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Doris29

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Relationship to Diabetes
Type 2
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Hi just wanted to ask if anyone's had the same experience and what ways do you use to combat it your own way so im on Toujeo and Ozempic as well as metformin this time 6 months ago I was in hospital for too high bloods now after starting the ozempic in the mix too i have started having hypos i seem to do what they advised sugar then starch wait retest just interested to see if anyone's had this or if they have their own ways of dealing with hypos really
 
Hi and welcome.

Are you gradually reducing your insulin dose? If not, then that would be something to discuss with your nurse. The combination of the warmer weather and the Ozempic and perhaps some weight loss? will often result in lower insulin needs. Preventing hypos is better than just continuing to treat them when they happen so adjusting insulin dose will be important if this is more than just a one off.

As regards hypo treatment, what are you using and have you been told about the "rule of 15". This is where, once you confirm you are hypo, you have 15g of fast acting carbs like 4-5 Glucose/Dextrose tablets or 3 jelly babies or a small can of full sugar coke or a small carton of orange juice or whatever, wait 15 mins and then retest with a finger prick and if levels are above 4, then have a small slower acting snack like a digestive biscuit or a slice of bread/toast. If levels have not come up above 4 when you retest, then you have another 15g of the fast acting carbs and wait another 15 mins and test again.... rinse and repeat until you are above 4 and then have the slower carb snack.

I don't think I have ever needed more than 1 fast acting hypo treatment and usually I only need 1 or 2 jelly babies and no slower carbs but that is just what I have learned over time and if I have more I will end up too high, but that "rule of 15" is a really good protocol for treating hypos effectively.

You do sometimes find that you want to eat anything and everything in sight when you are hypo, so you really need to develop a disciplined approach and I have my jelly babies divided up into hypo portions so that I don't just grab a handful or have 1 or 2 and then can't remember how many I have had because my brain is a bit addled. Ultimately though you want to be adjusting your diabetes management to try to prevent you having any more hypos.
 
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