Hypos before tea

[Matthew James Hardy]

Hi everybody week after being diagnosed have experienced 2 hypos around an hour or so before tea time could it be am not having enough at lunchtime other than that feeling fine

 

[HOBIE]

What insulin you on Matthew, could be the time on long term insulin 🙂

 

[Matthew James Hardy]

Nova rapid 8 units before breakfast 6 before lunchtime 8 again before tea time and abasaglar 25 units before bed time

 

[everydayupsanddowns]

Glad to hear that thigs are generally doing OK for you at the moment.

We can're really offer any medical advice, but as @HOBIE says, it might be useful for people to share their own experiences if they knew a bit more about the advice you've had already.

eg What insulins are you taking?
Are you taking fixed doses of insulin at different mealtimes?
Have you been advised to eat a certain amount of carbs at those meals?

EDIT: You beat me to it!

 

[everydayupsanddowns]

Nova rapid 8 units before breakfast 6 before lunchtime 8 again before tea time and abasaglar 25 units before bed time

What would you generally eat at lunchtime?

 

[Matthew James Hardy]

What would you generally eat at lunchtime?

Today for my breakfast I had 2 poached eggs with a round of toast lunchtime I had cheese and tomatoe sandwich with a packet of quavers and for tea having salmon with potatoes and vegetables

 

[everydayupsanddowns]

Today for my breakfast I had 2 poached eggs with a round of toast lunchtime I had cheese and tomatoe sandwich with a packet of quavers and for tea having salmon with potatoes and vegetables

In your shoes I might be tempted to add a piece of fruit (perhaps an apple) to your lunch. That would add 15-20g of relatively BG friendly carbs to spread over the afternoon and into eve meal time.

Of course it would all depend on your actual insulin sensitivity, but if one assumes you might be around 1u = 10g carbs then your lunch dose would suggest a meal around 60g of carbs.

A sandwich is usually 35-40g carbs-ish (depending on bread used)
A pack of crisps is usually 12-15g carbs-ish

So your current lunch is either 47g or 55g. And if you are a little more sensitive to insulin (as you may well be close to diagnosis) say 1:12 or 1:15 then you may well 'need' a few extra carbs.

The other option would be to reduce your lunchtime dose by 1u and see if that removes the hypos. And if not... reduce by another 1u. Though you may want to discuss with your Dr/clinic before making changes to your doses.

Unfortunately most of the time in this game it's a case of 'small adjustments' and 'wait and see' as everyone is so different.

 

[Matthew James Hardy]

In your shoes I might be tempted to add a piece of fruit (perhaps an apple) to your lunch. That would add 15-20g of relatively BG friendly carbs to spread over the afternoon and into eve meal time.

Of course it would all depend on your actual insulin sensitivity, but if one assumes you might be around 1u = 10g carbs then your lunch dose would suggest a meal around 60g of carbs.

A sandwich is usually 35-40g carbs-ish (depending on bread used)
A pack of crisps is usually 12-15g carbs-ish

So your current lunch is either 47g or 55g. And if you are a little more sensitive to insulin (as you may well be close to diagnosis) say 1:12 or 1:15 then you may well 'need' a few extra carbs.

The other option would be to reduce your lunchtime dose by 1u and see if that removes the hypos. And if not... reduce by another 1u. Though you may want to discuss with your Dr/clinic before making changes to your doses.

Unfortunately most of the time in this game it's a case of 'small adjustments' and 'wait and see' as everyone is so different.

Will try some fruit with my lunch tomorrow thank you

 

[khskel]

Hi there Matthew.

I always get a dip in my levels between 16:30 and 17:30 so I tend to have a small snack, usually a protein bar or a belvita biscuit or sometimes both. This keeps me legal for driving home and out of the red until teatime. I've tried skipping lunch, varying my insulin timings but it doesn't make much difference. I think it's just my natural rhythm.

 

[Radders]

Hi there Matthew.

I always get a dip in my levels between 16:30 and 17:30 so I tend to have a small snack, usually a protein bar or a belvita biscuit or sometimes both. This keeps me legal for driving home and out of the red until teatime. I've tried skipping lunch, varying my insulin timings but it doesn't make much difference. I think it's just my natural rhythm.

Same here, although slightly earlier. As a child I used to be the same long before developing diabetes. It led to rather unhealthy biscuit tin raids on getting home from school.