Type 2 Strange hypo-like symptoms this morning

Status
Not open for further replies.
R

Robert42

Member
Relationship to Diabetes
Type 2
From being non-compliant to being rigid in the last 10 days. With the help of Libre 2 have been able to make adjustments. My nocturnal hypoglycaemia seems to be under control. I am sleeping a bit lighter and waking with BSLs in the 4-5 range. A bit low for me, but a small breakfast of muesli fixes that. Lantus tritiated down from 40U to 28U based on a simple formula. So overall I have been happy with the control.

That is, until this morning, when I went into a very deep sleep until 6AM. BSL 6.9 but things changed rapidly. I went downstairs, and I was experience what I would say was a Hypo. My legs felt as if they were going to give way, vision tunnel, confusion at recognising objects like a spoon etc. The odd thing, the reading on the GCM stayed at 6.9. I have done a couple of finger pricks and the reading in tolerance.

Has anyone got any idea what is happening?
 
Your body would have been used to high blood glucose levels and needs a period of acclimatisation to become used to the lower level so people can suffer hypo like symptoms even though their blood glucose is not in what would be considered hypo territory. There are called false hypos.
 
Did you double check your levels with a finger prick? CGM are not totally reliable and if you feel hypo, and CGM is saying that you are not, then you need to double check with a finger prick. You are using insulin so a hypo is definitely possible and it is important to identify and deal with hypos. Another possibility, if you genuinely were not hypo and it would be unusual at 6.9, even for a false hypo, especially in the morning when you have only just got up as levels usually rise then not drop rapidly, is a possible sodium deficiency or possibly a mini stroke/TIA. I think it might be worth discussing the incident with your medical professionals.
 
Thank you very much for your reply. I have just found something about these false hypos. That explains when I got up the symptoms come on very rapidly. Hope thee is not may of these.
 
rebrascora said:
Did you double check your levels with a finger prick? CGM are not totally reliable and if you feel hypo, and CGM is saying that you are not, then you need to double check with a finger prick. You are using insulin so a hypo is definitely possible and it is important to identify and deal with hypos. Another possibility, if you genuinely were not hypo and it would be unusual at 6.9, even for a false hypo, especially in the morning when you have only just got up as levels usually rise then not drop rapidly, is a possible sodium deficiency or possibly a mini stroke/TIA. I think it might be worth discussing the incident with your medical professionals.
Click to expand...
From what Leadinglights has said, I found a paper on false hypos. Everything checked OK. I did not want to change anything at this stage as everything is going so well.
 
False hypos do happen but only when your levels have been high for a long time and then drop suddenly and sharply. Does your CGM graph show your levels dropping rapidly at the point you suffered this episode?
 
Robert42 said:
From being non-compliant to being rigid in the last 10 days. With the help of Libre 2 have been able to make adjustments. My nocturnal hypoglycaemia seems to be under control. I am sleeping a bit lighter and waking with BSLs in the 4-5 range. A bit low for me, but a small breakfast of muesli fixes that. Lantus tritiated down from 40U to 28U based on a simple formula. So overall I have been happy with the control.

That is, until this morning, when I went into a very deep sleep until 6AM. BSL 6.9 but things changed rapidly. I went downstairs, and I was experience what I would say was a Hypo. My legs felt as if they were going to give way, vision tunnel, confusion at recognising objects like a spoon etc. The odd thing, the reading on the GCM stayed at 6.9. I have done a couple of finger pricks and the reading in tolerance.

Has anyone got any idea what is happening?
Click to expand...
False hypos can happen after a period of getting used to high sugars. Then bringing back down. & your symptoms sound a little like I would feel waking with a low in the sub 3mmol. But if you’ve been used to the “4-5 range” for a while in the morning & woke today at 6.9. (Also blood testing in this range.) it could be worth checking that you don’t have a UTI? Which is also known to affect the cognitive function.
 
@robert 42 don't completely ignore the possibility of a TIA indicator.

I had a few dizzy spells, unsteadiness, with vision problems and confusion. At first they were infrequent and at irregular moments and didn't seem to relate to BG change moments. As their frequency increased and one was really quite prominent I sought medical advice and was referred for a Cardio consult. A series of different sorts of ECGs eventually showed inconclusive heart irregularities and while waiting for the results from a 5 day continuous ECG monitor in mid March I had a further pronounced spell with several classic TIA symptoms (after the event). Fortunately I had a Cardio consult scheduled for the next day, which rang alarm bells and the following day I got an Urgent summons for an MRI at the Acute Stroke Unit.

That led to an instant formal diagnosis from a different Consultant, confirmed by specialist radiographer analysis a few days later of the MRI. Blood thinners have been prescribed, permanently, and I'm now on a routine watch list with a fairly robust instruction to call 999 or go straight to any acute stroke unit if there is a recurrence of the spells. In practice all a bit weird: on the one hand I feel fine on the other hand I've been left in no doubt that the TIA had been real and I should not be complacent!
 
Sorry to hear about your wobbly turn @Robert42

Hope your glucose thermostat resets itself soon, and gets more comfy as you spend more time at in-range levels
 
Status
Not open for further replies.
Back
Top