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Diabetes Discussion
Type 2 Diabetes
Type 2 with Insulin
Tackling hypos
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<blockquote data-quote="Brunneria" data-source="post: 1941022" data-attributes="member: 41816"><p>Hi [USER=471518]@ivan 2[/USER]</p><p></p><p>I don't have hypos induced by injected insulin, but I have a looooong history of reactive hypos which I have always had to deal with by food choices.</p><p></p><p>So if you are having daily hypos around midday and midnight, then my first reaction would be to ask you if you could adjust your insulin, and prevent the hypo from happening?</p><p></p><p>If that isn't a practical option (for instance you are on a fixed insulin regime), then I would suggest that you prevent the hypo from developing in the first place, by adjusting your food intake. This could come in many forms, and should only be a short term measure. </p><p>- a slightly larger breakfast, or supper, with slower release carbs, or</p><p>- more fibre or fat, which will slow the carb release, or</p><p>- a snack a few minutes before you expect the hypo, so that the carbs are hitting the bloodstream at the same time that your blood glucose is dropping</p><p></p><p>I would suggest that you have a chat with your healthcare professional, to see if they can suggest a few minor changes to your insulin in order to eliminate this problem. This may involve adjusting dose, changing the time you inject, changing regime (from fixed doses to multiple daily injections if appropriate), changing insulin, or other management strategies.</p><p></p><p>Having to deal with 2 hypos a day, by the clock, strongly suggests to me that your insulin regime needs reviewing. It should suit you, your eating and your lifestyle, not the other way around!</p><p></p><p>Hope that helps.</p></blockquote><p></p>
[QUOTE="Brunneria, post: 1941022, member: 41816"] Hi [USER=471518]@ivan 2[/USER] I don't have hypos induced by injected insulin, but I have a looooong history of reactive hypos which I have always had to deal with by food choices. So if you are having daily hypos around midday and midnight, then my first reaction would be to ask you if you could adjust your insulin, and prevent the hypo from happening? If that isn't a practical option (for instance you are on a fixed insulin regime), then I would suggest that you prevent the hypo from developing in the first place, by adjusting your food intake. This could come in many forms, and should only be a short term measure. - a slightly larger breakfast, or supper, with slower release carbs, or - more fibre or fat, which will slow the carb release, or - a snack a few minutes before you expect the hypo, so that the carbs are hitting the bloodstream at the same time that your blood glucose is dropping I would suggest that you have a chat with your healthcare professional, to see if they can suggest a few minor changes to your insulin in order to eliminate this problem. This may involve adjusting dose, changing the time you inject, changing regime (from fixed doses to multiple daily injections if appropriate), changing insulin, or other management strategies. Having to deal with 2 hypos a day, by the clock, strongly suggests to me that your insulin regime needs reviewing. It should suit you, your eating and your lifestyle, not the other way around! Hope that helps. [/QUOTE]
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