Type 1 Hypos before a meal in conjunction with carb counting

orry-kaplan

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10

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London

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• Nov 28, 2018

• #1

Hi all. I have a quick question. About 10 minutes before dinner I had a hypo so I treated myself by having a can of Coca Cola. I had my meal and dessert. after I counted all my carbs and done my insulin. In my carb count I included everything I ate as well as the coke I had for my hypo. About 2 1/2 - 3 hrs later I had another hypo. Now the question is, do I include hypo treatment into my carb count if I have a hypo before a meal?

 

Diakat

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• Nov 28, 2018

• #2

Well if I had a full can of coke I would. If I'd had a couple of jelly babies then no.

 

orry-kaplan

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London

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Type 1

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• Nov 28, 2018

• #3

Diakat said:

Well if I had a full can of coke I would. If I'd had a couple of jelly babies then no.

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That’s what I don’t understand because I had the whole thing, a bag of crisps and a pack of veg noodles and I got the carbs down perfectly yet I had a hypo

 

Diakat

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• Nov 28, 2018

• #4

Does that happen often? It could be your basal if so. But if it was a one off have you done more exercise than usual? Or it could just be one of those odd diabetes things.

 

EllieM

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• Nov 28, 2018

• #5

orry-kaplan said:

Now the question is, do I include hypo treatment into my carb count if I have a hypo before a meal?

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I think it depends on how much hypo treatment you had. I probably wouldn't count the first 10g, because I'd need that just to get out of hypoland, but would count the rest. (But then I usually only need 10g because a little carb goes a long way for me.) If you count all your hypo treatment then you're definitely just going to go back to hypo levels, because your calculation assumes you want to go back to the same level you started out at.

 

Jaylee

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• Nov 28, 2018

• #6

Hi @orry-kaplan ,

How long since your last meal did you have "dinner?" Is it possible you still have a little bolus on board from that.?
How low were you?

 

E

edan

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• Nov 30, 2018

• #7

I would have subtracted the amount for the hypo, so the first 15g for me i wouldn’t have bolused for. If you get carb counting perfect then your blood sugar after the meal will go back to the level it was before you took the insulin. You were hypo so it put you back to hypo level.