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Type I and re-occuring vomiting

maria030660

maria030660

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Hi,

For a couple of months now i have been plagued in cycles with vomiting, especially in the morning. Once started it remains with me for a couple of days, then it stops maybe for 10 days and then start all over again. It only happens to me in the morning and last till about 01.00 pm then i start to feel better. On the bad days i barely make it to the toilet at work (straight from the bus into the loo). I have been a type i for almost 27 years and i am on levemir/Novorapid which works fine for me. Any one experienced the same problem?
 
A couple of years back I was experiencing vomitting during the night (I'm T2). I'd wake up and literally have to sprint to the bathroom. Like you said - it came in waves.

There was never any indications that it was gonna happen, and I couldn't pin it on anything that I'd eaten or had to drink.

I never did get to the bottom of it - but it did stop eventually (touch wood)...
 
thanks patch...its what i experience, good to know i am not the only one
 
My son sometime wakes feeling nauseous and then begins vomiting. It usually passes by around mid-day when he can gradually begin eating normally.

We are confident we know why this is. It's because he's had an undetected hypo whilst sleeping.

Presumably, his liver has kicked out some glucose - which means his waking levels are pretty normal, but he feels lousy all day. I realised what was going on when I noticed it tended to happen on the morning following an active day (when he had PE/games). It also made sense to me that Glugagon injections tend to make the patient vomit - so I suppose the natural liver response is likely to do the same.

Now, we always turn his pump down a smidge overnight after an active day - and voila! It rarely happens.

I'm not saying this is the reason why other people feel sick/are sick in the night or morning, but it might be worth considering it as a possibility.
 
this is indeed very interesting because my HbA1c was so perfect the last it was too perfect and as i took 3 courses of steroid for a chest infection and my BS was high it makes sense that in my sleep it could have been too low. Unfortunately i dont have a pump, i requested one but i was placed in ireland on a waiting list of eh.....10 years. As I am 51 the chances are slim that i get ione. My daugther who also has type i has a pump in Holland and she loves the freedom she has with it
 
The next time you awaken feeling sick, just think through what your activity levels were for the whole of the preceding day (24 hours). Was it more than usual?

If this seems to be the case, why not do a night time b/m at 3am or 4am after especially active days to see if you are going low? After a few trials, you might even find when in the night this is happening - although I'm afraid we haven't pinned it down exactly - except that I think it is after 4am for my son.

Even if you don't have the flexibility of a pump, you could then perhaps have a bedtime snack (or bigger bedtime snack than normal) or slower-acting carbs etc, to try and avoid the hypo. Or maybe you could reduce your long acting insulin at bedtime?

I do know that my own findings are very much circumstantial - i.e. I have drawn my own conclusion about what is happening to my son. Nevertheless, I feel I must've found the answer for us because he was having days off school for the sickness quite regularly and now it is increasingly rare. I ask him now which type of sport he has done and we turn down the pump by either -10% or -20% for the whole of the rest of the day and night after the activity. Sometimes, this has not been entirely necessary and he's gone a bit high - but much better to do that once in a while than to have night-time hypos, me-thinks.
 
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