or using a sulfonylurea drug because too much insulin, whether injected or provoked by a drug that overstimulates your beta cell, can make your blood sugar drop so low that your brain cannot function.

But if you are not using insulin or insulin stimulating drugs, you are not at risk for dangerous hypos. Neither Metformin, Byetta, Januvia, Precose, Avandia nor Actos provoke hypos nor can you experience a true hypo if you cut way back on your carbs. What you are likely to encounter if you use these drugs or carb restriction to bring your blood sugar down to normal levels, is a "false hypo."

The false hypo is the feeling of being hypo, which, while it is uncomfortable, is not a crisis, and is, in fact, a well-understood phenomenon that can happen if your fasting blood sugar has been more than 20 mg/dl over true normal levels for any period of time.
Copied from blood sugar 101 http://diabetesupdate.blogspot.co.uk/2007/07/type-2s-understanding-false-hypos.html
 
That too. :-)

Can't ever see if the poster is T1 or T2 from the mobile phone app. :-/
 
catinahat said:
Type twos understanding false hypos
Here's a piece of very important information that doctors rarely give people with Type 2 diabetes which can make a huge difference in the success you have controlling your blood sugar.

If you are not injecting insulin or taking a sulfonylurea drug you do NOT have to worry about hypos!

The word "hypo" is short for "hypoglycemia", which in tern is mangled medical-Greek for "low sugar". A true hypo is an emergency when it strikes someone who is injecting insulin or using a sulfonylurea drug because too much insulin, whether injected or provoked by a drug that overstimulates your beta cell, can make your blood sugar drop so low that your brain cannot function.

But if you are not using insulin or insulin stimulating drugs, you are not at risk for dangerous hypos. Neither Metformin, Byetta, Januvia, Precose, Avandia nor Actos provoke hypos nor can you experience a true hypo if you cut way back on your carbs. What you are likely to encounter if you use these drugs or carb restriction to bring your blood sugar down to normal levels, is a "false hypo."

The false hypo is the feeling of being hypo, which, while it is uncomfortable, is not a crisis, and is, in fact, a well-understood phenomenon that can happen if your fasting blood sugar has been more than 20 mg/dl over true normal levels for any period of time.
Copied from blood sugar 101 http://diabetesupdate.blogspot.co.uk/2007/07/type-2s-understanding-false-hypos.html
Click to expand...
Excellent info. I have often had false hypos when reducing BG levels. I have had them despite my BGs having been only 3-5 mg/dl above normal levels before low-carbing to reduce BGs. Currently I feel a bit unwell if I am at 4.7, and I'm hoping to build up my tolerance so I can get down to this sort of level without feeling unwell. Once while fasting for surgery I got down to 3.5 and felt dreadful. I've learned to ask for a glucose/saline drip while fasting for surgery, to avoid this problem.
 
Adrenergic hypo symptoms are caused by the drop in BG relative to what the person is used to. They are not triggered at any absolute level of BG.

Neurological symptoms are (usually *) triggered at absolute levels of BG, but these symptoms are more subtle.

(* = lower levels if the person is in nutritional ketosis, ridiculous low levels if the person is keto adapted and being fed ketones in an IV drip in some mad experiment.)
 
Spiker said:
Adrenergic hypo symptoms are caused by the drop in BG relative to what the person is used to. They are not triggered at any absolute level of BG.

Neurological symptoms are (usually *) triggered at absolute levels of BG, but these symptoms are more subtle.

(* = lower levels if the person is in nutritional ketosis, ridiculous low levels if the person is keto adapted and being fed ketones in an IV drip in some mad experiment.)
Click to expand...
That's interesting info, thanks.

What symptoms are adrenergic and what ones are neurological?

Also, in another thread that you may have seen, the person's daughter had been overdosed on insulin in hospital because a DN got it wrong, and she collapsed with a BG of 0.8! Very lucky to have been found before she went lower. I was amazed someone could survive such a low BG with no injury. BTW the parent is planning to take formal action about the incident, and rightly so.

A severe hypo sounds truly awful... my heart goes out to anyone who has had that.
 
The adrenergic symptoms are sweating, shaking, anxiety, and behaviour changes due to adrenalin.
 
thanks for all the replies I dont understand alot of them but will research
 
Spiker said:
The adrenergic symptoms are sweating, shaking, anxiety, and behaviour changes due to adrenalin.
Click to expand...
Just to add, they are the normal responses causing a person to do something about the problem ie to eat. They are preventative
They can become blunted, and more subtle and occur at lower levels when people become habituated to low glucose levels and sometimes disappear entirely. I have symptoms but they are nothing like the sweating and shaking that occurred with hypos when I was first diagnosed and misjudged the insulin/exercise.
The neurological symptoms, lack of co-ordination, visual disturbances, confusion etc are dangerous and are caused by a lack of glucose to the brain. That's usually when a person needs help.
 
If the above is all true, then how do you get to my prognosis?
catinahat said:
Type twos understanding false hypos
Here's a piece of very important information that doctors rarely give people with Type 2 diabetes which can make a huge difference in the success you have controlling your blood sugar.

If you are not injecting insulin or taking a sulfonylurea drug you do NOT have to worry about hypos!

The word "hypo" is short for "hypoglycemia", which in tern is mangled medical-Greek for "low sugar". A true hypo is an emergency when it strikes someone who is injecting insulin or using a sulfonylurea drug because too much insulin, whether injected or provoked by a drug that overstimulates your beta cell, can make your blood sugar drop so low that your brain cannot function.

But if you are not using insulin or insulin stimulating drugs, you are not at risk for dangerous hypos. Neither Metformin, Byetta, Januvia, Precose, Avandia nor Actos provoke hypos nor can you experience a true hypo if you cut way back on your carbs. What you are likely to encounter if you use these drugs or carb restriction to bring your blood sugar down to normal levels, is a "false hypo."

The false hypo is the feeling of being hypo, which, while it is uncomfortable, is not a crisis, and is, in fact, a well-understood phenomenon that can happen if your fasting blood sugar has been more than 20 mg/dl over true normal levels for any period of time.
Copied from blood sugar 101 http://diabetesupdate.blogspot.co.uk/2007/07/type-2s-understanding-false-hypos.html
Click to expand...
Is it any wonder why GPs are so confused about blood glucose, hormonal, adrenal, lymph node, hashimotos etc.
Liver, kidney, pancreas and endocrine system problems are not straightforward as the medical community treat!

But I'm weird!
 
I too suffer this. Normally remedied with rich : tea biscuit and cuppA, that's if I can stop shaking to lift cup lol
 
4ratbags said:
I havnt had any trouble for ages and then this afternoon out of the blue I was shaking so bad I couldnt drive, go figure.
Click to expand...
That's no good. Did you test your BG?
 
You have to know you can't look if it is T2 or T1 from the mobile phone app. You feel shaky, sweaty and faint, you should find other reason
 
No unfortunately I didnt have my meter with me as I was just dropping one daughter off to work and taking another daughter to the supermarket. When I start shaking that badly though it is usually in the low 3's but it hasnt happened for such a long time, it just caught me off guard I guess.
 
4ratbags said:
No unfortunately I didnt have my meter with me as I was just dropping one daughter off to work and taking another daughter to the supermarket. When I start shaking that badly though it is usually in the low 3's but it hasnt happened for such a long time, it just caught me off guard I guess.
Click to expand...
Sorry for all the questions but I didn't think T2s who are diet-controlled could get BGs that low? I hope things are ok.
 
Yes Im fine now thank you. T2s can go that low, its not dangerous, it just feels horrible. I am pretty settled diet wise now and it is very rare for my BS to go below 4. I do have to be careful if I cut myself though as I seem to react badly to it.
 
You are all forgetting that meters have a 15 to 20% tolerance so a 4.5 on a meter could well be below 4.

Ali
 
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