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Diabetes uk hypo advice

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
ruthelliot said:
.......rebounds were inevitable thanks to the liver ......
Click to expand...


Hiya

Me again, sorry.

I just wanted to pick up on that. DUK sent a message out, which we are disputing extremely strongly, in their Balance magazine, that 'most' hypos will sort themselves out at night so not really necessary to check.

'Most'. Well what the hell happens to the other people !!!! This is the problem.

Many people's livers do NOT behave like that when hypo. Fact. Many people's bodies have lost that mechanism. I'm not the best person to explain this, but I can find a lady who can if anyone wants me to.

This rebound stuff entails the pancreas 'talking' to the liver and telling it to kick out to raise levels.

Jessica is different, she has no pancreas so it can't talk to anything so the liver kicks out nothing at all unless glucagon given. I have no idea what happens with sports though and whether it is a different process.

Many parents, because they test at night, know that this process does not go through. Studies should that the majority of children do NOT wake up when hypo at night hence the reason many parents test at night, just too damned risky to chance it quite frankly. Anyway that is a another thread another day.........

So no-one can rely on the liver kicking out to raise levels, unless you are absolutely 100% sure that happens in your body.

Plus if this allegedly works at night, then they the hell do we treat hypos during the day !

I can get a link to ISAP (International guidelines that should be followed) if you like which says about night time hypos and what all teams should be telling their patients (which I know doesn't happen and just does my head in as it is dangerous not to).

Ok ranting over, back in the corner. 🙂
 
LOL at whoever said 'if you know how your hypos/liver will behave'

Nobody knows! - we do get to know that usually this or that happens - but there's absolutely no telling whether it will go like that today. For things that you do often eg going to the gym or whatever, you observe and note and react accordingly next time. But no guarantees!
 
Very interesting ... I've just re-read G's care plan and it says "Give 50ml - 100ml of Lucozade or 3 glucose tablets. If G's response is slow (more than 10 mins) repeat. Once G is back to normal give her a form of carbohydrate to eat ..."

I was sure I'd been told once she was feeling better - and as her only symptoms so far are being tongue tied and shakey that's pretty much instant ...

It's been working OK with the daytime hypos, but the ones at night (thankfully before she's in bed) it's been hard to get her levels up - maybe this is why!

Thanks for this ... will try not to panic and give her carbs within 10 mins of the fizzy stuff or glucose tablets next time and see if it makes a difference.
 
justlikethehotels said:
Very interesting ... I've just re-read G's care plan and it says "Give 50ml - 100ml of Lucozade or 3 glucose tablets. If G's response is slow (more than 10 mins) repeat. Once G is back to normal give her a form of carbohydrate to eat ..."

I was sure I'd been told once she was feeling better - and as her only symptoms so far are being tongue tied and shakey that's pretty much instant ...

It's been working OK with the daytime hypos, but the ones at night (thankfully before she's in bed) it's been hard to get her levels up - maybe this is why!

Thanks for this ... will try not to panic and give her carbs within 10 mins of the fizzy stuff or glucose tablets next time and see if it makes a difference.
Click to expand...

Hahaha yes no panicky and giving fizzy stuff too soon🙂

100ml of lucozade is approx 15 carbs (actually I think it is 17 off the top of my head). I find that for a 3.7 and above less that 100 mls is ok but you just learn this stuff as you go along.

What I posted is a starting point (although really non negotiable rules 🙂) but as you get to know what it takes then great.

Also just a quick tip when you give glucotabs have a glass of water as well, will help them to absorb so much quicker. We can't use glucotabs for hypos they just don't work and do nothing, amazing but there you go.

Also I wouldn't, whilst caring for a child (especially a young one under 10), go solely on how they feel and what they are doing etc. Some kids have no symptoms at all and some do at day time and never at night and some it might come as they get older but some never.

Always test (am sure you do) rather than go on symptoms. 🙂
 
17.2g for 100ml Adrienne (and I didn't even need to look, how sad is that ....)
 
trophywench said:
17.2g for 100ml Adrienne (and I didn't even need to look, how sad is that ....)
Click to expand...

Hahaha I think I qualify to join you in that sad group. I thought it was 17 odd but just pulled that out of my head from somewhere. 🙂
 
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