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How to support teen with fear of lows
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<blockquote data-quote="SimonP78" data-source="post: 2763668" data-attributes="member: 556474"><p>I am also sorry to hear about her experiences, but she should know she's not alone, it's the main fear for T1 diabetics imo.</p><p></p><p>You say the first one was due to stacking, how does she monitor IoB? I try to avoid stacking too much insulin, certainly not more than I can (slightly un)comfortably eat my way out of if it all decides to start acting at the same time. </p><p></p><p>It's not a nice feeling seeing a sudden drop with lots of IoB, and even less so on those occasions when you simply can't get it to come up again for hours and have no idea why - I vividly remember one about 25 years ago when on placement and I was concerned I'd run out of things to eat it took so long to come back up (see comment below about being away from home base!).</p><p></p><p>With the bad low at 2.4 mmol/l how did she feel, is your description of bad to do with the number or how she felt? In quite a few years of being diabetic (39), I've spent quite a lot of time going hypo (basically all the time at school and uni) - typically the hypos themselves are ok, you can deal with them (even if you don't remember having dealt with them), it's the concern of that you don't have enough supplies (or appetite) that I always find and found to be the problem. Of course we're all different, so my experience may be different to that of others.</p><p></p><p>A range of hypo treatments can be a good thing - sometimes you don't fancy whatever the usual thing is (and then in the back of your mind are worried you might not be able to eat enough to treat one) - I'm much less concerned when I'm at home and know I have a range of things I could eat (and importantly where they are and how much is available), it's much more worrying if you're somewhere unknown or at least not as well stocked: my overnight bag contains a range of hypo treatment options, my desk at work is similar stuffed with a range of options, and when out riding I take a variety of treatments. Interestingly being out for a meal, etc., isn't a massive concern as I have always tended to run low when out so don't take very much insulin for meals, so don't have a concern/fear of needing to correct large amounts of insulin.</p></blockquote><p></p>
[QUOTE="SimonP78, post: 2763668, member: 556474"] I am also sorry to hear about her experiences, but she should know she's not alone, it's the main fear for T1 diabetics imo. You say the first one was due to stacking, how does she monitor IoB? I try to avoid stacking too much insulin, certainly not more than I can (slightly un)comfortably eat my way out of if it all decides to start acting at the same time. It's not a nice feeling seeing a sudden drop with lots of IoB, and even less so on those occasions when you simply can't get it to come up again for hours and have no idea why - I vividly remember one about 25 years ago when on placement and I was concerned I'd run out of things to eat it took so long to come back up (see comment below about being away from home base!). With the bad low at 2.4 mmol/l how did she feel, is your description of bad to do with the number or how she felt? In quite a few years of being diabetic (39), I've spent quite a lot of time going hypo (basically all the time at school and uni) - typically the hypos themselves are ok, you can deal with them (even if you don't remember having dealt with them), it's the concern of that you don't have enough supplies (or appetite) that I always find and found to be the problem. Of course we're all different, so my experience may be different to that of others. A range of hypo treatments can be a good thing - sometimes you don't fancy whatever the usual thing is (and then in the back of your mind are worried you might not be able to eat enough to treat one) - I'm much less concerned when I'm at home and know I have a range of things I could eat (and importantly where they are and how much is available), it's much more worrying if you're somewhere unknown or at least not as well stocked: my overnight bag contains a range of hypo treatment options, my desk at work is similar stuffed with a range of options, and when out riding I take a variety of treatments. Interestingly being out for a meal, etc., isn't a massive concern as I have always tended to run low when out so don't take very much insulin for meals, so don't have a concern/fear of needing to correct large amounts of insulin. [/QUOTE]
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