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How low can you go?
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<blockquote data-quote="kitedoc" data-source="post: 2060370" data-attributes="member: 468714"><p>Hi [USER=425990]@SueJB[/USER],</p><p>Hypos can be scary.</p><p>Thar said the Chinese word for crisis is the same as for opportunity, you now have</p><p>a chance to work out how this hypo happened and how to prevent or minimise such an event in future.</p><p>Discussion with your DSN or doctor could prove useful in this endevour.</p><p>Consideration of things such as suggestions of possible causes mentioned by [USER=488171]@evilclive[/USER] above.</p><p>I note discussion above about diet too (DAPHNE) although that was in relation to qualifying for a Libre device.</p><p>The NICE guidelines for Type 1 diabetics , which are supposed to be backed by research findings do not recommend any particular diet.</p><p>Also be aware that alcohol in one's bloodstream can block the liver from releasing much needed glucose in a hypo situation, Even a glucagon injection might not work to ease the situation. In the past sometimes a diabetic has been arrested as being drunk and disorderly when in fact they have been in a hypo at the time.</p><p>But as a general premise the more insulin you are prescribed and inject the more risk of hypos and you may be able to identify, in conjunction with your DSN, the danger times. E.g. Hypos might be more likely when your insulin is working most strongly,</p><p>If you look up ' pictures of insulin profile' there are graphs ot tables showing an average or range of when a particular insulin is at its peak effect of lowering blood sugar. That peak time or a little while after might be a more likely hypo time, as well as sometimes if a meal is delayed a bit.</p><p>Lots of possibilities, hence the need to discuss it with DSN etc. Night hypos are a special category as when asleep recognition of them may be delayed. Sometimes waking in the morning with a headache and elevated bsls coukd suggest a hypo has occurred whilst asleep.</p><p>Sometimes after many hypos someone can lose the ability to detect or recognise the early symptoms of a hypo, and they are in the confusion, disorientation stage ( where the brain is struggling to keep things in order because of glucose fuel shortage). This situation is called hypo unawareness and needes careful professional management and safeguards such as no driving/ license until resolved. Therapy dogs and continuous monitoring with alarms might be needed. But when it comes to technology vs a canine, i personally opt for the canine every time.</p><p>Not sure that wondering how low someone can be blood sugar-wise before it is truly life-threatening is helpful.</p><p>One does not have to be all that low in a dangerous situation ( say, walking a tightrope, to take anextreme example,) for one to be in extreme danger, so the context/ situation also matters.</p><p>As all us TIDs do, we dust ourselves off, try to learn from each experience, repeat the good ones and avoid the bad ones.</p><p>Best Wishes and always, always carry glucose tablets or similar with you.<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="kitedoc, post: 2060370, member: 468714"] Hi [USER=425990]@SueJB[/USER], Hypos can be scary. Thar said the Chinese word for crisis is the same as for opportunity, you now have a chance to work out how this hypo happened and how to prevent or minimise such an event in future. Discussion with your DSN or doctor could prove useful in this endevour. Consideration of things such as suggestions of possible causes mentioned by [USER=488171]@evilclive[/USER] above. I note discussion above about diet too (DAPHNE) although that was in relation to qualifying for a Libre device. The NICE guidelines for Type 1 diabetics , which are supposed to be backed by research findings do not recommend any particular diet. Also be aware that alcohol in one's bloodstream can block the liver from releasing much needed glucose in a hypo situation, Even a glucagon injection might not work to ease the situation. In the past sometimes a diabetic has been arrested as being drunk and disorderly when in fact they have been in a hypo at the time. But as a general premise the more insulin you are prescribed and inject the more risk of hypos and you may be able to identify, in conjunction with your DSN, the danger times. E.g. Hypos might be more likely when your insulin is working most strongly, If you look up ' pictures of insulin profile' there are graphs ot tables showing an average or range of when a particular insulin is at its peak effect of lowering blood sugar. That peak time or a little while after might be a more likely hypo time, as well as sometimes if a meal is delayed a bit. Lots of possibilities, hence the need to discuss it with DSN etc. Night hypos are a special category as when asleep recognition of them may be delayed. Sometimes waking in the morning with a headache and elevated bsls coukd suggest a hypo has occurred whilst asleep. Sometimes after many hypos someone can lose the ability to detect or recognise the early symptoms of a hypo, and they are in the confusion, disorientation stage ( where the brain is struggling to keep things in order because of glucose fuel shortage). This situation is called hypo unawareness and needes careful professional management and safeguards such as no driving/ license until resolved. Therapy dogs and continuous monitoring with alarms might be needed. But when it comes to technology vs a canine, i personally opt for the canine every time. Not sure that wondering how low someone can be blood sugar-wise before it is truly life-threatening is helpful. One does not have to be all that low in a dangerous situation ( say, walking a tightrope, to take anextreme example,) for one to be in extreme danger, so the context/ situation also matters. As all us TIDs do, we dust ourselves off, try to learn from each experience, repeat the good ones and avoid the bad ones. Best Wishes and always, always carry glucose tablets or similar with you.:):):) [/QUOTE]
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