1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2022 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

No hypo's ! Ever !

Discussion in 'Type 1 Diabetes' started by mo1905, Dec 6, 2013.

  1. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    I finished my DAFNE course today which was great, learned a lot. My question though concerns hypo's, or lack off. I found it most odd that others on the course swung from very high BG levels to below 4's within a few hours or so. I have had T1 for about a year now and have never had a hypo ! I dipped below 4 once ( 3.8 I think ) but felt fine. I very rarely go high and never go low. We had a lesson on alcohol and the nurses said this often leads to a big drop in BG levels but I drink regularly and again, this has never happened to me. Don't get me wrong, I'm not complaining but I just wondered if anyone else is the same boat or can explain this ? Every day we had to go through our individual readings and mine were just flat, boring even. The docs don't think I'm in honeymoon period as I am very stable taking 1 unit per 10g of carbs. I feel like a diabetic fraud lol ! Some days I even wish I would have a little hypo, just to see what it feels like ! Crazy eh !
    Mo
     
  2. ElyDave

    ElyDave Type 1 · Well-Known Member

    Messages:
    2,086
    Likes Received:
    2,018
    Trophy Points:
    178
    I reckon you were making those numbers up.

    Can't get flatter than mine today though with pre-breakfast, post breakfast and pre-ride home all at 5.3.

    I thought some of those swings were extreme too, and I've never seen anything like that myself. Was a good course though, I'll be trying to get my basal down further, as my insulin feeding has been going crazy.
     
  3. Patch13

    Patch13 Type 1 · Well-Known Member

    Messages:
    510
    Likes Received:
    282
    Trophy Points:
    103
    I would have said the honeymoon period, but you've ruled that out so I've no idea! I would be interested to hear if anyone else has any explanations as to what is happening though.

    Definitely enjoy not having hypos whilst you aren't - they aren't good :(

    Alcohol usually makes my BS high on the night I drink it (depending on how much I have and what I am drinking) and then continually crash the next day (and I mean pretty much all day).
     
  4. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    Well, they said no honeymoon phase but I guess there is no certainty. It's just that I am on fairly consistent insulin that makes them say that. I just can't believe it's this easy lol ! I pretty much eat and drink what I want too. Dave can drop pretty quick during exercise but I can jump on a rower for 90mins and need no adjustment either. Strange !


    Sent from the Diabetes Forum App
     
  5. iHs

    iHs · Well-Known Member

    Messages:
    4,602
    Likes Received:
    2,321
    Trophy Points:
    158
    Dont talk too soon Mo...... you may now find yourself starting to feel the hypo sensation.............

    Seriously, what might be having some influence on your bg levels is the fact that you also take metformin and so probably dont need too much in the way of injected insulin ???
     
  6. ElyDave

    ElyDave Type 1 · Well-Known Member

    Messages:
    2,086
    Likes Received:
    2,018
    Trophy Points:
    178
    So for me today on the way home

    Test at 5.3, eat 40g of low GI carbs, one hour later test at 5.6.

    Set off home - 25 mins later test at 8.0
    30 mins later 30 g high GI carbs
    15 mins later test at 6.3, another 20g high GI carb
    20 mins later get home, test at 6.3 at about 3:15

    90 mins activity, 90g carbs, then lunch of 45g
    7pm, feeling fuzzy, test 4.0, another 15g

    This evening - out to dinner 7.5 pre dinner, 4.8 afterwards. Extra mince pies prescribed, and that's with both reduced bolus and basal.
     
  7. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    You dropped your basal again Dave ? I'm pretty sure you must still be honeymooning but your activity seems to certainly help with your insulin sensitivity.
    As for myself, still plodding. If the metformin helps this much, why isn't everyone on it lol ! The thing I find about honeymoon period etc is I would have thought you'd have MORE hypo's. ? You inject insulin and pancreas still producing ! Odd ! I actually take a reasonable amount of insulin, ratio of 1 unit to 10g of carbs.


    Sent from the Diabetes Forum App
     
  8. Patch13

    Patch13 Type 1 · Well-Known Member

    Messages:
    510
    Likes Received:
    282
    Trophy Points:
    103
     
  9. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    The doc said it helps with insulin sensitivity. In fact, another T1 of 30yrs on our DAFNE this week on large doses of insulin ( 3units to 10 g. ) has been advised to try metformin as well. !


    Sent from the Diabetes Forum App
     
  10. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    Do you know why honeymooners don't hypo Patch ? Injected insulin and your own trickling out would suggest big drops I would have thought ?


    Sent from the Diabetes Forum App
     
  11. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,623
    Trophy Points:
    278
    It does seem strange that you don't experience hypo's Mo yet have excellent bg control, hypo's are normally a necessary evil when injecting insulin although they can be controlled somewhat with careful bg management.

    When I was first diagnosed they wouldn't let me go home until I'd had a full blown hypo, still remember it to this day where they induced it by taking insulin and not eating :(
     
  12. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    I heard this used to happen, controlled hypo's, must have been very scary. I once had a specialist advise me to do the same ( for LGV license ) but my own doc said no. As for my excellent control, I think it's just luck to be honest. My HbA1C is 42 but I still eat pretty much the same as before diagnosis and I drink beer probably twice a week ! I just can't understand it.
     
  13. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,618
    Likes Received:
    19,623
    Trophy Points:
    278

    I'm very surprised your doc said no, I would have thought it would be a prerequisite if you are applying for a LGV but I suppose they don't ask that on the application form.

    The controlled hypo on reflection was scary but a good thing just the same, it's reassuring to know that you had your first one under the care of the hospital team.
     
  14. Patch13

    Patch13 Type 1 · Well-Known Member

    Messages:
    510
    Likes Received:
    282
    Trophy Points:
    103
    No I'm afraid I don't. It was just a suggestion. Maybe someone with more scientific knowledge can suggest why your levels are so good. All I can say is I hope it stays that way for you!
     
  15. mrman

    mrman Type 1 · Well-Known Member

    Messages:
    2,419
    Likes Received:
    2,674
    Trophy Points:
    198
    This is good mo. Only thing I could possibly suggest is your body is working like that of a non diabetic in the fact it is recognizing a drop, and your liver is able to supply enough glucose quick enough to prevent a hypo. Maybe because its having enough of its own insulin being produced to do so. When relying alot on injected insulin the body has alot of trouble recognising a drop as its being done all artificially. Could be the metformin helping a bit also. Long may may it continue :)

    Sent from the Diabetes Forum App
     
  16. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    Thanks Brett, that does make sense ! I'll need to keep drinking all my beer rations up now before things change lol !
     
  17. mrman

    mrman Type 1 · Well-Known Member

    Messages:
    2,419
    Likes Received:
    2,674
    Trophy Points:
    198
  18. iHs

    iHs · Well-Known Member

    Messages:
    4,602
    Likes Received:
    2,321
    Trophy Points:
    158
    Lots of diabetics will find after they have been insulin dependant for a few years, (type 1 with diminished or nil beta cell function) that the alpha cells responsible for releasing Glucagon, also diminish, so the liver doesn't release glucose unless food or glucose is eaten to deal with low bg levels and if that is not possible, Glucagon given by injection prompts the liver to find some glucose.

    Easier though to deal with low bg levels using food or glucose (gel) and is much cheaper and just as quick.
     
  19. iHs

    iHs · Well-Known Member

    Messages:
    4,602
    Likes Received:
    2,321
    Trophy Points:
    158
    My advice Mo... is that you have a go at making yourself feel what its like when bg levels start to fall. The hypo effect that happens when we sit down concentrating on what we are doing, is different to walking about etc..

    If you can afford it... think about getting cgm.
     
  20. mo1905

    mo1905 Type 1 · BANNED

    Messages:
    4,334
    Likes Received:
    3,775
    Trophy Points:
    178
    Thanks iHS ( wish you had a name lol ), interesting and good advice ! Not read anything about the alpha cells reducing too !
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook