Hypo correction

5 posts, 3 contributors

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DianeW DAFNE Graduate
South West Essex PCT
115 posts

The rule is that we should not correct a high BG from a hypo at the next test/meal, but at the one after that - thats right isn't it? For some reason I go quite high after a hypo even though I treat it right i.e. not stuff myself with biscuits and say I go hypo in the night and then my morning BG is 14, 15, I hate the idea of being around that level until lunchtime when I can do something about it.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

This is probably down to a response from your liver when you have the hypo, which might suggest you were dropping quite fast. A slower on set hypo might not trigger a response from the liver.....

Would you say the scenario you are describing is happening most often overnight. I ask because there can be other factors involved if you are getting high readings in the morning....


If it was in the morning that the high readings were coming, post hypo, then I would correct for it, as you will be most resistant at this time due to the morning hormone activity....

If during the day I probably wouldn't correct after a hypo, in fact definitively wouldn't, however I don't shoot up after hypos because they are slow onset because of extra physical exertion or a negligible dose error.....

DianeW DAFNE Graduate
South West Essex PCT
115 posts

If I hypo it is either overnight or lunchtime....I know that I don't get dawn phenomenon because I've tested..

So the liver response is making me go high. Hmm I think that if I go to the mid teens during the day then I WOULD correct because it worries me to be so high.

but I find it interesting that yes we know what factors make us hypo (too much insulin, too much exericse, too little food, weather, illness etc etc ) but the SPEED at which it can happen. It seems to be very quick for me....one minute I feel ok, 5 mins later I can be really shaky and woozy..

It seems I shoot right down and then right up again!

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

Provided you haven't done any significant physical activity which is not your normal routine you shouldn't really be having quick hypos........hypo symptoms can be either great or subtle regardless of speed the hypo has came on, but your body/liver will respond more severely the worse/faster the hypo.......in my experience....Smile

marke Site Administrator
South East Kent PCT
681 posts

my understanding, and I stress this is my understanding, is that you should not treat a post hypo high because if you overdo the treatment your liver cannot response as well the second time. It only has a finite store of glucagon and if you keep 'hitting' it without letting it fully recover its response will be reduced. To be honest a short term high is a lot better than a low. You can still function pretty much when high, so although its not a perfect scenario its not doing you a great deal of harm. Well thats my take on it anyway Smile