Type 1: When's the last time you had a hypo?

TheBigNewt

Well-Known Member
Messages
1,167
Type of diabetes
Type 1
Treatment type
Insulin
I've only been diagnosed for 16 days and I'm on insulin so I've had maybe 20+ in that short time frame. Much better in the last few days though I had 2 yesterday as I was much more active than I have been in the previous 2 weeks whilst I've been off work.

I'm finding that I was recognising the low levels at about 5.5 with shakes etc but in recent days I've completely missed them and been down to 3.7 or lower and just tested because I felt off but no shakes or anything else.
You indeed are starting to develop a "tolerance" to hypoglycemia, which is not really a good thing. I can totally function mentally at a BS of 40mg/dl (don't know what that is in the UK sorry), no one can tell I'm low. But if I get any lower I can reach "the point of no return" where I'm too "stupid" to fix it. That's when I can "go out" and it gets dangerous. The other thing is that for me sometimes getting low is euphoric, ie it feels kinda high and good. That's not a good thing either. But if it drops fast I feel awful. Weird right?
 

bobneil

Well-Known Member
Messages
55
Type of diabetes
Type 1
Treatment type
Insulin
Hi @bobneil, sounds like you are going to have to look at your ratios with your nurse.

That seems to be what needs to happen. I'll speak with her tomorrow.

For my first two weeks on insulin, I needed 10 units to cover the peanut butter toast. Lately, I've been using 7 units, using her suggested 3.5 I:C, but it may have to go lower now because 7 units with the same toast put me down to a very dangerous 2.2 hypo from a comfortable 7.4 just now. So that makes 3 individual hypos just today - I'm going to have to make sure I never go below 5 for a while, or my body's going to get used to this even more.
 

Scott-C

Well-Known Member
Messages
2,474
Type of diabetes
Type 1
Hey, @bobneil , I posted on this thread a couple of days ago with a dubious analogy about scales and shoogly tables. Here's another one.

Whenever I start anything new, whether it's a job, sport, hobby, I've often found I end up learning just as much from the mistakes I've made as from the bits I get right. I look back and think, right, what went wrong there and see what I can figure out from that for the future.

It's pretty much the same with T1D. Over time, you just kind of acquire this intuition based on past mistakes/successes, so that while a newbie might say this much insulin for this much food looking purely at carb count and ratios, you'll start to factor in other stuff (which, I suppose actually is an intrinsic part of carb counting anyway), sometimes consciously, sometimes unconsciously, like how have your sugars generally been running over the last few days variability-wise, is there a chance of after-drop based on exercise earlier in the day, how much exercise do you expect to do later in the day, has there been any insulin-stacking, how long should the pre-bolus be, is the meal low or high GI (and GI load), are you trending down or up or stable and at what rate, is it a hot/cold day or not etc. etc. Hell, even air pressure is thought to affect matters but getting a portable barometer would be taking it too far...

There's been thousands of times I've been about to inject and a strict carb count/ratio analysis says X units, but past experience says, nah, let's tweak that up or down a bit based on past experience with those sort of variables.

Anyway, thought I'd throw in my tuppence worth, because you've expressed a bit of frustration about the hypos and what you feel are disappointing results when you've calculated well, but I wanted to make the point that in these early days, you'll be learning more than you know from what seem like mistakes. And you've maybe got honeymoon period throwing a spanner in the works too.

It's clear from your posts that you are sitting down and analysing what you're doing and what responses you're getting, and are willing to experiment. That'll stand you in good stead for the future.
 

bobneil

Well-Known Member
Messages
55
Type of diabetes
Type 1
Treatment type
Insulin
I had a call with my specialist today. I talked about my lows and she said she's more comfortable with me sitting around 8-10 instead of stressing about always staying around 6 because I've had so many lows recently.

She gave me a new ratio to try out, a 1:5 instead of a 1:3.5 for more conservative doses on meals from now on. It still didn't work on my pasta - I had 60g of carbs total, took 12U, went into a 2.6 hypo from a pre-meal BG of 6.4 . So I will go even lower tomorrow on insulin.

At least my basal is perfect.
 

DaftThoughts

Well-Known Member
Messages
397
Type of diabetes
LADA
Treatment type
Insulin
I had a call with my specialist today. I talked about my lows and she said she's more comfortable with me sitting around 8-10 instead of stressing about always staying around 6 because I've had so many lows recently.

She gave me a new ratio to try out, a 1:5 instead of a 1:3.5 for more conservative doses on meals from now on. It still didn't work on my pasta - I had 60g of carbs total, took 12U, went into a 2.6 hypo from a pre-meal BG of 6.4 . So I will go even lower tomorrow on insulin.

At least my basal is perfect.
Sorry to hear about that! Did you split your dose for your pasta? Pasta and other specific foods take 4 hours for me to spike, so if I take my full bolus before I eat, my bs crashes and then skyrockets. I tend to split my bolus 50/50 or 30/70 depending on the food. First dose as usual and the second one 2.5-3 hours after my first dose. It tends to keep me level without going low. :)
 

DaftThoughts

Well-Known Member
Messages
397
Type of diabetes
LADA
Treatment type
Insulin
3.3 this Monday. Also my first hypo since on insulin. I'd sat down to watch the newest The Walking Dead episode with some oatmeal cookies that I bolused for. After the episode I tidied around my apartment and I tested because I generally felt unwell. Once I sat down I got bad shakes. Ate one of those tiny portion baggies of Skittles and was back up to 6.5 after 15 minutes. :)

Not sure where I went wrong, either the oatmeal cookies digest slower than I anticipated or my math was faulty. Maybe the tidying up with insulin on board while the insulin was at peak contributed!
 

bobneil

Well-Known Member
Messages
55
Type of diabetes
Type 1
Treatment type
Insulin
Good idea. I've never tried splitting the dose before.

The last part of what you said is accurate - I had a meal with bolus at work then went to move heavy boxes, and quickly tanked my levels. The next time I went to work, I thought about that and made sure my sugar was a bit higher before - then I had a slow day with nothing happening, so it stayed high.

Today I had peanut butter toast at 10 AM. I took 5 units for it and ended up with a 3 unit increase 2 hours after - will see at 2PM what my final number is. edit: at 2pm it had only gone down by 1, so I'm not sure what to think.
I'll have the same meal again for lunch but will not munch peanuts between measurements.
 
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