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Type 1 Diabetes
Struggling with loooow
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<blockquote data-quote="ert" data-source="post: 2172572" data-attributes="member: 504712"><p>To treat a hypo (below 3.5 mmol/l) you should take 15 to 20 grams of rapid-acting carbohydrate, equivalent to 100-120 ml Lucozade, 150-200ml cola or fruit juice, 5 glucose tablets. Retest 15 minutes later and repeat if still below 3.5 mmol/l. To treat low blood sugar above 3.5 mmol/l, eat 10 grams of carbohydrates like a small apple.</p><p></p><p>I'd recommend you do some research to get to the bottom of your hypos. Keep a diary of your finger pricks for blood sugars and insulin units (at least 5 times a day): waking, four hours after breakfast, before lunch, four hours after lunch, before dinner, four hours after dinner, bedtime. This is something you could take to your diabetes nurse to ask for help.</p><p></p><p>Myself, I'd start by checking your basal insulin is correct by having a carb-free lunch at work and seeing if your blood sugars hold a straight line from 4 hours after breakfast until dinner time. Are you on a split dose basal insulin? If so, I'd then also have a carb-free dinner and expect to hold a straight line from bedtime until waking.</p><p>Once happy with your basal insulin, you should then consider changing your quick-acting carb ratio at lunchtime, or breakfast (due to this being something that happens at work) or where ever your blood sugars don't return to the same pre-meal levels four hours after eating.</p></blockquote><p></p>
[QUOTE="ert, post: 2172572, member: 504712"] To treat a hypo (below 3.5 mmol/l) you should take 15 to 20 grams of rapid-acting carbohydrate, equivalent to 100-120 ml Lucozade, 150-200ml cola or fruit juice, 5 glucose tablets. Retest 15 minutes later and repeat if still below 3.5 mmol/l. To treat low blood sugar above 3.5 mmol/l, eat 10 grams of carbohydrates like a small apple. I'd recommend you do some research to get to the bottom of your hypos. Keep a diary of your finger pricks for blood sugars and insulin units (at least 5 times a day): waking, four hours after breakfast, before lunch, four hours after lunch, before dinner, four hours after dinner, bedtime. This is something you could take to your diabetes nurse to ask for help. Myself, I'd start by checking your basal insulin is correct by having a carb-free lunch at work and seeing if your blood sugars hold a straight line from 4 hours after breakfast until dinner time. Are you on a split dose basal insulin? If so, I'd then also have a carb-free dinner and expect to hold a straight line from bedtime until waking. Once happy with your basal insulin, you should then consider changing your quick-acting carb ratio at lunchtime, or breakfast (due to this being something that happens at work) or where ever your blood sugars don't return to the same pre-meal levels four hours after eating. [/QUOTE]
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