One of those wierd days

[pav]

It started off last night after tea with a 12.4 at 9.00 pm, followed by a mild hypo of 3.8 at 11:30 pm 😱. Tea was bacon and eggs (no added oil or fat) sarnies 3 wholemeal slice of bread, one more then usual as for some reason bacon & eggs does send me a bit lower than normal.

This morning woke to a 5.2 followed by a 10.7 at 11:20 am Did have a few raisins to boost it a bit for shopping trip (did not expect it to go that high). Shopping done in around 1 1/2 hours and 8.1 at 12:45 stayed reasonable no need for anything to get home.

Felt hot and sweaty at 2:20 pm, tested again what the hell down to 3.2 was having lunch at the time, a turkey granary baguette, then 1/2 hour later its 8.9 now 1 3/4 later after eating its 10.4. 😱, the wild swings have started again.

 

[Pumper_Sue]

Pav, do you think there's any possibility that your tummy is slow to empty after food, thus the wild swings in your blood sugars?

 

[pav]

I do have a mild form of IBS, and take peppermint capsules to ease things.

 

[pav]

Now before tea at 6:50 pm its 11.6 😱 😡 😡

 

[pav]

Getting even more weird, 2 hours after tea BS is 9.7 at 9:12 pm, which should see me well and truly through the night. Now at 11:30 pm I am hypo with a 3.7 😱 😱 😡 😡

Really swinging wildly today, no change to eating habits for a Sunday apart from no treats required for the shopping trip. Getting a bit naffed off with this, dare say if I ring doctor for help they will reduce meds again which would cause greater peaks as it has done since the last reduction, instead of helping in trying to sort out the problems.

 

[trophywench]

Do indeed go to the doctors and tell them what's happening. And before they answer, say you are sick of it and now you'd like to see a proper diabetologist at the D clinic at the hospital, please!

I mean, what seems to be happening is reactive hypos - you eat, your BG shoots up, your body later reacts to that by shooting in far too much insulin, you go low.

Then your body reacts to the low by Mr Liver releasing glycogen and up your BG goes again.

See Saw, See Saw.

IN T2 the first phase insulin response is often lacking or absent. So the pancreas doesn't kick in until much later than in a normal human bean, and by the time it gets round to releasing the second phase insulin, it's already on catch-up.

How about just trying eating far less carb? and preventing your BG going up 'too high for you' in the first place?

 

[pav]

Tried to get an appointment with the decent doc, and they are on their hols this week, will have to wait until they are back.

I have eaten low carb meals with the foods I like and my BS does go lower and would possibly need another snack of some kind depending on meal times, I am not a vegie liker and limits somewhat I can eat.

Most of my carbs comes from eating wholemeal bread, and a quick count up I eat 100 to 150 carbs a day, some days it is a little more, or less than 150 (+ any treats for odd hypos). Tried several versions of Bergan breads and don't like them that much.

Strange thing if I have bacon and eggs with wholemeal bread that's when a noticeable drop takes place. If I have wholemeal bread and processed meat or carved turkey off the meat counter BS goes higher and stay higher longer.

 

[trophywench]

I'm sorry, I'm missing summat here. If you eat no carbs, what does your BG do? - it should stay the same. You shouldn't go low unless you are both T2 and Hypoglycaemic, which seems a bit unlikely?

I mean, nutritionally, nobody actually needs to eat any carbs at all really. So it's purely personal choice and what your meter tells you your body can handle.

Unless you are taking drugs - either a tablet like Gliclazide or insulin etc.

But you don't say what you are taking.

 

[Northerner]

I'm sorry, I'm missing summat here. If you eat no carbs, what does your BG do? - it should stay the same. You shouldn't go low unless you are both T2 and Hypoglycaemic, which seems a bit unlikely?

I mean, nutritionally, nobody actually needs to eat any carbs at all really. So it's purely personal choice and what your meter tells you your body can handle.

Unless you are taking drugs - either a tablet like Gliclazide or insulin etc.

But you don't say what you are taking.

Pav is on gliclizide, TW, hence the hypos

 

[pav]

Thanks Alan, been away from the PC for a short while, on 120 mg of glilazide and 1000mg of metformin. 🙂

To check things out, today after lunch at 4:20 pm I was 8.7, forgot to test before tea, would guess I would be around the 6.0 mark.

Pigged out for tea, had 3 slices of wholemeal bread with spread 42.3 carbs, 6 rashers of crispy streaky bacon and 2 eggs no added oil or fats. 2 1/2 hours later I was 6.5 and now at 10:30 pm running at 4.6 which means I would be well and truly hypo by midnight 😱.

Yesterday after lunch 10.4 2/3 of a granary baguette with turkey for lunch. Before tea yesterday still climbing at 11.6, 2 hours after meal 9.7 at 9.10 pm tea was last bit of granary baguette and turkey. At 11:30 pm hypo at 3.7 😱

 

[trophywench]

Just a few thoughts ......

OK, well it looks to me as if you need a bit more with lunch and a bit less with your dinner. What value tabs have you got, can you do this? Or chop a bit off one and have the extra at lunch?

This does happen with T1, people's insulin to carb ratios can be different at different times of day - mine isn't, but a lot of people's are. I shouldn't have thought T2s would differ in this?

I don't know how long glic is sposed to be active for, perhaps timing of tablets could be adjusted? Just thinking the T1 preg ladies do this with fast acting insulin when they are up against IR at the appropriate time within the gestation period, don't they? - inject half an hour before eating or however long they need, to make the very active timing of the insulin better match the time when they get the peak.

 

[pav]

I have tried splitting the gliclazide dosage into morning and tea time, this leads to lower readings late at night, but to close for comfort to do it as a long term measure.

When I was on 160 mg of gliclazide I was more stable and new what time my hypo danger points were. Now on 120 mg (doc did not like me having a HbA1c of 44, wants me in the 50's 😱 😱). it appears to be more random and BS levels are more up and down a lot more.

 

[trophywench]

Right - I confess I hadn't realised it's not until you are taking much higher doses (240mg was cited) that they recommend splitting the dose, my logic was if they stimulate insulin production, what's the point in having them stimulate it too much where you don't need it to!

My only other suggestion doesn't involve Glic. It involves taking insulin instead.

But I still think you need to see - and that it's the best course! - someone more expert, frankly.

 

[pav]

My only other suggestion doesn't involve Glic. It involves taking insulin instead.

But I still think you need to see - and that it's the best course! - someone more expert, frankly.

You have hit the nail right on the head, tried talking to one doctor and basically blanked me told me basically to eat more, get my HbA1c back up into the 50's.

All he saw was I had some hypos, in the very hot weather which I knew why they were happening, also I am getting hypo warnings so that side is ok, and my HbA1c of 44 was way to low. Another doctor said they would review the state of play some time in Oct, but would not changes current meds as they wanted proof my levels were acting weirdly.