CONSTANT HYPOS

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Whitney

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Relationship to Diabetes
Type 1
Hello everyone! I just posted this but I thought nobody would click on it because it said "citalopram" and I would really like some advice. I have had type 1 diabetes for just over 2 years now and have recently started taking "20mg citalopram" I'm not sure if the two are connected however, recently I CANT stop hypoing. It's becoming such a problem last week my bloods began at 3.6 and I drank my normal of orange juice to cure it and ten mins later I dropped to 2.5 then drank even more and continued to drop all the way to 1.0 (by this point I had drank an entire litre of orange juice) No matter how much insulin I take with a meal it results in a hypo. I have halved my Lantus and because of this ive started taking in the morning in the hope that it will help. For instance: last night I went to sleep with bloods of 11.8 (I've started trying to go to sleep with higher bloods as I'm scared they'll come down in my sleep) and I woke up like an hour later at 3.9 just going into a hypo. Then tonight I ate a BIG meal: cheesy pasta, loads of chips, a full tin of beans and had some granola and yogurt for desert (please don't judge my food habits) and only injected 6 units which is half of what I usually would. Soon after I was at 3.1 (R.I.P) and this happens EVERYDAY sometimes as I've said my bloods go down to as low as 1 and one time even read "LO". If anyone has any advice or if it could be because of the citalopram let me know as I'm FREAKIN bahahah.
 
Hello @Whitney King welcome to the forum. That sounds horrible. I’ve searched online for the patient info leaflet on Citalopram and as you can see it does state at the top of the warnings and precautions section if your diabetic speak to your doc as your dose may need adjusting

https://www.medicines.org.uk/emc/product/5734.

I am no medic . I’m just saying what I would do and it might not be the right thing.
Having T1 you need insulin to live, I know Depression is awful but as you probably know putting it mildly hypo’s are a medical emergency , So till I got urgent medical advice today about reducing your insulin doses I would temporarily stop taking the Citalopram.

I hope this helps and it’s not the wrong advise.
 
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Then tonight I ate a BIG meal: cheesy pasta, loads of chips, a full tin of beans and had some granola and yogurt for desert (please don't judge my food habits) and only injected 6 units which is half of what I usually would. Soon after I was at 3.1 (R.I.P) and this happens EVERYDAY
If you are eating this type of carb then some of your problem would be the delayed action of the food hitting your system. I.E. your insulin has beaten the food in the race to see who reacts first.

Do you have any other symptoms as in feeling unwell/fatigue/BP problems?
 
I don’t think it is just the Citalopram. If it were, you may just have discovered the worlds best diabetes drug. For sure, stop taking it as Lin suggests, but only if you have been taking Citalopram for two or three weeks. Any longer than that, you will have to reduce slowly.

And see your GP.
 
Hi everyone, thanks for your responses. I have hugely cut down on the amount of insulin I am taking. Today I took only 2 units for a slice of toast with jam and a big bowl of cereal and again finding myself hypoing. I have been taking citalopram for about 6 weeks now. My GP told me that my citalopram shouldn't be having anything to do with it however as you can see I'm recucing it quite drastically. Im going to ring up my diabetes clinic tomorrow and ask for their advice and hopefully an appointment.
 
Hope you manage to speak to them today and get this sorted. x
 
From my experience it could well be the anti-depressant. As has already been said the packets do warn about diabetes and blood sugars. I started Sertaline on Friday and my BG levels have been crashing - I'd get them up and then they'd fall again. Fortunately I can scan every few minutes to stop major problems. But last night I went to bed with a 40% TBR and knocked a unit off of my bolus. Woke at 2.45am to check on finger pricker and it was still dropped to 4.5 and was falling so I had to another small can of Coke. Prior to this my BG levels had been beautifully controlled but the lack of control now has scared me so I've decided to stop the Sertaline - but that is just my personal decision.
 
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