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Hyper after hypo

Dancin_jennie

Member
Messages
6
Location
Lancashire
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Cold weather
hello

I'm quite new to the forum and have just been watching from afar since the beginning of March. I was diagnosed in February and am on humalog and lantus.

I visited the diabetes consultant (saw the reg) last week and she said my bg is still going too high, despite me telling her I'm not yet carb counting and have been introducing more food types as I've pretty much eaten the same things since diagnoses. Anyway, after the slap in the face I decided to take it upon myself to carb count which has been working amazingly so far. Only thing now is I'm paranoid that when I go see her again in 2 months, any level over 10 and she is going to shout at me. So, I had a hypo,today through lack of snacking today coz ive been super busy. And I've always been under the impression that a hyper following a hypo is normal.

Any views on this would be much appreciated. I'm so sensitive and thought over the last 2 months I'd done really well to get my bg level down and things were levelling out and then bam, she just said it wasn't good enough.

Cheers
Jennie
 
You have done well so don't beat yourself up, I'm sure when the DSN see's how much effort you've put in to get your bg levels under control they'll be well pleased, 2 months is a while away yet and you can still improve things in that time.

Hypo's are unavoidable and unless they are something you are experiencing everyday don't worry about it, as long as you spot the symptoms coming on and able to treat it that's what matters, even people who are well controlled have hypo's from time to time.
 
hi jennie
welcome to the forum :)

i will tag @daisy1 to post her great starter pack -- contains lots of great info to read.

It is still really early days for you so it is important to remember it is not a sprint race - more of a marathon.
it sounds as though the consultant reg did not have the greatest bedside manner in my opinion.
encouragement over the positives goes a lot farther than a rebuke over the odd high number.

It is really important to get good numbers but the odd errant ones are going to show up for all sorts of reasons such as stress , illness, too much carb and not enough insulin.
there are lots of great people on here that have done it for a long time and have friendly advice for any questions that arise.

just try not to worry and over time you will get there !
 
Crumbs your DSN sounds a bit fierce, that's not a good way to treat a newly diagnosed, you shouldn't be worried about she thinks, it's what your doing and how you are feeling that's the most important thing and it sounds like you've come a long way without any courses or assistance. As himtoo has said 'it's not a sprint' !

If you feel pressured then ask her what she would do in your position - this normally get's them to sit up and treat you as a person and not a number. Your DSN should be supportive and guide you - not judge you, coping at an early stage requires support so ask for this, you do have patient rights.

Also push them to get you onto an 'Expert' course and later on a DAFNE course for carb counting - download 'Carbs & Cals' on your phone too, this is a great starter.

Going hyper after a hypo isn't ideal, it's normally because you've eaten too many carbs, I was taught at DAFNE to treat hypos under 3.4 with something like glucogel which you can get on prescription or 3 jelly babies, then to test after 10 mins and if still below 3.4 to re-treat with this again, and continue until your levels rise then take 10g of carb, so small bag of crisps/biscuit to ensure you don't dip again. If you under 4 but above 3.4 then eat as normal if you are due to have a meal, otherwise take 10g of carb. Sometimes in the early days I went a bit mental on a hypo eating anything available, I quickly learnt I was bouncing around all over the shop and it didnt help me mentally in coping, so learning early on the best way to treat a hypo would of been of great support to me so hope this helps ;)
 
@Dancin_jennie

Hello Jennie and welcome to the forum :)

So that you don't get shouted at (disgusting treatment in my opinion) this should help you to get your carbs down. This is the information we give to new members and I hope you will find it helpful. Ask all the questions you need to and people will be along to give you their advice.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 140,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
I'd say apart from over-treating a hypo, another reason to go hyper afterwards is: you injected the bolus too early for the type of food, so the insulin acts before the food has been processed, then after you've treated , the glucose from the meal kicks in and adds up with the hypo treatment. If this is the case you might want to look into splitting doses.
 
You have done well so don't beat yourself up, I'm sure when the DSN see's how much effort you've put in to get your bg levels under control they'll be well pleased, 2 months is a while away yet and you can still improve things in that time.

Hypo's are unavoidable and unless they are something you are experiencing everyday don't worry about it, as long as you spot the symptoms coming on and able to treat it that's what matters, even people who are well controlled have hypo's from time to time.

As a person with type 1 diabetes for nearly 20 years after diagnosis as a 30 year old, often working physically active jobs, shifts, taking part in mountain running races etc, I'd put it slightly differently: every hypo has a reason, and by analysing why each one has happened, after treating, you can reduce the frequency of hypos. I would also observe that the DSN I encountered when first diagnosed didn't seem to know how to deal with an active young adult newly diagnosed with type 1 diabetes. As there was not much interney access in 1996, I had to work things out for myself. I hope it will be a bit easier for those diagnosed these days.
 
Welcome !:)
Please don't let this get you down, you drew the short straw with the registrar you saw, who probably was out of their depth anyway. Three months post diagnosis is way too early to expect someone to get their BG within a target range, especially when they have had no training in carb counting and are overwhelmed by the mental and emotional side of it as well as the practical :rolleyes:

Not wanted to repeat all the good advice given by the others, I'll only add this :

Don't ever feel that you are achieving good BG numbers for the sake of the doctors you see. They are there to help YOU , not you to please them. Your BG diary and HbA1c is NOT. A report card, but a progress report for YOUR use. It's easy to feel intimidated when you are in a vulnerable position, but they are just people, doing a job to a greater or lesser degree of sucess. Given the rotation of registrars, it's unlikely you will even see this particular one again, but someone else :rolleyes: You will find that on a practical level, the Diabetc Specialist Nurses tend to be more helpful and accessible, do try to get the contact numbers for the ones in your team if you don't already have them.

And, you are doing great for this early on post diagnosis :) Well done, you !:D

Signy
 
very well said heathenlass !! that nordic presence is omnipotent as the days grow ever longer:)
 
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