Hypos - treatment if still low after 15 minutes

[mum2westiesGill]

When you've had your hypo treatment and you're still hypo after 15 minutes then also after the next 15 minutes, would you take the same amount of hypo treatment each time?

Don't know if i did right this am. I had a less amount of jbs after each 15 minutes that i was low as i was thinking i may end up over treating.
0853 / 2.3 = jelly babies 4 x
0909 / 2.5 = jelly babies 2 x
0925 / 3.6 = jelly baby 1 x
0940 / 9.1 = at this stage me thinks no more jbs 😡

 

[Amanda102]

Don't know if this helps, but my daughter was told to treat hypos with 4 dextrose tablets (or jelly babies etc) and then 15g of starchy carbohydrate to keep her 'up'. She usually has half a cereal bar. It seems to work! I don't know if this is a recommendation solely for children because my 52 year old sister who has been diabetic since she was 14 had never heard of this practice!!

 

[Kwaka1]

Liquids absorb quicker, try Lucozade or full sugar Coke followed by a sandwich or other starchy carb.

 

[Northerner]

Gill, I would have done what you did. Looks like quite a stubborn hypo 😱 I take my normal 15g/3 JBs for the first one, then top up with what I feel is an appropriate amount depending on what level I have got to and also taking into consideration what insulin I may have on board e,g if I had a hypo like that two hours after injecting I would try and get levels up to around 4 and then have a cereal bar or something similar because I would know that I would have insulin working for another 3 hours.

I have had on rare occasions hypos that refuse to rise and despite giving normal treatment it feels as though I am still falling. In those circumsatnces I wouldn't have 15g and wait, I'd have whatever I felt I needed until I started feeling better. As Kwaka say though, liquid is generally better and faster for those types of hypos 🙂

 

[Pumper_Sue]

When you've had your hypo treatment and you're still hypo after 15 minutes then also after the next 15 minutes, would you take the same amount of hypo treatment each time?

Don't know if i did right this am. I had a less amount of jbs after each 15 minutes that i was low as i was thinking i may end up over treating.
0853 / 2.3 = jelly babies 4 x
0909 / 2.5 = jelly babies 2 x
0925 / 3.6 = jelly baby 1 x
0940 / 9.1 = at this stage me thinks no more jbs 😡

I would have treated at 1st hypo and again the 2nd hypo but just watched the bs for the rest as clearly rising.

Don't know if this helps, but my daughter was told to treat hypos with 4 dextrose tablets (or jelly babies etc) and then 15g of starchy carbohydrate to keep her 'up'. She usually has half a cereal bar. It seems to work! I don't know if this is a recommendation solely for children because my 52 year old sister who has been diabetic since she was 14 had never heard of this practice!!

Hi Amanda,
even as a small child with diabetes I was never given follow up starchy carbs, in fact I have never treated my hypos like that.

Now your daughter is on a pump she should only be using quick acting carbs to treat a hypo. If needs more than 15 carbs to treat a hypo then if it were me I would be checking basal settings if, there was no extra activity involved to cause the hypo in the first place. 🙂

 

[Tina63]

Don't know if this helps, but my daughter was told to treat hypos with 4 dextrose tablets (or jelly babies etc) and then 15g of starchy carbohydrate to keep her 'up'. She usually has half a cereal bar. It seems to work! I don't know if this is a recommendation solely for children because my 52 year old sister who has been diabetic since she was 14 had never heard of this practice!!

We were told only just over a year ago to treat pretty much as above, 15g fast acting carbs (advised mini can of Coke) wait 10-15 mins then follow up with 15g slower carbs, slice toast/cereal bar - Harvest Chewee or Tracker bars given as the perfect follow up.

We got this wrong for a start though and my son had the Coke and cereal bar in one hit, oops! Slowed the absorbtion down. It was only on here I read many others are told not to bother with the cereal bar/toast bit at all. Interesting how advice differs from area to area.

To me though, the logic would say do follow up with the cereal bar unless a meal was due, as surely the fast acting would start working quickly, but also leave the body quickly. The slower acting stuff would linger around longer and maintain the levels.

 

[Pumper_Sue]

Hi Tina,
if you think things through logicaly, 15 rapid carbs then another 15 or so slower carbs equates to 3 units of insulin if you are on 1:10 carb ratio, so that's one heck of a lot of insulin that has been misdosed for in the first place for a bolus or far to much basal swiming around.

Even as a 15 year old kid I only had 60 carbs for lunch so that means if I treated like that then it would equal half my lunch ration.😱 Over treating also leads to weight gain plus high sugars

Ps I know what I mean not to sure it's written in a logical way 😱

 

[HOBIE]

There is no perfect answer to this one. Every hypo is different & depends on what you are doing (done), I like eating cereal bars after. 🙂

 

[everydayupsanddowns]

I was told not to follow up on a pump too (I had stopped following up years before because too many times the follow up had pushed me into double figures 45 minutes after the hypo). I will sometimes follow up if the hypos as activity generated though 🙂

 

[Pumper_Sue]

I was told not to follow up on a pump too (I had stopped following up years before because too many times the follow up had pushed me into double figures 45 minutes after the hypo). I will sometimes follow up if the hypos as activity generated though 🙂

Exactly

 

[Amanda102]

I would have treated at 1st hypo and again the 2nd hypo but just watched the bs for the rest as clearly rising.



Hi Amanda,
even as a small child with diabetes I was never given follow up starchy carbs, in fact I have never treated my hypos like that.

Now your daughter is on a pump she should only be using quick acting carbs to treat a hypo. If needs more than 15 carbs to treat a hypo then if it were me I would be checking basal settings if, there was no extra activity involved to cause the hypo in the first place. 🙂

Interesting! I'm going to keep an eye on that and speak to the nurse next time also! Thanks Sue!