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Stubborn hypos

mytype1.life

mytype1.life

Well-Known Member
Messages
455
Location
England
Type of diabetes
Type 1
Treatment type
Pump
Hi All,

I was just wondering if anyone else suffers from stubborn hypos that you struggle to treat?

I'm not sure why but I've been having constant overnight hypos so made some changes to my basal rate and ensure I have eaten a sensible snack before going to bed.

Last night I didn't exercise because I was so exhausted and carb counted my evening meal (15g meal and 8g dessert). Before bed I had a rice cake and peanut butter and crossed my fingers for a good nights sleep.

Unfortunately I had 3 hypos during the night despite treating the first the same usually effective way I do.

It wasn't until mid morning when I felt "normal" and have felt drained all day.
 
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Sorry to hear you're going through that :(

I too suffer from nocturnal hypos. More than I do in the day time at least. The "hypo hangovers" the next morning are awful, it takes hours to feel "right" again.

I have managed to narrow them down to a few reasons (for me):
- Not eating a proper large carb based dinner (snack dinner when the evening is busy)
- Hotter day than what I find tolerable (I function at an internal high temp so hate it above 20 degrees)
- If I exercised or swam in the afternoon (these drops happen a few hours after the fact)

I have tried to just be aware of these situations and change what is within my control. Luckily my 2 year old still wakes up once in the night (usually somewhere between 00:00-02:00) which allows me to test and see if I need to do anything.

If you're not using them, I recommend a sensor of some kind (for me its the FreeStyle Libre) as I can scan in the morning and see the full nights pattern as to what went wrong. Plus it allows me to better track and manage when these things are happening.
 
tiredoftrying2017 said:
Hi All,

I was just wondering if anyone else suffers from stubborn hypos that you struggle to treat?

I'm not sure why but I've been having constant overnight hypos so made some changes to my basal rate and ensure I have eaten a sensible snack before going to bed.

Last night I didn't exercise because I was so exhausted and carb counted my evening meal (15g meal and 8g dessert). Before bed I had a rice cake and peanut butter and crossed my fingers for a good nights sleep.

Unfortunately I had 3 hypos during the night despite treating the first the same usually effective way I do.

It wasn't until mid morning when I felt "normal" and have felt drained all day.
Click to expand...
You shouldn't need to snack before bed to maintain steady overnight BG's, if your basal rate/dose is set right - that is.

When was your evening meal and what times did your hypos happen at?

Basal requirements to change from time to time, so it may just be that you need a significant reduction.

I hope you're feeling better now:)
 
Thanks @SamJermy 87 and @GrantGam. I'm feeling a bit better but not quite right, still yo-yoing.

Your reasoning makes a lot of sense @SamJermy87. I'm still working on getting my exercise ratios right so hypos on those nights/following morning I can also expect, it's just nights like Friday that throw me.

Awww the joy of having a little one to get you up! I don't have children but have so far always been waking up - I actually wish I could get a good nights sleep soon!

I've had a Libre for 3 weeks now which has really helped me.

@GrantGam, I ate about 6pm. Hypos were at 9.15pm, 3.30am, 4.15am, 7am, 10am

Here's my Libre graphs
7b671852e938b6a5b252f6aa615d38c1.jpg
7e130362d3e6c6a0640e1d3287c156f4.jpg
 
I was having low morning bs too. I've used a combination approach. First I moved my dinner about 30 min to an hour earlier. 2nd I pushed my night time snack about an hour later. And 3 that snack is a new bar I found called EXTEND. Its designed to give a very slow carb dose into the blood stream over a 9 hr period. Some say you shouldn't have to snack. But I'm on a combo drug that is designed to cover 2 eating sessions. That means I cannot eat only dinner or my long acting insulin dose is too high. If I cut back for that then my short acting dose is too low. Hth
 
I have a libre too. I am t2 so what follows may not be relevant to you. But so far anytime my libre has recorded a hypo, a finger prick has been at least 1 mmol higher.
 
Thanks @CherryAA. Strangely my first sensor was reading about 2mmol higher for the first week however then settled down. I test alongside my libre to calibrate. Unfortunately the hypos are definitely hypos as it's the symptoms that wake me.

Thanks also @Wshelledy. That's a great strategic approach you took, glad you managed to work it out. Wow those bars are expensive but I may have to get saving if I can't find any other solutions!
 
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