Sudden Hypo

Fuggs said:

I suffer from the dawn phenomena and usually my waking bg is around 7. After breakfast and getting out it drops to about 5 by 9pm. Last night however, I felt really awful, and checking my bg around 10pm, found it was 3.2....so few biscuits and felt ok after an hour or so.

The only difference to usual evening is I took some vinegar tablets after dinner hoping it would help with the dp,...It didnt.

Any ideas anyone please?

Thanks

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Fuggs said:

It certainly felt a hypo. Sticky ,faint,dizzy and generally not nice.
I had 2 of bowls of home made veg soup with tatties but did take my metformin (500) a couple of hours before.
I use accucheck and not had mis readings before but will bear that in mind.
I am thinking of trying to persuade my doc for basal insulin to see if it helps the dp. But hate needles and don't know if you can get it as tabs.

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Fuggs said:

I dont normally eat spuds, but was Burns night.....

Its the early morning high bg that hacks me off. I go to bed at 4.5/5 and wake at 7.5...grrrrrrrr

Even if I take my metfornin late at night [midnight ish] still doesn't stop it and I am concerned the damage it may cause.
Cant find a way to stop it.

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Fuggs said:

It certainly felt a hypo. Sticky ,faint,dizzy and generally not nice.
I had 2 of bowls of home made veg soup with tatties but did take my metformin (500) a couple of hours before.
I use accucheck and not had mis readings before but will bear that in mind.
I am thinking of trying to persuade my doc for basal insulin to see if it helps the dp. But hate needles and don't know if you can get it as tabs.

Click to expand...

Neohdiver said:

It shouldn't be a hypo unless you are on insulin - it is the basal insulin (or a drug that makes your pancreas secrete more insulin without regard to glucose) that creates hypos. (I.e. adding a basal insulin would make it more likely you will have hypos if you are eating low carb.)

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nosher8355 said:

I agree, even though I had to reread your post a couple of times.

However,some blood glucose disorders are treatable with drugs that boost insulin productivity, but lower glucose and glycogen levels. I am on one myself.
Gliptins stimulate more insulin whilst inhibiting the other hormones and alpha and beta cells which lessens the hypers which in turn gives me a good chance of not going hypo.
As well as being in control, a very low carb lifestyle ensures not going into hypo.

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Neohdiver said:

Sorry for being convoluted - that is precisely what I meant by a drug that makes your pancreas secrete more insulin without regard to glucose.

If you have relatively fixed quantity of insulin circulating at all times AND you aren't consuming enough glucose to keep up with the insulin, you will get hypos. That is true whether you are adding insulin as basal insulin, or because you are taking drugs that make your body indiscriminately release insulin.

Metformin doesn't work that way, so you can cut out carbohydrates to your heart's content if the only thing you are taking is Metformin (and you don't have an underlying hypoglycemic condition).

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nosher8355 said:

The problem I have and I apologise from going off topic, but my glucose goes very quickly and so I have excess insulin, that gives me my hypos, when I wasn't in control. So I stay away from the carbs, glucose and sugar!
You are correct about the metformin, tho!

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