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Lower than usual BG after a weekend off the wagon
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<blockquote data-quote="LittleGreyCat" data-source="post: 2445418" data-attributes="member: 6467"><p>I think you may be missing the difference between theory and practice.</p><p></p><p>In theory as a T2 on Metformin I should not go hypo. My liver should dump some glucose to bring my BG up, and should maintain a more or less steady fasting BG in the long term.</p><p></p><p>However this is still theory.</p><p>I am aware that Reactive Hypoglycemia is a thing, where the body can produce more insulin that can be counteracted by the body releasing glucose in the short term, so there are cases where a hypo is possible (however unlikely).</p><p>In theory I could just ignore it.</p><p>But in practice I am seeing something very atypical which causes my Libre 2 to sound an alarm.</p><p>It is the atypical bit, not the level itself, which causes concern.</p><p></p><p>Consider that I could be hypo unaware.</p><p>I can't tell from the way my body feels if I am at normal, low or high BG.</p><p>Therefore an edge case is that I am truly going hypo but my body won't recognise it.</p><p>Perhaps the first sign might be unconsciousness?</p><p>Unlikely, I agree, but totally impossible??</p><p></p><p>On balance, to me, the safest option is to take something to lift my BG a little.</p><p></p><p>If this keeps happening I would like to know why.</p><p>I might also experiment (with safety measures such as someone else standing by).</p><p>However if I did pass out I assume I would need someone to apply a glucagon pen (which I don't have, because T2 on Metformin).</p><p></p><p>At the moment, if my body shows a very abnormal response (for me) then very cautious seems the best option.</p><p></p><p></p><p>I know that some people run very low fasting BG (a non-diabetic consultant I know runs at around 3.5) but that is their "normal".</p><p></p><p>Edit: To add, as far as I can tell the reason I am in my current metabolic state is that the balancing mechanisms between (roughly) insulin and glucagon aren't working 100%.</p><p>I suspect that this is more than just my pancreas not producing enough insulin, or my tissues being insulin resistant.</p><p>If the mechanism is not working 100% then potentially anything could happen.</p><p></p><p>An analogy that I forgot to include:</p><p>Don't worry, he's just friendly, he won't bite.</p><p>{<em>CHOMP</em>}</p><p>How strange, he's never done that before!</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 2445418, member: 6467"] I think you may be missing the difference between theory and practice. In theory as a T2 on Metformin I should not go hypo. My liver should dump some glucose to bring my BG up, and should maintain a more or less steady fasting BG in the long term. However this is still theory. I am aware that Reactive Hypoglycemia is a thing, where the body can produce more insulin that can be counteracted by the body releasing glucose in the short term, so there are cases where a hypo is possible (however unlikely). In theory I could just ignore it. But in practice I am seeing something very atypical which causes my Libre 2 to sound an alarm. It is the atypical bit, not the level itself, which causes concern. Consider that I could be hypo unaware. I can't tell from the way my body feels if I am at normal, low or high BG. Therefore an edge case is that I am truly going hypo but my body won't recognise it. Perhaps the first sign might be unconsciousness? Unlikely, I agree, but totally impossible?? On balance, to me, the safest option is to take something to lift my BG a little. If this keeps happening I would like to know why. I might also experiment (with safety measures such as someone else standing by). However if I did pass out I assume I would need someone to apply a glucagon pen (which I don't have, because T2 on Metformin). At the moment, if my body shows a very abnormal response (for me) then very cautious seems the best option. I know that some people run very low fasting BG (a non-diabetic consultant I know runs at around 3.5) but that is their "normal". Edit: To add, as far as I can tell the reason I am in my current metabolic state is that the balancing mechanisms between (roughly) insulin and glucagon aren't working 100%. I suspect that this is more than just my pancreas not producing enough insulin, or my tissues being insulin resistant. If the mechanism is not working 100% then potentially anything could happen. An analogy that I forgot to include: Don't worry, he's just friendly, he won't bite. {[I]CHOMP[/I]} How strange, he's never done that before! [/QUOTE]
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