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Low blood sugar 2hrs after eating

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

Clarelryxx

Active Member
Relationship to Diabetes
Type 1
Hi I’m day 10 as a type 1 diabetic so on the sugar and emotional rollercoaster and I want to get off I had funny dizzy feeling like I was going to pass out when waking for the toilet which was not a nice feeling also next day I felt very swimmy headed I had my evening meal fish potatoes and veg 125ml red wine with meal sugars before meal were 6.5 2 hrs after eating I was shocked that they had gone down to 3.7 so had some jelly babies and then strawberries cheese and crackers after 10 mins sugars rose to 4.7 and 20 mins after 6.7 I wasn’t sure what to do but I did have 1 weetabix and milk before bed sugars went to 13.7 as I was scared I went low during th night also I must mention I have not had my hospital appointment so I’m recieving my treatment from my diabetic nurse at my doctors surgery so she has just increased my insulin slowly until hospital referral if any one can advise or she’d some light on my situation it would be greatly appreciated
 
Hi I’m day 10 as a type 1 diabetic so on the sugar and emotional rollercoaster and I want to get off I had funny dizzy feeling like I was going to pass out when waking for the toilet which was not a nice feeling also next day I felt very swimmy headed I had my evening meal fish potatoes and veg 125ml red wine with meal sugars before meal were 6.5 2 hrs after eating I was shocked that they had gone down to 3.7 so had some jelly babies and then strawberries cheese and crackers after 10 mins sugars rose to 4.7 and 20 mins after 6.7 I wasn’t sure what to do but I did have 1 weetabix and milk before bed sugars went to 13.7 as I was scared I went low during th night also I must mention I have not had my hospital appointment so I’m recieving my treatment from my diabetic nurse at my doctors surgery so she has just increased my insulin slowly until hospital referral if any one can advise or she’d some light on my situation it would be greatly appreciated
Hello! I was diagnosed in August, so I'm only a little ahead of you. It's still a bit of a rollercoaster, and I still want to get off too! But it really does get better.

I had the good fortune to get to the diabetic unit at my local hospital straightaway. Even so, they started me on basal insulin only (one injection a day), and it was a couple of weeks before they started me on bolus insulin as well (at mealtimes).

For the basal insulin, they started me on 10 units-- and that rapidly proved too much; I kept getting hypos. The diabetic nurses at the hospital rang me up every day, though, to check my readings and see how I was feeling; so they knew what was going on and kept reducing my basal, bit by bit, until they got it right.

That "funny dizzy ... very swimmy headed" feeling sounds exactly like a hypo. Whenever you feel like that, you should check your blood-glucose level. It is definitely "not a nice feeling"! But it's actually very important; it means you can feel when you are starting to go hypo, so you can do something about it. Some people have 'impaired awareness of hypoglycaemia', meaning they don't get that feeling-- which can be very dangerous; unless they have a device, like a Libre 2, which sets off an alarm when their glucose levels go too low, they don't know they're becoming hypoglycaemic, so they can't intervene and can end up in trouble.

Remember that Type 1 diabetes does not cause hypos. What causes hypos is injecting too much insulin as compared to how much carbohydrate you're eating.

Tell your diabetic nurse about your hypos, and she will probably tell you to reduce your insulin dose, especially if you're currently only on basal insulin. The problem with basal insulin is that it pootles along at the same level day or night, and at night you're not eating, so you can easily get nighttime hypos if your basal dose is too high.

As for the high readings, like the 13.7 you mention: In the period that I was only on basal, my DSNs (diabetes specialist nurses-- when I was first diagnosed, I didn't know what 'DSN' meant!) told me not to worry about the highs-- but of course I did anyway! Again, though-- talk to your nurse about what sort of highs you should be worried about, and when you need to test your ketone levels (and how to do that). And talk to him/her about what's a safe glucose level for bedtime.

It is all tremendously scary at first! But it does get better. Let us know what your nurse says, and how you get on. With any luck, you will get in to see a consultant soon-- and will get a Libre 2, or similar, soon. Having a continuous glucose monitor makes a huge difference, I think above all psychologically; I was terrified of nocturnal hypos, and it is a great comfort to have a device that will set off an alarm if necessary.
 
It takes time to get your insulin doses right, so don’t panic! If you went low after eating then that suggests that the dose of insulin you took was too much for the food you ate. Eventually they will teach you to carb count, which means that you work out how much carbohydrate is in your meal and then give yourself however much insulin works for that amount of carb. But as you are so early in your diabetes journey they probably don’t want to confuse you, they will get you reasonably stable first and used to injecting before they start making it more complicated!
The 13.7 at night is because of the weetabix, I get that you were worried about going low in the night, a more suitable snack might have been a biscuit or some crackers and cheese. It’s all a learning curve though and what works and what doesn’t takes a lot of trial and error so I’d say you’re doing pretty well. You coped with the low, did something in the evening to prevent another one and while 13.7 is a bit high it’s not terrible to be honest so well done you! It does get easier 🙂
 
Hello! I was diagnosed in August, so I'm only a little ahead of you. It's still a bit of a rollercoaster, and I still want to get off too! But it really does get better.

I had the good fortune to get to the diabetic unit at my local hospital straightaway. Even so, they started me on basal insulin only (one injection a day), and it was a couple of weeks before they started me on bolus insulin as well (at mealtimes).

For the basal insulin, they started me on 10 units-- and that rapidly proved too much; I kept getting hypos. The diabetic nurses at the hospital rang me up every day, though, to check my readings and see how I was feeling; so they knew what was going on and kept reducing my basal, bit by bit, until they got it right.

That "funny dizzy ... very swimmy headed" feeling sounds exactly like a hypo. Whenever you feel like that, you should check your blood-glucose level. It is definitely "not a nice feeling"! But it's actually very important; it means you can feel when you are starting to go hypo, so you can do something about it. Some people have 'impaired awareness of hypoglycaemia', meaning they don't get that feeling-- which can be very dangerous; unless they have a device, like a Libre 2, which sets off an alarm when their glucose levels go too low, they don't know they're becoming hypoglycaemic, so they can't intervene and can end up in trouble.

Remember that Type 1 diabetes does not cause hypos. What causes hypos is injecting too much insulin as compared to how much carbohydrate you're eating.

Tell your diabetic nurse about your hypos, and she will probably tell you to reduce your insulin dose, especially if you're currently only on basal insulin. The problem with basal insulin is that it pootles along at the same level day or night, and at night you're not eating, so you can easily get nighttime hypos if your basal dose is too high.

As for the high readings, like the 13.7 you mention: In the period that I was only on basal, my DSNs (diabetes specialist nurses-- when I was first diagnosed, I didn't know what 'DSN' meant!) told me not to worry about the highs-- but of course I did anyway! Again, though-- talk to your nurse about what sort of highs you should be worried about, and when you need to test your ketone levels (and how to do that). And talk to him/her about what's a safe glucose level for bedtime.

It is all tremendously scary at first! But it does get better. Let us know what your nurse says, and how you get on. With any luck, you will get in to see a consultant soon-- and will get a Libre 2, or similar, soon. Having a continuous glucose monitor makes a huge difference, I think above all psychologically; I was terrified of nocturnal hypos, and it is a great comfort to have a device that will set off an alarm if necessary.
Thanks for replying I’m currently on 6 units of lantus slow release and 6 units novo rapid before breakfast dinner and eve meal when I had my dizzy episode when I awoke for toilet I was 18.6 before bed and 2 hrs when I woke for loo I tested and I was 16.1 so still high I just hope I get my hospital appointment soon so I can have a bit more support even though my practice nurse did kindly give me her mobile number if I was stuck I’m glad I have found this site as a little bit extra support and to know I’m not facing this alone many thanks
 
Thanks for replying I’m currently on 6 units of lantus slow release and 6 units novo rapid before breakfast dinner and eve meal when I had my dizzy episode when I awoke for toilet I was 18.6 before bed and 2 hrs when I woke for loo I tested and I was 16.1 so still high I just hope I get my hospital appointment soon so I can have a bit more support even though my practice nurse did kindly give me her mobile number if I was stuck I’m glad I have found this site as a little bit extra support and to know I’m not facing this alone many thanks
 
I wonder if it may have been the wine that was the additional factor in going low after that meal.

Have you been given a target number of carbohydrate grams to have in each meal if you are currently on set insulin doses? If so you could maybe discuss with your nurse whether to try having a few extra if you're having alcohol with a meal?
 
It takes time to get your insulin doses right, so don’t panic! If you went low after eating then that suggests that the dose of insulin you took was too much for the food you ate. Eventually they will teach you to carb count, which means that you work out how much carbohydrate is in your meal and then give yourself however much insulin works for that amount of carb. But as you are so early in your diabetes journey they probably don’t want to confuse you, they will get you reasonably stable first and used to injecting before they start making it more complicated!
The 13.7 at night is because of the weetabix, I get that you were worried about going low in the night, a more suitable snack might have been a biscuit or some crackers and cheese. It’s all a learning curve though and what works and what doesn’t takes a lot of trial and error so I’d say you’re doing pretty well. You coped with the low, did something in the evening to prevent another one and while 13.7 is a bit high it’s not terrible to be honest so well done you! It does get easier 🙂
I wonder if it may have been the wine that was the additional factor in going low after that meal.

Have you been given a target number of carbohydrate grams to have in each meal if you are currently on set insulin doses? If so you could maybe discuss with your nurse whether to try having a few extra if you're having alcohol with a meal?
Hi thanks for reply no I’ve only been put on insulin and increased to 6 units 3xper day before meals as I am waiting for hospital referral which I get next week and my diabetic practice nurse is managing my care until hospital take over so not counting carbs yet
 
Hi thanks for reply no I’ve only been put on insulin and increased to 6 units 3xper day before meals as I am waiting for hospital referral which I get next week and my diabetic practice nurse is managing my care until hospital take over so not counting carbs yet

Hope you can get some specialist support soon @Clarelryxx :(

Have you been given an idea of how much of a backlog the hospital clinic are working through and how long you might wait?

Would it help to start on a course like the free online BERTIE course in the meantime?

 
Hope you can get some specialist support soon @Clarelryxx :(

Have you been given an idea of how much of a backlog the hospital clinic are working through and how long you might wait?

Would it help to start on a course like the free online BERTIE course in the meantime?

I will certainly look at Bertie and I’ve now got my hospital telephone appointment on Tuesday so hopefully I will get sorted I do have to say my diabetic nurse at my doctors has been brilliant in keeping me safe until hospital take over my care she even gave me her personal number to call or text her at any time if I needed advice or support so I’ve been lucky to have that when I’ve had a few funny feelings coming from such high sugars to levels of between 10s and 14 ish which is still high but better than 27 and ketone as I’m not counting carbs yet and on a set dose of insulin per injection so roll on Tuesday
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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