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First Hypo, Fed Up
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<blockquote data-quote="slip" data-source="post: 1852712" data-attributes="member: 182669"><p>Lorna - generally if you think you are low or have tested and are hypo, take 3-4 glucotabs (or similar, jelly babies are of much the same carb value) as quickly as you can, then test after 10 mins - with glucotabs et al that are quick acting, the delay is minimal so that 10min delay should be enough to show you are rising, but you also need to consider if and how much Insulin on Board (IOB) you currently have - and take more slower acting carbs if required - depends when your next meal is due. as Already probably pointing out don't panic and over treat with carbs, difficult I know - especially with night time hypos you just want to eat the entire cupboard!</p><p></p><p>The other thing is if you're finding you're going higher than expected after a hypo and are pretty certain you didn't over treat try not to correct the high with insulin, the likely hood is your liver also did a glucose dump (the bodies natural defence against hypos) but at some stage the liver will want that glucose back, if you correct with insulin......you're heading back to hypo land and the roller coaster will start allover again.</p><p></p><p>Normally HCPs start people off on a 1:10 ratio (insulin units to grams of carbs) so unless you're a big carb eater 18u for a meal seems a tad optimistic - maybe if your BGLs were high in the first place you could afford to have that much but hopefully your average BGL has come down a bit and the 18u is just too to much.</p></blockquote><p></p>
[QUOTE="slip, post: 1852712, member: 182669"] Lorna - generally if you think you are low or have tested and are hypo, take 3-4 glucotabs (or similar, jelly babies are of much the same carb value) as quickly as you can, then test after 10 mins - with glucotabs et al that are quick acting, the delay is minimal so that 10min delay should be enough to show you are rising, but you also need to consider if and how much Insulin on Board (IOB) you currently have - and take more slower acting carbs if required - depends when your next meal is due. as Already probably pointing out don't panic and over treat with carbs, difficult I know - especially with night time hypos you just want to eat the entire cupboard! The other thing is if you're finding you're going higher than expected after a hypo and are pretty certain you didn't over treat try not to correct the high with insulin, the likely hood is your liver also did a glucose dump (the bodies natural defence against hypos) but at some stage the liver will want that glucose back, if you correct with insulin......you're heading back to hypo land and the roller coaster will start allover again. Normally HCPs start people off on a 1:10 ratio (insulin units to grams of carbs) so unless you're a big carb eater 18u for a meal seems a tad optimistic - maybe if your BGLs were high in the first place you could afford to have that much but hopefully your average BGL has come down a bit and the 18u is just too to much. [/QUOTE]
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