Hi there! I got diagnosed with type1 a few months ago I use Levemir for my long insulin and Trurapi for my short/meals insulin. I keep having this situation where I will take my Trurapi, have my food then if I do any sort of physical exertion whether it be walking, standing in the shower, even sat in a chair playing guitar a bit more vigorously I will go into hypo. This happens 9/10 times and I’ve changed my units on both and it dosent effect it much. Any advice on what is going on would be appreciated ❤️
-
Please Remember: Members are only permitted to share their own experiences. Members are not qualified to give medical advice. Additionally, everyone manages their health differently. Please be respectful of other people's opinions about their own diabetes management.
-
Learn more about joining the Diabetes UK Support Forum team here: https://forum.diabetes.org.uk/boards/threads/volunteering-opportunities-why-dont-you-join-us.112862/
Hypo 1-2 hours after taking mealtime insulin
- Thread starter Cpb
- Start date
- Status
Pumper_Sue
Well-Known Member
- Relationship to Diabetes
- Type 1
If you are going hypo within 2 hours of injecting a bolus for a meal then you need to lower your dose (carb ratio).
Make sure you don't go changing both basal and bolus other wise you will become confused and wont know what is working or not as the case may be. 🙂
As you have recently been diagnosed I would suspect you are in the honeymoon period, which means your pancreas is doing a highland fling and just chucking out insulin when ever it feels like it. So always make sure you have plenty of glucose handy and don't be surprised if your insulin needs drop down massively before they rise again after your pancreas decides to give up the ghost.
Make sure you don't go changing both basal and bolus other wise you will become confused and wont know what is working or not as the case may be. 🙂
As you have recently been diagnosed I would suspect you are in the honeymoon period, which means your pancreas is doing a highland fling and just chucking out insulin when ever it feels like it. So always make sure you have plenty of glucose handy and don't be surprised if your insulin needs drop down massively before they rise again after your pancreas decides to give up the ghost.
Tdm
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
I had this! It may be ratios, but i found even a 10 min walk within 3 hours of my novorapid caused my levels to plummet even with correct ratios. It rather limited me! Its not so bad now. The thing is, no one else seemed to have that. I think its a honeymoon thing. My advise is not to do excercise in that time and it will get better in a year or so. You may find as it eases off nibbling a glucose tablet at appropriate times will help. Also, if you have a libre they tend to over react so that would not help either.
I actually found the effect quite useful as a way of controlling bs as a quick walk would reduce levels quicker than taking more insulin
I actually found the effect quite useful as a way of controlling bs as a quick walk would reduce levels quicker than taking more insulin
Tdm
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
When it happened to me i asked around and it seemed it was just me...i mean, the general msg was that excercise does bring down bs, but not by that much.
I would focus on getting your ratios and your basal right for 'knocking around' and try to avoid excercise during those 2 hours. For me the effect became less over time, and i also worked out how to manage it. I still find a walk after eating useful to stop bs going up too much
I would focus on getting your ratios and your basal right for 'knocking around' and try to avoid excercise during those 2 hours. For me the effect became less over time, and i also worked out how to manage it. I still find a walk after eating useful to stop bs going up too much
GLB
Member
- Relationship to Diabetes
- Type 1
If you haven't done the DAFNE course ask to might be a bit of a wait. I have had type ! for 46 years and it has taught me so much that the normal hospital appointments omit. With many meals I now split the bolus dose by several hours depending on the fat and protein content also the carbs stated on packets are total and sometimes have little relevance to diabetic countable carbs.
SB2015
Well-Known Member
- Relationship to Diabetes
- Type 1
Welcome to the forum and thanks for the info about your insulins. I had not heard of Trurapi but now know that it is bio similar to Novorapid.
As you are newly diagnosed with T1, you may well have some beta cells still working so that makes getting your doses right more difficult, but if you are regularly having a hypo 2 hours after your meals then you are having too much quick acting insulin with your meal, or not eating the amount of carbs to match your insulin dose. Are you on fixed doses at present? Have you been told How to adjust your doses? You mention that you have changed the doses but do not mention how. The quick acting insulin that you are using (Trurapi) keeps working once injected for about three hours.
The basis of a T1 management is knowing the amount of carbs you are eating at each meal, and then matching your dose to that. Your team will work with you on this, and also help with how to make adjustments to this. There are usually courses that they will direct you to (DAFNE or Bertie or other) which help with this, as well as how to deal with illness when our levels go a bit bonkers.
there is a wealth of experience to tap into on here, so ask any questions that arise.
As you are newly diagnosed with T1, you may well have some beta cells still working so that makes getting your doses right more difficult, but if you are regularly having a hypo 2 hours after your meals then you are having too much quick acting insulin with your meal, or not eating the amount of carbs to match your insulin dose. Are you on fixed doses at present? Have you been told How to adjust your doses? You mention that you have changed the doses but do not mention how. The quick acting insulin that you are using (Trurapi) keeps working once injected for about three hours.
The basis of a T1 management is knowing the amount of carbs you are eating at each meal, and then matching your dose to that. Your team will work with you on this, and also help with how to make adjustments to this. There are usually courses that they will direct you to (DAFNE or Bertie or other) which help with this, as well as how to deal with illness when our levels go a bit bonkers.
there is a wealth of experience to tap into on here, so ask any questions that arise.
Tdm
Well-Known Member
- Relationship to Diabetes
- Type 1
- Pronouns
- She/Her
What i would say to original poster (op) is do the general stuff, work on prebolusing, ratios etc. But you may find, if you are like me, it is not something that can be solved except by time. My diabetes is well controlled (99% in range, a1c 39) - my ratios are on point, my prebolusing fine...but still get it the same as op, though it has got better over time. In the mean time, if the excellent advice re ratios etc doesn't work, you may have to work around it. I had to skip dinner and thereby insulin some days so i could have time without bolus insulin on board to get active stuff done. (Don't skip meals unless you can do it safely!) I also found, at first, i could cope with a v low carb meal without insulin, prob as still producing some of my own insulin...can't do that now.
On a personal note, i also got quite frustrated with it, as it was really rather disabling as i couldn't really go further than my immediate neighbourhood for most of the day, and it did not seem to be something anyone else had experienced. I got some unhelpful, illogical, and more importantly, useless advice from my dsn about it (the same team that started me on 5 times the basal i needed, and told me abasaglar lasted 3 days - fun times), i changed clinics as a result. My new clinic suggested it would go away with time, and they were right.
Sorry to go on, but it was an aspect of my diabetes that really affected, and upset me the for the first year after diagnosis, and it wasn't nice to feel that i was on my own.
Anyway, op may not have he same as me, but if they do, that was my experience
On a personal note, i also got quite frustrated with it, as it was really rather disabling as i couldn't really go further than my immediate neighbourhood for most of the day, and it did not seem to be something anyone else had experienced. I got some unhelpful, illogical, and more importantly, useless advice from my dsn about it (the same team that started me on 5 times the basal i needed, and told me abasaglar lasted 3 days - fun times), i changed clinics as a result. My new clinic suggested it would go away with time, and they were right.
Sorry to go on, but it was an aspect of my diabetes that really affected, and upset me the for the first year after diagnosis, and it wasn't nice to feel that i was on my own.
Anyway, op may not have he same as me, but if they do, that was my experience
SB2015
Well-Known Member
- Relationship to Diabetes
- Type 1
Hi @Cpb another thought from me.
When first diagnosed I was amazed to find that just walking into town would send me hypo. When they mentioned ‘exercise’ to me I had interpreted that as sport rather than normal things like walking or gardening. Once I got my head round that I found it worked for me to reduce my bolus with a meal if I was going to exercise afterwards. For me that was the safest time to exercise as I knew I had some glucose on board, and if I was wanting To exercise straight after my meal I would make sure I included something like some fruit juice so that there was some quick release glucose for me straight away.
It is all a juggling act that we do each day, and it does get easier. As @Tdm said we each find workarounds that match what our body needs. Your pancreas will be getting a bit of rest now that you are injecting insulin so sometimes the beta cells just join in without warning so in the early days there will be a bit more unpredictability.
I hope that you find a workaround that suits you. Let us know how you get on.
When first diagnosed I was amazed to find that just walking into town would send me hypo. When they mentioned ‘exercise’ to me I had interpreted that as sport rather than normal things like walking or gardening. Once I got my head round that I found it worked for me to reduce my bolus with a meal if I was going to exercise afterwards. For me that was the safest time to exercise as I knew I had some glucose on board, and if I was wanting To exercise straight after my meal I would make sure I included something like some fruit juice so that there was some quick release glucose for me straight away.
It is all a juggling act that we do each day, and it does get easier. As @Tdm said we each find workarounds that match what our body needs. Your pancreas will be getting a bit of rest now that you are injecting insulin so sometimes the beta cells just join in without warning so in the early days there will be a bit more unpredictability.
I hope that you find a workaround that suits you. Let us know how you get on.
- Status