Hypos

I'm having them all over the place really ie on waking, during the day/evening & in the early hours. The worst ones have been if I've woken early or in the early hours, especially if it's had to be an assisted one with my hubby ie the whole of my body is twitching and jerking = not very pleasant at all !!!

What would be the first thing you'd look at doing?
I've decreased my basal/lantus first from 42u to 36u then from 36u to 32u, I only did the latter on Tuesday 20/11/2012.
Since Tuesday I've also started to bring the time of my dose earlier in the evening from11:00pm - done it by an hour each evening.

Also wondering if a bit of supper ie a sandwich might be an answer to get me right through the night.

Humalog/QA - before meals - carb counting
Lantus/BI - evening

Get yourself running around 10 - 12 for a while by reducing Lantus first, then perhaps reducing ratio of QA. Yes it isn't stricktly DAFNE but I always take a couple of biscuits at bed time. Need to get away from the danger of too many hypos.

Hi,

I ALWAYS have supper! Quite a substantial supper too, sometimes an actual cooked meal. Always have done. Even so, I sometimes have hypos during the night.

I don't see why it is 'anti dafne' to do so. Surely the whole priniple of DAFNE is that you should be able to eat normally, that is what the 'NE' stands for after all.

Kind regards,

Roger

If your having scary hypos then you have to be safe and make sure you have treatment with you at all times.....

As you are experiencing them at all times of the day it would definitely be the Lantus you need to look at. There could be some QA changes needed but you will never know the exact extent of that until your Lantus is pinned down....


How is your dose of 32 going then? What have the numbers being saying?

Having something before bed is fine I suppose but the right thing to do when in a period of dose adjustment of your background is not to have anything.....

I think the point Vic made about not being strictly DAFNE is that you shouldn't need to have any carbs before bed provided your doses are right. This has came hard for a lot of people who have always eaten something to avoid a hypo overnight.........but if this is happening, your dose is wrong....

So if you do have a snack that's fine, but you wont be able to record any meaningful BI test results, and therefore delaying you getting the right dose pinned down which will then let you investigate your QA doses....

"How is your dose of 32 going then? What have the numbers being saying?"



also if you look at my comments since Tuesday/Wednesday I've been bringing my lantus/BI an hour earlier each night.

It would seem you need to continue to drop your background dose.....

Make sure you get your BI time right on the diary too, makes it easier to read......also keep your comments short, again, just because it makes it easier to read...

You seem to be having a lot of hypos though, constantly, you must feel like its never ending......

How do you treat your hypos, and can you put that information into the diary also please....

I think that the lows your are experiencing are down to dose amount as opposed to timing. With a split dose of Lantus and with Levemir you can consider changing the times of dose to earlier/later in the evening.....but with a single dose, It wont make much difference I would imagine...

Just a wee example from my diary showing how much easier it can be to see whats going on.......

novorapidboi26 said:
It would seem you need to continue to drop your background dose.....

You seem to be having a lot of hypos though, constantly, you must feel like its never ending......

How do you treat your hypos, and can you put that information into the diary also please....

I think that the lows your are experiencing are down to dose amount as opposed to timing. With a split dose of Lantus and with Levemir you can consider changing the times of dose to earlier/later in the evening.....but with a single dose, It wont make much difference I would imagine...

novorapidboi26 said:
How do you treat your hypos, and can you put that information into the diary also please....

Hi novorapidboi26,
I've just posted some replies on my other "HYPOS" topic in the Questions for HCPs section