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Type 1 Diabetes
The fear
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<blockquote data-quote="bmtest" data-source="post: 2142152" data-attributes="member: 21293"><p>Hi</p><p></p><p>To me this is a classic its a fear that appears probably every 5 to 10 years and it can be likened to Dartitis where your playing darts like a pro and all of a sudden the dart does not leave your hand.</p><p></p><p>- Firstly if you day and routine varries and you are rushing around eating varied the problem occurs more often</p><p></p><p>- A bad episode of night hypo can trigger this making you err on side of caution then a string of high blood sugars follow a bit like a gunfighter loosing there nerve as you dare not adjust dose.</p><p></p><p>Therefore some risk analysis needs to be done to ease your mind and only you can do that for your set of circumstances, but basically totally up units at end of day that you have injected and rough count of carbs and its very rare a bad hypo will visit in night.</p><p></p><p>I sometimes as mentioned before go on how I feel so on going to bed I may have 10-30g of carb as safety measure on how I feel. Also I go to bed on blood sugar lever of 8 i have mentioned this in past but I will expand on this, it is a theoretical 8, I may do a reading before bed and had shock high reading of 22 for instance (i am not perfect). To counter this and do not follow this advice its only because I have been doing it 40+ years, I count up from 8 to 22 which is diff of 14 and my ratio is 1 unit of Novo rapid to drop blood reading by 3 points. So 14/3 = 4.6 therefore I will inject 5 units of Actrapid and my dose of Lantus and bang I am off to sleep with nice reading in morning below 6.</p><p></p><p>This method I have always used before pens came out using glass and metal syringe I picked the skill up from an SPR when helping them out with some research years ago in 1982, he did a test on my blood and said its too high for his experiments and fired in som actrapid and I thought I might as well do this also on daily basis if I get high reading.</p><p></p><p>So getting back to nightime fear sometimesto beat it you have to learn again control and gain confidence the older you get the fear of death or even hypo is non existant.</p><p></p><p>I have never passed out in all these years but the reason I mentioned my nightime technical adjustments is to warn you that once I must have mixed my small Novorapid dose with the Lantus dose of 18 units as I do them back to back.</p><p></p><p>What followed was a rough night at sea with the most severe hypo I had ever had it was mind blowing the wife and kids slept through it as usual after trying to shout them I went through half a box of shreddies with spoons and spoons of sugar and the tiled floor was a river in sweat, I did get a reading in 1.2 before I commenced the epic anti hypo session. On recovery you then have to calulate how many bowls of cereal milk and sugar you have had and then inject the Novorapid probably 10 units which is fear of fear as you have to go back to sleep and avoid high in morning.</p><p></p><p>In summary totally normal is this fear and it goes with sensible control and night hypos are rare you always wake up seating anyway and you body counteracts most small miscalculations. </p><p></p><p>Its never a dull day with type 1 and people never understand the detail.</p></blockquote><p></p>
[QUOTE="bmtest, post: 2142152, member: 21293"] Hi To me this is a classic its a fear that appears probably every 5 to 10 years and it can be likened to Dartitis where your playing darts like a pro and all of a sudden the dart does not leave your hand. - Firstly if you day and routine varries and you are rushing around eating varied the problem occurs more often - A bad episode of night hypo can trigger this making you err on side of caution then a string of high blood sugars follow a bit like a gunfighter loosing there nerve as you dare not adjust dose. Therefore some risk analysis needs to be done to ease your mind and only you can do that for your set of circumstances, but basically totally up units at end of day that you have injected and rough count of carbs and its very rare a bad hypo will visit in night. I sometimes as mentioned before go on how I feel so on going to bed I may have 10-30g of carb as safety measure on how I feel. Also I go to bed on blood sugar lever of 8 i have mentioned this in past but I will expand on this, it is a theoretical 8, I may do a reading before bed and had shock high reading of 22 for instance (i am not perfect). To counter this and do not follow this advice its only because I have been doing it 40+ years, I count up from 8 to 22 which is diff of 14 and my ratio is 1 unit of Novo rapid to drop blood reading by 3 points. So 14/3 = 4.6 therefore I will inject 5 units of Actrapid and my dose of Lantus and bang I am off to sleep with nice reading in morning below 6. This method I have always used before pens came out using glass and metal syringe I picked the skill up from an SPR when helping them out with some research years ago in 1982, he did a test on my blood and said its too high for his experiments and fired in som actrapid and I thought I might as well do this also on daily basis if I get high reading. So getting back to nightime fear sometimesto beat it you have to learn again control and gain confidence the older you get the fear of death or even hypo is non existant. I have never passed out in all these years but the reason I mentioned my nightime technical adjustments is to warn you that once I must have mixed my small Novorapid dose with the Lantus dose of 18 units as I do them back to back. What followed was a rough night at sea with the most severe hypo I had ever had it was mind blowing the wife and kids slept through it as usual after trying to shout them I went through half a box of shreddies with spoons and spoons of sugar and the tiled floor was a river in sweat, I did get a reading in 1.2 before I commenced the epic anti hypo session. On recovery you then have to calulate how many bowls of cereal milk and sugar you have had and then inject the Novorapid probably 10 units which is fear of fear as you have to go back to sleep and avoid high in morning. In summary totally normal is this fear and it goes with sensible control and night hypos are rare you always wake up seating anyway and you body counteracts most small miscalculations. Its never a dull day with type 1 and people never understand the detail. [/QUOTE]
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