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Type 1 Diabetes
Risk of hypo vs risk of hypers
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<blockquote data-quote="catapillar" data-source="post: 1071134" data-attributes="member: 32394"><p>I've just finished my DAFNE course & I have been left with the distinct impression that i need some sense talked into me. Although, usually when I have this feeling I can at least follow the logic of the sense, but I'm struggling and I hoping someone might be able to explain...?</p><p></p><p>I was diagnosed 5 years ago. I have no hypo awareness. I am hypo on average about twice a day. I have had about half a dozen incidents of severe hypoglycaemia - all at night, so essentially I don't wake up & once I rouse I am able to treat myself (I live alone). I have had one episode of hypoglycaemic hemiplegia - I woke up at about 2pm unable to move my right arm or leg - luckily when I fell out of bed the packet of dextrose tablets fell off my bedside table & (once I managed to open the packet) it resolved within about 30 minutes. </p><p></p><p>The hypoglycaemic hemiplegia did scare the living sh*t out of me, because I figure if my brain was so deprived of sugar it forgot I have a right side it's probably not that big of leap to think it might forget to do breathing next time. So, I bought a dexcom and since then I haven't had any severe hypos, because it alarms before it gets to that stage.</p><p></p><p>I am however still very frequently hypo. I feel like I can either manage the highs or the lows but not both together - to avoid the hypos I would need to run at 9-16. I'm not willing to do that - I feel like the risk of running high are much worse and much more unmanageable than the risks of running low. I know full well I can manage the hypos, because that is what I am doing every day. & I feel like I have mitigated the significant risk of the hypos by surrendering my driving licence and getting the Dexcom. I don't think I could manage the complications that would result from running in double figures all the time, for a start it makes me feel awful, I feel terrible when I'm hyper (whereas I completely do not notice hypos), I like all of my toes, I do need to be able to see and I've heard dialysis is a great way to meet people, but I'm not convinced. </p><p></p><p>I just... I don't see the problem with the hypos. Obviously it's a pain in the bum and I want to avoid it, but not at the expense of running super high. I am aware this is a poor decision, I just don't understand why it is. Help?</p><p></p><p>There is also the issue that running high does make me feel like a big fat failure - as in I do really feel like that is my fault, whereas I don't feel the same sort of responsibility for the hypos at all.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1071134, member: 32394"] I've just finished my DAFNE course & I have been left with the distinct impression that i need some sense talked into me. Although, usually when I have this feeling I can at least follow the logic of the sense, but I'm struggling and I hoping someone might be able to explain...? I was diagnosed 5 years ago. I have no hypo awareness. I am hypo on average about twice a day. I have had about half a dozen incidents of severe hypoglycaemia - all at night, so essentially I don't wake up & once I rouse I am able to treat myself (I live alone). I have had one episode of hypoglycaemic hemiplegia - I woke up at about 2pm unable to move my right arm or leg - luckily when I fell out of bed the packet of dextrose tablets fell off my bedside table & (once I managed to open the packet) it resolved within about 30 minutes. The hypoglycaemic hemiplegia did scare the living sh*t out of me, because I figure if my brain was so deprived of sugar it forgot I have a right side it's probably not that big of leap to think it might forget to do breathing next time. So, I bought a dexcom and since then I haven't had any severe hypos, because it alarms before it gets to that stage. I am however still very frequently hypo. I feel like I can either manage the highs or the lows but not both together - to avoid the hypos I would need to run at 9-16. I'm not willing to do that - I feel like the risk of running high are much worse and much more unmanageable than the risks of running low. I know full well I can manage the hypos, because that is what I am doing every day. & I feel like I have mitigated the significant risk of the hypos by surrendering my driving licence and getting the Dexcom. I don't think I could manage the complications that would result from running in double figures all the time, for a start it makes me feel awful, I feel terrible when I'm hyper (whereas I completely do not notice hypos), I like all of my toes, I do need to be able to see and I've heard dialysis is a great way to meet people, but I'm not convinced. I just... I don't see the problem with the hypos. Obviously it's a pain in the bum and I want to avoid it, but not at the expense of running super high. I am aware this is a poor decision, I just don't understand why it is. Help? There is also the issue that running high does make me feel like a big fat failure - as in I do really feel like that is my fault, whereas I don't feel the same sort of responsibility for the hypos at all. [/QUOTE]
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Risk of hypo vs risk of hypers
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