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What to do for hypos?

T

Talya2022

Well-Known Member
Messages
92
Type of diabetes
Type 2
Treatment type
Non-insulin injectable medication (incretin mimetics)
I’m type 2 and on Ozempic and keep getting hypos (down to 3.0) I have a Libre so have been able to identify quite a few. Will a low resolve itself in type 2 or should I have a sugary snack?
 
My understanding (as someone with Type 1) is that you must treat hypos.
However, Libre may report false lows so you should always test lows (anything under 4) before treating.

If it is a real hypo (as proven with a finger prick), you need to treat with fast acting carbs such as jelly babies or dextrose or fruit juice.
The rules for Type 1 is based on the number 15.
- 15g fast acting carbs
- wait 15 minutes and test again.
- if still hypo, treat with another 15g fast acting carbs and wait another 15 minutes before retesting
- once over 4, eat 15g of slow acting carbs such as oat bars, chocolate or crisps to stop a reoccurrence.

The reason for treating (real) hypos is so that your body does not become familiar with them and allow you to go into dangerously low numbers.
 
Talya2022 said:
I’m type 2 and on Ozempic and keep getting hypos (down to 3.0) I have a Libre so have been able to identify quite a few. Will a low resolve itself in type 2 or should I have a sugary snack?
Click to expand...
Are you taking any other medications along with Ozempic?
Hypoglycemia is not mentioned in any of the info about the drug.
 
Is it after food?
what is your fasting blood glucose levels?
 
Do you test your Libre readings against finger pricks?
Night time Libre reported hypos often turn out to be compression lows.
 
Fasting blood glucose 6.0
 
Having looked at your previous posts, another couple of questions, if I may?

You have fasting in just about normal levels?
You get readings of hypos, is it a couple of hours after food?
Do you still have carbs, any carbs, when the hypos happen?
It is unusual when first diagnosed to be given a monitor/cgm to track blood glucose levels. Did the doctor say why?
As has been said compression readings during the night could give you the hypo readings during the night, but doesn't explain the day ones.
I suspect, that your doctor is looking for something in your readings to justify a referral to an endocrinologist, to give you more tests.
If I'm wrong, you may want to ask your doctor for a referral anyway.
What was your hba1c test result that led to the T2 diagnosis?

Best wishes.
 
Talya2022 said:
Fasting blood glucose 6.0
Click to expand...
Is that an answer to my question regarding testing with finger pricks?
If so, the advice is to test anything reported below 4 on a Libre with a finger prick at the time it occurs. The great thing about Libre 2 is you can set alarms to ensure you don’t miss these. The annoying thing is that Libre may be wrong.
Whatever it, is it is very important to test to confirm whether you are hypo or not As others have suggested, it is very unusual to get hypos on your medication which makes it more necessary to confirm them.
Do you get hypo symptoms at these levels?

(If you shared your fasting level in response to another question, I apologise for my unnecessary comments.)
 
Hba1c 6.8 on diagnosis.
I see a private endocrinologist who recommended libre
I have some carb when I have a hypo
 
Talya2022 said:
Hba1c 6.8 on diagnosis.
I see a private endocrinologist who recommended libre
I have some carb when I have a hypo
Click to expand...
Do you have fast acting carbs as I described above? There is no point, for example, eating chocolate because (due to the high fat content) this can take an hour to take effect whilst your body gets used to the lows.
 
Talya2022 said:
Hba1c 6.8 on diagnosis.
I see a private endocrinologist who recommended libre
I have some carb when I have a hypo
Click to expand...
No doubt then, your endocrinologist is looking for some kind of pattern. Are you keeping a food diary?

Did he give a clue as to why to eat low carb? Or why you were having hypos?
 
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