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Newbie T2 - Frequent Hypos - Plse Help!

Criss

Newbie
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2
Hi

My 33 year old brother was diagnosed with T2 3 weeks ago after a spell in hospital due to Diabetic Ketoacidosis. He was unaware of having T2 before although both our parents were diagnosed with T2 in their 50s.

His BG was at least 16.5 when he went in 3 weeks ago and he was given 850g Metformin (twice a day) and 80mg Glycron (twice a day) upon being discharged and was pronounced T2 diabetic - they also found that he had a chest infection (that was clearing up) and high BP. Initially his BG was okay on the meds and he quit smoking immediately and cut out the white carbs and sugary drinks. He's overweight and not very active.

His BP is normal but for the past week his BG has been crashing to 3.5 and even 2.2 last Saturday. It usually occurs before 12:00 so I got him to eat a banana between breakfast (oats with seeds and fruit plus skimmed milk) and lunch. However, the lows are getting lower and occuring before and after a meal although it still appears random.

His Metformin was reduced to 500g but this did not help.

We were so scared of him going into a seizure or coma after Saturday's 2.2 that he did not take either medication this morning before going back to the hospital. When he saw a doctor today, they took him off the Glycron and told him to come back in a week. No explanation was given.

He's had a couple of highs today (8.7 - 9.7) but has not gone below 4 so far this evening (fingers crossed) although he did drop to 3.3 at 11:00 today at the hospital but he had 5 an hour before!

Sunday's BG levels:

Fasting = 3.6 (had a glass of milk and bread before sleep!) Before lunch = 4.1 2 hrs after lunch = 3.6 Before Dinner = 9.2 2 hrs After Dinner = 3.7 23:00 = 4.3

Today his BG levels:

Fasting = 3.8 After Breakfast = 8.5 (NO tablets taken) 2 hrs later = 5 Before lunch = 3.6 2 hrs after lunch = 8.5
Before Dinner = 8.8 2 hrs After Dinner = 4.8 22:00 = 5

He's been having glucose sweets and snacks to pull the numbers up when they're low.

Anyone else had a similar experience or have any theories on this, please? I am beside myself with fear and stress over this as I worry about the dangers of him getting brain damage, getting seizures or going into a coma .

We can't make sense of what is going on or what is causing the lows. No idea how long the Glycron stays in the body before we see a change. Are the occassional carbs causing a crash? This is all so stressful and it seems like a life and death situation!

Our dear Dad passed away at 65 a few years ago from a burst ulcer but he was not in a good way prior to that thanks to the Diabetes. I can't believe my brother now has it at such a young age for T2.

Thank you for any replies and assistance - any ideas or suggestions will be greatly appreciated! :)
 
Wow he is going through it but how great that he has you for support
Does your brother have a blood testing monitor ?? If not get him to try and get one this will show what he is eating and how it effects his bloods
Lots of people will give you great advice on here try and take it all in it will be overwhelming at first
Plus there is some great things to read up on to help you
Hope he gets sorted good luck :-)


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Hi. It must be very worrying for you. Glycron is in fact Gliclazide; a very commonly prescribed drug which I was on before insulin. It's effect should stop almost within a day or so. If it was causing the hypos it does suggest your brother's pancreas is in a reasonable state. Now that he is off any drugs except 500mg of Met (correct?) he really shouldn't have any more hypos. If he does then something very strange is happening and only a GP can assist. In principle having low-GI carbs should avoid blood sugar going too low. Having low-GI carbs with some fatty food should also smooth carb digestion avoiding large blood sugar swings. I hope the problem is resolved.
 
Thanks Netty70 and Daibell for your responses and encouragement!

Netty70: a blood testing monitor - we have the Accucheck that just shows the glucose level but we're finding it hard to see how what he eats is affecting the levels. I've suggested he start keeping a food diary to help us pin this down.

Daibell: he went to see another GP today who did some blood work and increased the Metformin back to 850g for the time being as he is still going down to 4 today. We hope to get the results back on Thursday and we should have a clearer picture then. At least he hasn't had a technically hypo reading today.

Do carbs cause a spike and then a sudden drop?

Getting the diet and meds right has been so stressful. These past 3 weeks have felt like 3 months. I hope we'll get a hang of this soon :-)

Thanks again for your advice!
 
Love to read posts when it shows how much someone cares
I've only been diagnosed since April so still early days for me and trust me I know how scary it can be I won't tell you my story don't wanna scare or upset you
If your brother is spiking it could be what he is eating a food diary is a great idea cause then you can see what makes him go high or low
Tell him to ask his DN for a blood testing kit then test before meals and two hours after each meal trust me it helps a lot
Good luck
P.s tell your brother it does get easier


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