raised blood sugar after hypo.

April 01, 2012 14:39

thebatoutofhull DAFNE Graduate
Sheffield Teaching Hospitals 60 posts

Can anyone tell me how to lower my BG after a hypo? When I go down to under 2mmol/l my body gives me glycogen. How do I pre-empt the resulting BG high which follows?

April 02, 2012 08:36

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

I would imagine trying hard to not treat the hypo with quick acting sugar...............there have been several occasions where I have hypoed and my pancreas had done its job as its supposed to..............not ideal or safe though as we cant guarantee that the livers stores of energy will be sufficient after instruction from the pancreas......

I think the bigger picture would be to try and avoid quick and fairly low numbers, with preference to slower onset 3-4mmol/l hypos....

April 08, 2012 19:46

Natalie b 2 posts

What do you use to treat your hypo? If I have lucozade I find my levels go very high. If I have dextrose tablets the level later on is about 10 which is alot better.
Natb

April 08, 2012 19:55

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

Natalie,

How many CPs of the lucozade and dextrose are you having....

April 10, 2012 14:57

Carolin
Sheffield Teaching Hospitals 83 posts

thebatoutofhull said:
Can anyone tell me how to lower my BG after a hypo? When I go down to under 2mmol/l my body gives me glycogen. How do I pre-empt the resulting BG high which follows?

Remember, for ANY BG <3.5mmol/l you MUST treat with 1.5 - 2 CPs rapid acting carbs, which should be sufficient to get your BG back into a safe target range without making you too high.

Although your body will generate a hormonal response to a falling BG, when you have had diabetes for many years you will have very little glucagon production and adrenaline is usually not sufficient to counteract your injected insulin. So please do not rely on your 'liver kicking in' ... it's simply not safe and can lead to severe hypos and hypo unawareness.

If your BG is a little high after a hypo that you've only treated with max 2 CPs, there may have been a little glycogen release from the liver, but this can usually settle down in the following hours, which is why we stress in DAFNE NOT to correct a raised BG follwing a hypo, or you risk just going hypo again.

Quick reminder:
100ml Lucozade = 1.5 CPs
200ml orange juice = 2 CPS
4 jelly babies = 2 CPS
5 Lucozade tablets = 1.5 CPs
5 'GlucoTabs' = 2 CPs

Carolin

April 10, 2012 22:26

Frank.M DAFNE Graduate
King's College Hospital NHS Foundation Trust 5 posts

Someone once said; 'physician heal thy self' and (ignoring uninitiated scorn) that is where to start. Although all the well known antidotes work they are different just like us, I would suggest trying a handy size (330ml) tin of Pepsi or Coca Cola (non-diet of course) = 1.5 CPs.
Lucozade is not to my taste and Glucose tablets, like most solids, take a little longer to get to to where its needed, plus with BG reading minus 3 not everyone is in the mood to count tablets, although they are a boon when travelling. The faster something puts BG up the faster it falls but followed by plain digestive biscuit(s) (1 CP each), or similar can avoid sharp peaks and troughs that can happen if a Hypo is over or under compensated.

ps. Dermot if you read this thanks for the tip, like you it works for me, having a 'six-pack' in the fridge has taken on a whole new meaning.

April 11, 2012 08:35

thebatoutofhull DAFNE Graduate
Sheffield Teaching Hospitals 60 posts

Still learning. I am more than ok with hypo treatments. Oj is my prefered choice. To clarify more; when I have 1 cp's of o.j. my blood rebounds. When I am under 4.5 and have o.j. my BG returns to normal. My issue is when I go beyond 4.5. Under 2 or 1. If I have a BG of 0.8, (rarely) I correct with 1 or 2 cp's of oj. However, I find myself within 2 hrs having a yo yo effect thus ending up high.
It is this high I wish to battle. Should I just leave it?

I am learning to give some corrective QA insulin before I go high at other times of the day. It is a bit scary having a normal BG and giving QA. I still havent got the hang of it fully. Because I eat very little carbs and follow patterns in my diary I can predict when this is going to happen. In the past i've have tried increasing my BI to deal with the bulk of the highs but this has the effect of making me lower at other times.

Thanks for your input everyone.

April 11, 2012 08:53

Carolin
Sheffield Teaching Hospitals 83 posts

Frank M said:
I would suggest trying a handy size (330ml) tin of Pepsi or Coca Cola (non-diet of course) = 1.5 CPs.

NB 330ml cola = 3.5 CPs
you need the 150ml cans to get 1.5 CPs
Smile

April 01, 2012 14:39 thebatoutofhull DAFNE Graduate Sheffield Teaching Hospitals 60 posts	Can anyone tell me how to lower my BG after a hypo? When I go down to under 2mmol/l my body gives me glycogen. How do I pre-empt the resulting BG high which follows?
April 02, 2012 08:36 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	I would imagine trying hard to not treat the hypo with quick acting sugar...............there have been several occasions where I have hypoed and my pancreas had done its job as its supposed to..............not ideal or safe though as we cant guarantee that the livers stores of energy will be sufficient after instruction from the pancreas...... I think the bigger picture would be to try and avoid quick and fairly low numbers, with preference to slower onset 3-4mmol/l hypos....
April 08, 2012 19:46 Natalie b 2 posts	What do you use to treat your hypo? If I have lucozade I find my levels go very high. If I have dextrose tablets the level later on is about 10 which is alot better. Natb
April 08, 2012 19:55 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	Natalie, How many CPs of the lucozade and dextrose are you having....
April 10, 2012 14:57 Carolin Sheffield Teaching Hospitals 83 posts	thebatoutofhull said: Can anyone tell me how to lower my BG after a hypo? When I go down to under 2mmol/l my body gives me glycogen. How do I pre-empt the resulting BG high which follows? Remember, for ANY BG <3.5mmol/l you MUST treat with 1.5 - 2 CPs rapid acting carbs, which should be sufficient to get your BG back into a safe target range without making you too high. Although your body will generate a hormonal response to a falling BG, when you have had diabetes for many years you will have very little glucagon production and adrenaline is usually not sufficient to counteract your injected insulin. So please do not rely on your 'liver kicking in' ... it's simply not safe and can lead to severe hypos and hypo unawareness. If your BG is a little high after a hypo that you've only treated with max 2 CPs, there may have been a little glycogen release from the liver, but this can usually settle down in the following hours, which is why we stress in DAFNE NOT to correct a raised BG follwing a hypo, or you risk just going hypo again. Quick reminder: 100ml Lucozade = 1.5 CPs 200ml orange juice = 2 CPS 4 jelly babies = 2 CPS 5 Lucozade tablets = 1.5 CPs 5 'GlucoTabs' = 2 CPs Carolin
April 10, 2012 22:26 Frank.M DAFNE Graduate King's College Hospital NHS Foundation Trust 5 posts	Someone once said; 'physician heal thy self' and (ignoring uninitiated scorn) that is where to start. Although all the well known antidotes work they are different just like us, I would suggest trying a handy size (330ml) tin of Pepsi or Coca Cola (non-diet of course) = 1.5 CPs. Lucozade is not to my taste and Glucose tablets, like most solids, take a little longer to get to to where its needed, plus with BG reading minus 3 not everyone is in the mood to count tablets, although they are a boon when travelling. The faster something puts BG up the faster it falls but followed by plain digestive biscuit(s) (1 CP each), or similar can avoid sharp peaks and troughs that can happen if a Hypo is over or under compensated. ps. Dermot if you read this thanks for the tip, like you it works for me, having a 'six-pack' in the fridge has taken on a whole new meaning.
April 11, 2012 08:35 thebatoutofhull DAFNE Graduate Sheffield Teaching Hospitals 60 posts	Still learning. I am more than ok with hypo treatments. Oj is my prefered choice. To clarify more; when I have 1 cp's of o.j. my blood rebounds. When I am under 4.5 and have o.j. my BG returns to normal. My issue is when I go beyond 4.5. Under 2 or 1. If I have a BG of 0.8, (rarely) I correct with 1 or 2 cp's of oj. However, I find myself within 2 hrs having a yo yo effect thus ending up high. It is this high I wish to battle. Should I just leave it? I am learning to give some corrective QA insulin before I go high at other times of the day. It is a bit scary having a normal BG and giving QA. I still havent got the hang of it fully. Because I eat very little carbs and follow patterns in my diary I can predict when this is going to happen. In the past i've have tried increasing my BI to deal with the bulk of the highs but this has the effect of making me lower at other times. Thanks for your input everyone.
April 11, 2012 08:53 Carolin Sheffield Teaching Hospitals 83 posts	Frank M said: I would suggest trying a handy size (330ml) tin of Pepsi or Coca Cola (non-diet of course) = 1.5 CPs. NB 330ml cola = 3.5 CPs you need the 150ml cans to get 1.5 CPs