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Type 1 Diabetes
Over treating hypos
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<blockquote data-quote="Bluemarine Josephine" data-source="post: 1329671" data-attributes="member: 213188"><p>Hello Laura and hello everyone, I hope that you are all very well today!</p><p></p><p>Here’s what I have come up with, analyzing my hypos.</p><p></p><p>The first thing is, it depends which insulin give me the hypo.</p><p></p><p>1. If it is the Novorapid, my hypo occurs usually within the 2-3 hours after a meal. I find that the hypo which occurs from Novorapid is more difficult to treat. While I treat following the DAFNE rules the active Novorapid is still “pulling” my bg down. As a result, I have two forces working opposite each other, carbs pulling up and Novorapid pulling down. The result is that the treat takes longer to correct the hypo than the 15 minutes suggested by DAFNE. There have been cases where it required 30-45 minutes for my bg to begin to rise to the required bg range.</p><p></p><p>2. If it is my Levemir causing the hypo, usually the hypo will occur 4-5 hours after my meal and the bg drop is generally “milder” and the hypo treatment works faster.</p><p></p><p>The problematic period lies during the time that my two Levemir injections overlap and my Novorapid is peaking. Particularly, if after my Novorapid peak, follows the Levemir’s peak (which means I need to treat with quick acting carbs + slow release carbs.)</p><p></p><p>I think that the successful treatment in each case depends on keeping calm and being able to assess which insulin causes the hypo and what happens after you treat (for example, how many hours you have until your next meal or do you have a basal insulin peaking in an hour’s time.)</p><p></p><p>Analyzing your insulin’s movement will give you a better understanding of what you need to do.</p><p>I hope this helps a little.</p><p>Regards</p><p>Josephine</p></blockquote><p></p>
[QUOTE="Bluemarine Josephine, post: 1329671, member: 213188"] Hello Laura and hello everyone, I hope that you are all very well today! Here’s what I have come up with, analyzing my hypos. The first thing is, it depends which insulin give me the hypo. 1. If it is the Novorapid, my hypo occurs usually within the 2-3 hours after a meal. I find that the hypo which occurs from Novorapid is more difficult to treat. While I treat following the DAFNE rules the active Novorapid is still “pulling” my bg down. As a result, I have two forces working opposite each other, carbs pulling up and Novorapid pulling down. The result is that the treat takes longer to correct the hypo than the 15 minutes suggested by DAFNE. There have been cases where it required 30-45 minutes for my bg to begin to rise to the required bg range. 2. If it is my Levemir causing the hypo, usually the hypo will occur 4-5 hours after my meal and the bg drop is generally “milder” and the hypo treatment works faster. The problematic period lies during the time that my two Levemir injections overlap and my Novorapid is peaking. Particularly, if after my Novorapid peak, follows the Levemir’s peak (which means I need to treat with quick acting carbs + slow release carbs.) I think that the successful treatment in each case depends on keeping calm and being able to assess which insulin causes the hypo and what happens after you treat (for example, how many hours you have until your next meal or do you have a basal insulin peaking in an hour’s time.) Analyzing your insulin’s movement will give you a better understanding of what you need to do. I hope this helps a little. Regards Josephine [/QUOTE]
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