Hypos and testing

10 posts, 5 contributors

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DianeW DAFNE Graduate
South West Essex PCT
115 posts

Can anyone explain again why we are not supposed to correct a high post hypo BG at the next mealtime? I had a hypo at 3am, at 8am I was 17 and it just doesn't feel right not to correct that. So I did, and at lunchtime I was 7.0.

Mark26 DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
2 posts

Hi. I think the main concern is a 'double dip' hypo, possibly caused by using very fast acting carbs. As you went low at 3am a further hypo may have occurred while you were asleep and less likely to feel the consequences. Finally, many people experience a BG above expected before breakfast as our bodies naturally release extra BG to assist with getting ourselves ready for the day. Best advice, monitor as normal and talk through your results with Diabetic nurse/doc if you think there is a problem. Mark

NuMo DAFNE Graduate
Humber Teaching NHS Foundation Trust
28 posts

As I understand it, when you have a hypo the glucose reserves in your liver are used up. If you then have a further hypo your liver has no reserves to call upon. It needs the extra glucose to recharge its stores.

DianeW DAFNE Graduate
South West Essex PCT
115 posts

Ah i understand now! Thanks for that. I have a problem with night time hypos in that i wake up in a panic and over treat in fear of not being high enough when i go back to sleep..must try not to i suppose so that i dont have to stay high until lunch

NuMo DAFNE Graduate
Humber Teaching NHS Foundation Trust
28 posts

I know what you mean - I HATE night time hypos. They are very scary and leave you shattered the next day. Have you talked to your Dafne rep about your night time BI?

Mark26 DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
2 posts

Could be a problem with your Background Insulin, especially if you inject it at night-time. I think we all worry about night time hypos, we wouldn't be human if we didn't! :-) In my experience, once you've got your BI correct, everything else fits nicely into place and within a bit my morning readings are normally 5 - 10.

Garry DAFNE Graduate
North Lincolnshire and Goole NHS Foundation Trust
328 posts

I always used to over-correct following hypo.
But if you can develop the discipline to strictly control you correctional glucose intake, your BGs will come out high....for reasons explained before...but not really high.
Try some carb free testing to satisfy yourself that the BI dosage is right.
Once that is clear you should have things under better control.
Please remember that depending on which BI you use....BI dose alteration can take time to show results. For me Lantus BI changes take three days to have an effect.
Stick with it!
Regards
Garry

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

What did you treat this hypo with?

If all works out as it should you shouldn't be high......

It has happened to me however and I actually correct, the majority of times have worked, while others have not, but there were variables like alcohol and exercise involved....

Be safe.... Exclamation

DianeW DAFNE Graduate
South West Essex PCT
115 posts

If I wake up with a hypo in the night, as I said I am in a panic. I don't know whether it's because it doesn't come on gradually like in the day time, whether it's dark, quiet...I don't know. I eat biscuits and feel incredibly dry (even though I am obviously not high!) so drink Diet Coke! I know I should be having orange juice and one or two biscuits, after 30 years it takes a while to shake off bad habits Sad Anyway I have reduced my bed time BI by 2 units and touch wood have not had a night time hypo for a week and am waking up with levels of 6-8.

Garry DAFNE Graduate
North Lincolnshire and Goole NHS Foundation Trust
328 posts

Good on yer.
Regards
Garry