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Help persistent High after a 2.2 low

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A13926

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My wife had a 2.2 low last night which we got back to 7 after and hour and a half. Her sugars went upto 19 and have now stayed between 18&23 all morning despite constant corrections.

I am thinking her body released some hormones following the low and we are currently battling against that.

Ketones were 0.3 this morning. Anyone had this before.
 
A13926 said:
My wife had a 2.2 low last night which we got back to 7 after and hour and a half. Her sugars went upto 19 and have now stayed between 18&23 all morning despite constant corrections.

I am thinking her body released some hormones following the low and we are currently battling against that.

Ketones were 0.3 this morning. Anyone had this before.
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This is a surprisingly normal reaction to a significant hypo. The body releases glucagon, but studies have shown that it continues to do so for up to 24 hours after a low, which pushes the glucose levels up for longer. There is then the side effect that when it stops, the liver tries to re-collect what's been distributed to replenish the glycogen stores and this process puts you at risk fo more hypos.
 
tim2000s said:
This is a surprisingly normal reaction to a significant hypo. The body releases glucagon, but studies have shown that it continues to do so for up to 24 hours after a low, which pushes the glucose levels up for longer. There is then the side effect that when it stops, the liver tries to re-collect what's been distributed to replenish the glycogen stores and this process puts you at risk fo more hypos.
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Ok thanks will let her know and keep an eye on it.
 
As @tim2000s has stated, the liver tries to rebuild the stores over the next 24 hours, so you need to be wary of correction doses. I usually reduce correction doses by upto 50% the day after bad or prolonged overnight hypos.
 
paulliljeros said:
As @tim2000s has stated, the liver tries to rebuild the stores over the next 24 hours, so you need to be wary of correction doses. I usually reduce correction doses by upto 50% the day after bad or prolonged overnight hypos.
Click to expand...

Thanks for the reply. Do you reduce the corrections when your blood checks are in the 20's?
 
Yes, but keep monitoring. I accept that I will run high for the rest of the day, as if I try to "force" it back down to normal levels, I remain high, and then suddenly, start crashing. A typical outcome is a yoyo effect whereby I will spend 24+ hours bouncing from hyper to hypo, essentially over-correcting, so I just bite the bullet, and keep monitoring.
 
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