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Hypos

speaky

Newbie
Messages
2
Hi I am new here and in need of some support. My husband is type 1 and has been for the last 17yrs. Over the last 6 weeks he is having major hypos in the morning. He spoke to docs yeaterday who have told hime to decrease his long acting and increase his short acting, so he did last night and then could not wake him this morning! his breathing was shallow and his eyes rolled back! I gave him hypo stop and 2 mins later he was fitting on the bed. I called the ambulance but he had a further 2 fits and started going purple. That was at 7am. They got his sugars upto 4 and said he was to stay in bed and rest. I have contacted his gp but awaiting a reply. Why didn't they take him into hospital? I am so worried about him. It is now 11am and he is still asleep! His HBA1C's were 11 which is high, so why the hypo's? I am so confused and don't know what we need to do next. I hope you can help x
 
Hi Speaky
Excuse any spelling mistakes please!
Okay i am type 2! I was told by my nurse as i suffer hypo's! She said that the only time i would get taken to hospital was if my blood sugar was so low that the ambulance crew could not bring it back up or they could not wake me up!
My mum is type 1 i can remember lot's of times when i was a child seeing my mum slide into hypo's and having to call for help! But she was always left at home!
If you need support you have got it! That must of been very scary for you to have seen your husband having fit's! I know the first time my fiancee saw one he freaked out! I suffer with seizures not diabties related!
It is a good thing that you remained calm and managed to get him the help he needed!
You need to look after yourself as well as your husband as you need to be there for him!
The hbac1 is a test that says what his overall three monthly has been! Yes it is high! I just hope that you can get some sort of sense out of your Gp!
I am knocking around if you need to talk you can always Pm me for support!
take care
Sandy
 
hya and welcome,
i would go see the gp or diabetic nurse with hubby, he certainly needs to get his basal dose right , it sounds like me a good while ago swinging from high to low, i still have the odd lows, once his basal is ok he shouldnt have hypos unless he gives himself too much bolus which maybe what hes been doing on a night, what kind of insulins is he on? and what kind of foods does he eat?
hope we can help you but in the meantime see his health care providers
 
Hi Speaky,

That is very scary - I hope things have levelled off a bit now.

What type of insulin is your husband on (both long and short acting) and what type of diet is he on? I.e. is he carb counting and/or doing anything else diet related to help manage his diabetes?

Increasing the short acting shouldn't be done just as a matter of course, but should be done to match whatever is being eaten in the evening.

Has anything else changed in his daily routine over the last 6 weeks that might explain the sudden swings? The HbA1c is pretty high - what were his previous results?

If nothing else tonight make sure he sets an alarm to wake him up at say 2-3 hours after going to bed so that he can check his blood sugars. I'd also closely test them through the day.

All the best

Dillinger
 
Thanks for your support, it's gratefully received x Just got back from the GP who suggested bring the lantus units down and testing two hrs post food to check sugar levels. Which makes perfect sense.

We ate fresh chicken wrapped in cheese and bacon with potatoes and steamed veg at 8ish last night. He hasn't injected since that time and has had breakfast and hypo stop. At 2pm docs checked his levels which were 5, which is great but goes to show how low they must have been or how high the units injected were last night!

we are going to do a meal plan for several weeks and see if we can stabilise his sugars. Lets hope we can xx

Speaky x
 
good luck and if u need to know anything else plz ask
 
I hope you had a better night last night.
Have a look at this info about how to adjust basal insulin, (its a forum posting on another forum). If basal is properly adjusted ( unfortunately not always as simple as it sounds) blood glucose shouldn't vary by more than 1mmol . http://www.diabetesdaily.com/forum/articles/16675-basal-testing-multiple-daily-injections
At the same time its important that the mealtime insulin matches the food eaten. Most rapid insulins like novorapid, apidra etc have an action time of about 4 hours.if you eat at 8 and then go to bed at 11 the rapid action could still be acting to lower the blood glucose level so that needs to be taken into account at bedtime.
It might be a good idea if your husband could ask his doctor about doing a DAFNE course to help him learn how to carb count and adjust his insulin to match.
http://www.dafne.uk.com/scripts/typeonediabetes/typeonediabetes.html
There is also a online course designed by the hospital in Bournemouth.

http://www.bdec-e-learning.com/
 
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