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Really struggling

C

corriefan

Well-Known Member
Relationship to Diabetes
Type 1
Hi I'm really struggling with my diabetes my glucose is always really high like this morning 15.6 after a hypo in night
 
Is that because you overtreated the hypo @corriefan ? I find I often need less hypo treatments in the night. You say your blood sugar is always high - is it really? Can you upload a Libre graph?
 
Is it being caused by 'foot to the floor' ? Even though it shouldn't be an issue for me I find I still need to take a lot of extra insulin regardless of what I've eaten to avoid being in the mid teens each morning.
 
Sorry to hear you ae having a difficult time @corriefan

Can you remember how you treated the hypo?

Do you think you may have had a liver dump after the hypo? What level did you go down to in the hypo? Do you know what caused your BGs to drop too far?
 
corriefan said:
Hi I'm really struggling with my diabetes my glucose is always really high like this morning 15.6 after a hypo in night
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Sorry to hear you are struggling. Knowing why you went so high after a hypo is important so that you can prevent that happening next time.

Firstly, w as it a genuine hypo in the night or could it have been a compression low? ie. Did you double check your CGM alarm with a finger prick before treating?

What was your hypo treatment and did you just use one hypo treatment and recheck with a finger prick after 15 mins or just use CGM to assess recovery and consequently overtreat it because of the delay in CGM detecting recovery?

It is really important to have a disciplined approach to hypos and not rely on CGM otherwise you will almost always overtreat hypos and end up too high. I know it is easy to panic and overtreat particularly when CGM is showing your levels continuing to drop but you have to ignore it and use finger pricks in this scenario. Knowing the limitations of CGMs and when to trust them and when to ignore them and finger prick is really important.
 
Hi thank you for replying my glucose reader beeped was 3.2 i had two danisges nini fiur sweets abd a whole chocolate bar x1000002526.png
 
Your daily line graph would be helpful rather than time in range bar graph.
Did you finger prick. I know you suffer with anxiety so your low alarm going off in the night could perhaps make you feel faint and dizzy. It really would be important to finger prick.

corriefan said:
i had two danisges nini fiur sweets abd a whole chocolate
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I have no idea what these items are but chocolate is not a recommended hypo treatment. How many grams of fast acting carbs did you have? You should be having 15g of fast acting carbs which is about 4-5glucose tablets or 3 jelly babies or most of a small carton of orange juice or a small can of coke and then retest with a finger prick 15 minutes afterwards to check for recovery.

You say your CGM beeped at 3.2. What is your low alarm set at?
 
rebrascora said:
Your daily line graph would be helpful rather than time in range bar graph.
Did you finger prick. I know you suffer with anxiety so your low alarm going off in the night could perhaps make you feel faint and dizzy. It really would be important to finger prick.


I have no idea what these items are but chocolate is not a recommended hypo treatment. How many grams of fast acting carbs did you have? You should be having 15g of fast acting carbs which is about 4-5glucose tablets or 3 jelly babies or most of a small carton of orange juice or a small can of coke and then retest with a finger prick 15 minutes afterwards to check for recovery.

You say your CGM beeped at 3.2. What is your low alarm set at?
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Sorry meant to say 2 mini Danish pastries 4 sweets chocolate bar 4.0 x
 
Danish pastries are a very poor choice of hypo treatment. Far too high in fat as is chocolate. You need to use fast acting carbs to treat hypos that are near pure glucose, so that they work quickly. How many carbs are in each mini Danish pastry and how much chocolate did you have after that and what sort of chocolate? has no one given you advice on hypo treatment? It really is an important aspect of diabetes management.

Unfortunately that graph is also not useful. The one that shows just todays graph with that particular hypo, or if it was before midnight, then yesterday's graph.
 
rebrascora said:
Danish pastries are a very poor choice of hypo treatment. Far too high in fat as is chocolate. You need to use fast acting carbs to treat hypos that are near pure glucose, so that they work quickly. How many carbs are in each mini Danish pastry and how much chocolate did you have after that and what sort of chocolate? has no one given you advice on hypo treatment? It really is an important aspect of diabetes management.

Unfortunately that graph is also not useful. The one that shows just todays graph with that particular hypo, or if it was before midnight, then yesterday's graph.
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I was feeling faint so just had what ever was near by
 
Inka said:
Keep Dextro tablets or a mini can of Coke on your bedside table. Then, if you have a hypo, it’s close by. You can also keep a little snack box with them. I have one that holds 3 or 4 digestive biscuits.
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Good idea thank you x
 
corriefan said:
I was feeling faint so just had what ever was near by
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You should always have your proper hypo treatments close to hand. I always have jelly babies within reach day and night. It really is so important to be prepared and have a disciplined regime to treat hypos.

Most of us have our low alarm set above 4 (mine is 4.5) but some people have it set at 5 or even higher. With your anxiety, setting it a bit higher than me might be best.
 
rebrascora said:
You should always have your proper hypo treatments close to hand. I always have jelly babies within reach day and night. It really is so important to be prepared and have a disciplined regime to treat hypos.

Most of us have our low alarm set above 4 (mine is 4.5) but some people have it set at 5 or even higher. With your anxiety, setting it a bit higher than me might be best.
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Thank you for your advice x
 
Have you been told the ‘15 Rule’ for hypos @corriefan?

It’s a way to avoid over-treating hypos when your brain goes into panic mode and wants to Eat All The Things!!!!!

You eat 15g of rapid carbs (which would be eg 4 glucose tabs, about half a 380ml bottle of full sugar coke, or 3 jelly babies). Then you set an alarm on your phone and wait for 15 minutes. Without eating anything else.

Then you recheck your BG with your fingerstick meter (your sensor will still be lagging behind by 5-15 mins so can still show you as hypo after you’ve already recovered!)

If your fingerstick meter shows you still below 4.0mmol/L after 15 minutes, have another 15g of rapid carbs, and wait another 15 minutes.

Once your BG levels are above 4.0mmol/L, you may want to follow-up with 10-15g of slower acting carbs. Eg a digestive biscuit.

An approach like that might help you bouncing back up to 15.6 afterwards?
 
Perhaps if you are struggling to remember the hypo treatment protocol then write it down on a little card which you keep along with your monitor and hypo treatments.
 
Leadinglights said:
Perhaps if you are struggling to remember the hypo treatment protocol then write it down on a little card which you keep along with your monitor and hypo treatments.
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I find it also helps to have a set hypo treatment and stick to it. So I’ll fingerprick then have this mini can of coke or pack skittles or whatever it is, find a packaged fast carb and stick to it. Then I’ll set a timer and then I’ll recheck. Your hypo brain is better at remembering fixed rules than making logical decisions.
 
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