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unexpected hypos. Insulin.

C

cswinb

Newbie
Messages
2
Location
Girona Spain
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
walking
Over recent months I have started to get the occasional unexpected hypo. I am type 2 diabetic and have been on insulin for approx 5 years also Metformin so I am well versed on the use of insulin and the necessary occasional adjustments.
I have noticed that I seem to get hypos after only a couple of hours after a main meal when I would have expected my BG levels to be high. Sometimes I have tested my BG 2 hours after a meal and have had 13.5 then a couple of hours later it has dropped to 3.5 even though I have only taken my normal dose of rapid insulin. I am wondering that if when I have a very high BG my pancreas actually still kicks in, then I have an excess of insulin as well as the injected amount. I does not make sense?

I have also recently had my first night time hypo which woke me up and I was able to deal with it, Do night time hypos always wake you up? scary if they don't
 
For night hypo's it will depend upon the amount of "extra" insulin you have that is excessive. Some can be mild and some can be horrendous... They may not directly be linked to the insulin but just as an example a days digging for me not only affects my blood at the time but for up to 24 hours later. So exercise, even a day out shopping can have an impact later. It isn't always just the insulin but different activities or indeed going in to a different medication or alchohol that will impact the severity of a night hypo..
I don't know whether you are on a mixed regime, or basal/bolus.. But the paragraph below only relates to if you are on a basal / bolus regime.
As a generalised rule of thumb if you go low or high between 2 and 3 hours after bolusing its your food bolus. All other times it would be your basal. If you are on mixed insulin thats another story.
 
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