GuidingSenses
Well-Known Member
- Messages
- 117
- Type of diabetes
- LADA
- Treatment type
- Insulin
Hi there and Happy Easter!
I had a real bad hypo last night, it woke me up around midnight. Luckily hubby got me jelly babies and then a mini sandwich after but it scared me so much! I couldn’t move, sweated profusely and felt shakey inside.
I’m struggling to know what I did wrong?
I use as advised the carbs and Cals app which I love! Advised 140/150g carbs daily for my weight.
Breakfast: one slice gluten free toast and peanut butter 29g carbs
Lunch: bacon egg mushroom tomatoes (tin) and one slice gf bread 23g carbs
Inbetween snacks: bit of Easter egg 30g carbs
Dinner: gluten free quiche, weighed. Salad and first g&t in ages. 57g carbs.
No other snacks as total carbs 127g yet this massive hypo.
Advice welcomed as cant cope with these hypo. I couldn’t test whilst hyping as my blood circulation isn’t brilliant on normal testing so I waste too many strips with watery looking blood and also I wouldn’t be able to test whilst hyping as too intense.
Worried every evening I’m going to get another.
This is my 4th hypo and always evening.
I’m on humulin m3 14 dose morning and before dinner
My bg level yesterday was 8.5 a.m. and 6.5 p.n.
Thankyou so much x
Hi there and Happy Easter!
I had a real bad hypo last night, it woke me up around midnight. Luckily hubby got me jelly babies and then a mini sandwich after but it scared me so much! I couldn’t move, sweated profusely and felt shakey inside.
I’m struggling to know what I did wrong?
I use as advised the carbs and Cals app which I love! Advised 140/150g carbs daily for my weight.
Breakfast: one slice gluten free toast and peanut butter 29g carbs
Lunch: bacon egg mushroom tomatoes (tin) and one slice gf bread 23g carbs
Inbetween snacks: bit of Easter egg 30g carbs
Dinner: gluten free quiche, weighed. Salad and first g&t in ages. 57g carbs.
No other snacks as total carbs 127g yet this massive hypo.
Advice welcomed as cant cope with these hypo. I couldn’t test whilst hyping as my blood circulation isn’t brilliant on normal testing so I waste too many strips with watery looking blood and also I wouldn’t be able to test whilst hyping as too intense.
Worried every evening I’m going to get another.
This is my 4th hypo and always evening.
I’m on humulin m3 14 dose morning and before dinner
My bg level yesterday was 8.5 a.m. and 6.5 p.n.
Thankyou so much x
and first g&t in ages.
I had dinner at 6.30 pm I tested prior yes, see notes. No I don’t test after. Struggling with testing and many strips get wasted as error 4 on my clairsens meter. My blood doesn’t look like blood a lot of the time it looks watery!Hi,
Sorry to hear you have these recurring hypos around midnight? What time did you have dinner? Do you test prior to eating & two hours after?
Did you take a test prior to bed? You may have needed a long acting carb snack to avoid the midnight hypo..
I had dinner at 6.30 pm I tested prior yes, see notes. No I don’t test after. Struggling with testing and many strips get wasted as error 4 on my clairsens meter. My blood doesn’t look like blood a lot of the time it looks watery!
Hi,
Are you on any other medication that may cause the "watery blood?"
Maybe we could look at your technique on testing to see if there is an easier way for you.
Hello? Just missed this bit..
Firstly, there is absolutely nothing wrong with a little drink.
However, alcahol can keep the liver busy in that it retards glycogen production? Which can affect how quick you drop. If you should.
Some remedy this by acompanying with a snack.. You may also find your FBGs when you test quite good in the morning too?
I added up your carbs to 139g but let's not dwell on that for a moment.
I don't know much about the Carbs and Cals app as I have never used it but I used (Humalog Mix25) mixed insulin for a number of years and I find it strange that you are assessing carb requirements by your weight?
Most insulin users work out what their own personal insulin to carbohydrate ratio is. So for example if your ratio is 1 to 10 ( a common starting point) you would inject 1 unit of insulin for every 10g of carbs.
This becomes more complex with mixed insulin as your M3 is a 30/70% mix of short acting and long acting insulin.
If you took this in the morning using a 1:10 ratio, your 29g breakfast would require 3units of fast acting insulin but you would give yourself another 7 units of long acting insulin by default. (10 units in total with the 30/70 split)
Now, if you actually took 14 units of M3 before dinner then you have approximately 4 units of rapid acting insulin and 10 units of long acting insulin in your dose. So with a ratio of 1:10 you would eat 40g of carbs but you are still going hypo with 57g so it suggests that your own personal ratio is perhaps more like 1 to 15 or even higher. Therefore to stop the hypo's you require more carbs or less insulin.
You should talk to your medical team as soon as you can and discuss the hypo's. They might suggest reducing your doses if you are happy with the food that you're eating.
I’m asthmatic so Qvar inhaler and high blood pressure so I’m on Ramipril and I’m coeliac. Always have cool hands and feet so nurse said it could be circulation.
Thankyou for your detailed reply. Obviously I’m new and had to re read this to understand but I do get where you are coming from. Yes my error on calculation.
Not understanding the dinner calculation but I’m not great at maths. Understand the breakfast calculation though.
I’m just having 67g carbs for dinner and given myself 12 units as she said to go between 12 or 14 depending on activity and my mistake it’s not weight based the carb calculation it was the nurse saying the units, before dinner today my reading is 5.3 mmol.
Thankyou for your time.
I added up your carbs to 139g but let's not dwell on that for a moment.
I don't know much about the Carbs and Cals app as I have never used it but I used (Humalog Mix25) mixed insulin for a number of years and I find it strange that you are assessing carb requirements by your weight?
Most insulin users work out what their own personal insulin to carbohydrate ratio is. So for example if your ratio is 1 to 10 ( a common starting point) you would inject 1 unit of insulin for every 10g of carbs.
This becomes more complex with mixed insulin as your M3 is a 30/70% mix of short acting and long acting insulin.
If you took this in the morning using a 1:10 ratio, your 29g breakfast would require 3units of fast acting insulin but you would give yourself another 7 units of long acting insulin by default. (10 units in total with the 30/70 split)
Now, if you actually took 14 units of M3 before dinner then you have approximately 4 units of rapid acting insulin and 10 units of long acting insulin in your dose. So with a ratio of 1:10 you would eat 40g of carbs but you are still going hypo with 57g so it suggests that your own personal ratio is perhaps more like 1 to 15 or even higher. Therefore to stop the hypo's you require more carbs or less insulin.
You should talk to your medical team as soon as you can and discuss the hypo's. They might suggest reducing your doses if you are happy with the food that you're eating.
yes she is the best and due to call me this week. ThankyouOk well that's cleared up the weight issue anyways.
Do you have a diabetes specialist you can contact about the hypo's ?
Yes will do the shaking ThankyouHi,
OK, cool hands. Have you tried washing them in hot water prior? Or possibly loosely shaking the hand to the side? (A little like an improv actors warm up.) before lancing..
Ok well that's cleared up the weight issue anyways.
Do you have a diabetes specialist you can contact about the hypo's ?
Just tested 2 hours after a biggish dinner and 30g Easter egg and its 3.2 mmol! Definitely not right, will call nurse tomorrow.
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