Loss of Hypo warning signs

18 posts, 11 contributors

Search the DAFNE Online Forums

 
DFH_17 DAFNE Graduate
Croydon NHS
22 posts

I've found since doing the DAFNE course in January I'm beginning to recognise the warning signs - tend to feel v tired n achey n can't concentrate. I completely lost all warning signs last September so has been a bit frightening. However I can also say that I have done random tests and the test has been a below 3.5.

Kathryn76
Northern Care Alliance NHS Foundation Trust – North East Sector Hospitals
2 posts

I have done the dafne course back in November and I have gained a lot from doing this, however the diabetic consultant has suggested to run my blood sugars high between 8 and 13 which I have been doing for about 4 months now and my hba1c came up to 8, which I was shocked about. However the last 6 weeks or so I have brought them down a touch well to single figures where possible but I have still done blood test on occasion and they have been between 2 and 3 and not felt low at all. The only symptom I say I may get is the feeling of being hungry!
I am still communicating with community diabetic nurses when I have needed to but I see my consultant soon so I will be having another hba1c done so I sill just see what that's like.

To be honest I am not doing as many tests as I should be which was 4 a day, it was running my life and it became a bit OCD! Just feeling proper p***ed off with it all and it's getting me down so I just do them when I think it's needed.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

For DAFNE to be effective you really need to test.....more than 4 times a day in my opinion......then you can identify at least when the highest chance of hypo is.........

DFH_17 DAFNE Graduate
Croydon NHS
22 posts

I always do 4 tests a day now as standard and if I'm feeling a bit weak I'll test plus before exercise/housework etc. I also do random tests. I think the blood test kit I now have helps as well as it doesnt feel like its a chore - I've got the Accu-Chek Compact Plus. This has the test strips on a barrel and the blood pricker attached to the body of the kit. I'm allergic to faffing about - if something isnt quick to use I lose interest.

Am a bit shocked your consultant wants you to run your blood sugars between 8 and 13! I dont want to sound rude but is your consultant DAFNE-trained? Just doesnt sound right to me.

Will be interesting to see how you get on in your next HBAc1 test.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

If hypo awareness is gone and is proving difficult to get back then those targets are realistic..........It might prove ineffective in the end but then other causes need to be explored..........

marke Site Administrator
South East Kent PCT
681 posts

not wishing to be rude Kathryn but two things suprise me. Firstly why you were suprised by your HBa1c going up when you ran your BG high for 4 months ! A month would have been more than enough, I think the general recommendation is a few weeks should restore hypo warnings. Secondly if you only test when you think its 'needed' you have no way of knowing what your BG's are doing and being low or high should come as no suprise. The idea of DAFNE is to look for patterns in your BG's to decide if your BI is correct or your carb estimating is correct for your QA. Its not OCD to do this its normal diabetes management and to be honest its the only way if you are going to know if you have hypo signs or not. I don't disagree it can be a pain to have to keep doing it but there is no alternative.

vic demain DAFNE Graduate
Hillingdon Hospital NHS Trust
87 posts

Wierd one for me today, on 3 occasions I had hypo signs, tested between 8-9 yet within an hour on each occasion, I was hypo.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

maybe the drops were very quick, as it was within the hour, I would say that was the case.................

often i find if a low blood sugar comes on slowly, then the signs can be very delayed, getting down to 2.5 or below.................the more quicker hypos seem to be easily detected, suppose it just your body telling your sugar levels are changing........