Hypo help!

[phlippy]

I’m a reverses type 2 and any time I do any challenging activity (we climb mountains for fun), I hypo uncontrollably! I’ve tried carb loading before climbing, but I still end up consuming dextrose like it’s going out of fashion and eating decent carbs to back it up, but my sugars still plummet frequently! I had 4 hypos on the way up Snowdon at the weekend! Anyone got any tips on how best to maintain my levels so I don’t have to keep stopping and eating?

 

[Rachox]

Can you answer a few questions first so we can help, if you’re comfortable doing so.
First how did you reverse your type 2 and what was your latest HbA1c? Are you on any meds which could cause hypos? Have you actually tested your blood sugars when you feel hypo, if so what are your levels?

 

[Kittycat_7_]

Hi,
Just checking you have reversed your type two diabetes? Therefore not taking any meds.
It is extremely unlikely for type twos to go hypo were you checked for type one or other types?
Did you test yourself? What were the readings?
I'd go and see your dr ASAP and tell them what's happening.
Take care

 

[Deleted Account]

Hi,
Just checking you have reversed your type two diabetes? Therefore not taking any meds.
It is extremely unlikely for type twos to go hypo were you checked for type one or other types?
Did you test yourself? What were the readings?
I'd go and see your dr ASAP and tell them what's happening.
Take care

I agree the message from the op is confusing.
However, a type 1 on no medication would experience high BG not hypos so I don’t think type 1 is the explanation.

 

[phlippy]

Ok, sorry it wasn’t clear enough. I’m a type 2 diabetic, through hard work and a special weight loss programme (The 60 day fat loss revolution ) I have reversed my type 2 and am classed as “normal” now. I used to inject Victoza and am now no longer medicated. My last HBA1C was 42, down from 78!
I have recently started climbing mountains with my mountaineer hubby, a climb that would take a normal person 2hrs, takes me 4 because I am having to stop and eat every 20 minutes or so and recover my blood sugar to a normal level. And yes, I do test my blood, not a novice here lol. I tend to sit between 2.4 and 5.1 when I’m doing a tough walk! It has been confirmed by my nurse and my doc that I suffer hypos, type 2’s can have them too it seems! I am definitely not type 1! The only advice I have been offered so far is to carb load for 3 days prior to a climb, gorge on dextrose and back it up with something solid, I tend to eat chicken wraps, flapjack, fruit and protein bars to get me to the summit.

 

[EllieM]

OK, I', going to tag some of the folk from the reactive hypoglycaemia forum. Is it just exercise that gives you hypos, or do you also get it after a carby meal???
@Brunneria , @Lamont D

There have been some recent threads in the RH forum that suggest people can suffer RH and T2 in tandem...

https://www.diabetes.co.uk/forum/th...ople-experience-reactive-hypoglycemia.161808/

 

[kitedoc]

Here is an example of T2D with a hypo following a meal:
but note that this is from drinking glucose, not from a meal:
Look at the red coloured graph line please.

 

[Lamont D]

Ok, sorry it wasn’t clear enough. I’m a type 2 diabetic, through hard work and a special weight loss programme (The 60 day fat loss revolution ) I have reversed my type 2 and am classed as “normal” now. I used to inject Victoza and am now no longer medicated. My last HBA1C was 42, down from 78!
I have recently started climbing mountains with my mountaineer hubby, a climb that would take a normal person 2hrs, takes me 4 because I am having to stop and eat every 20 minutes or so and recover my blood sugar to a normal level. And yes, I do test my blood, not a novice here lol. I tend to sit between 2.4 and 5.1 when I’m doing a tough walk! It has been confirmed by my nurse and my doc that I suffer hypos, type 2’s can have them too it seems! I am definitely not type 1! The only advice I have been offered so far is to carb load for 3 days prior to a climb, gorge on dextrose and back it up with something solid, I tend to eat chicken wraps, flapjack, fruit and protein bars to get me to the summit.

Hi, something unusual to a T2 is going on here!
For example, you have normal blood glucose levels, therefore non diabetic unless you are in remission. But that is not the whole story because T2 is very rare to have a hypo without being on medication. You go hypo after exercising?
Do you have hypos after eating, have you tested? What other symptoms do you suffer from?

In my experience, and I have been were you were, I was misdiagnosed with T2, I was gradually putting on weight despite eating healthy foods. After a couple of years and always getting normal readings in the morning and feeling really ill. I was referred to an endocrinologist because my GP, tested me after porridge and walking to the surgery. I was having hypos. My body couldn't cope with carbs, even healthy carbs.
It was a rollercoaster ride, up and down.
I believe that if you are getting continuous hypos from food or exercise, you have a form of imbalance in your hormones, probably insulin.
The reason you were diagnosed with high blood sugar levels, and of course being diabetic, was because of insulin resistance as your levels of insulin increased as your pancreas strived to provide enough insulin for the glucose derived from your dietary intake.
The change in dietary lifestyle, was probably lower carb than when first diagnosed. You lost weight, you became less insulin resistant, your hba1c and fasting blood glucose levels lowered to normal levels, but you are still going hypo?
Your health practitioner is mistaken, or not trained enough to recognise Hypoglycaemia or come across it before.
I would recommend seeing a specialist in endocrine conditions such as Hypoglycaemia and I would also start keeping a food diary diary, recording, blood levels, fasting, pre meal, one hour, two hours, and I would also test, after that to see what happens.
My last piece of advice is to stop carb cramming before exercise, this has been disproved as a potential harmful effect on your health and if you are T2, you will go out of remission, if you have another condition such as mine, you will be on a continuous rollercoaster ride of high blood levels, then hypo levels, which is certainly bad for your health.

Let us know how you get on.

Keep testing, keep asking, keep battling away, keep well!

Best wishes

 

[phlippy]

It’s just when exercising!