POST HYPO HIGHS

It's rare for me that the day after a hypo I don't struggle to get my blood sugars at a reasonable level after they've shot up -well into the twenties sometimes.
I have at least two hypos per week and maybe 4. This happens even when I've had 1.5cp,fast acting to treat the hypo-ie not from over treating a hypo. Maybe the treatment I often use is problematic (not speedy enough?) I use 4 M&S jelly babies. I think my hormones are over reactive and my liver goes into overdrive... I get hypo unawareness sometimes so maybe I'm in hypo too long before I treat it??? My diabetes has always been brittle.
Any ideas or experiences out there that could be helpful? Thanks,Emma

Have the hypos got any pattern, often hypos can breed more hypos................

Hi novorapidboi26.I've come to think when I have a glass of wine with dinner (say twice a month-and it is only one glass) It seems I need to reduce my night time BI from 2 down to one unit. The other thing is if my calories are less one day, the next day I may be more prone to a hypo, in that my normal BI seems to become too much but not sure this explains the sky rocketing later in the day (and maybe into the next day too)...

It looks like you are very sensitive to insulin only being on 2 units at night, this in turn means your liver is also very sensitive to hormone changes and by the looks of it alcohol. I also tried lowering my BI on nights when I was drinking but I realized that my liver response to the alcohol didn't effect its glucose release until the next day, roughly mid morning.

If you do have alcohol its all about trial and error and seeing how much your liver is effected by it and more importantly how long. The effect could last well into the next day and if your splitting your BI dose a further reduction may be required.

With regards to your calories, would that mean your carb intake is lower those days too, I think the carbohydrate intake is the most critical value with regards to blood sugar as this is what is used as fuel [glucose]. Being prone to hypos the next day after a lower intake of carbs/calories is a mystery to me though. If insulin/carb ratios are sussed then these should do the job, most of the time... .......which would leave your BI, which is low anyway and it seems your liver is very sensitive as well, this may be the problem in terms of the lows you re experiencing, the highs, they are probably as a result of the lows, a delayed liver reaction maybe...

I think your diabetes may be a bit brittle and your liver has a mind of its own..........can I ask what does of BI your on and insulin type, what are your insulin/carb ratios like.......?

Ratios 1cp-2units humalog but just changed breakfast to 1.5u-1cp today.
BI -Lantus, was AM 8 units, PM 2UNITS...it was often making my bm too low during early hours or morning.
Tonight I am trying NO night time insulin after all changes were agreed with at post DAFNE review yesterday. Alongside this, it was suggested i raise AM lantus to 9,which i started this morning and at 2pm i had a hypo.i know small steps are the way to do it and maybe these are too many changes at once but i'll give it 2-4 days of the one jab of 9units AM lantus to get a proper measure of the change now i've done it. By the way i did mean calories affecting BM not carbs; thinking it may be because when ive not eaten enough, my liver starts pumping glycogen anyway.i have gastro-paresis so often i am stuffed with previous meals not properly digested and naturally find it difficult to eat occasionally. Once my BI is optimum for a while i'm hoping my body's reactivity may calm down.i will keep on keeping on and hope things become easier with more tweaking.
its always really helpful to read your posts on here Novorapidboi26 and will keep in mind and do appreciate what you say above.

emma.nh said:
i have gastro-paresis so often i am stuffed with previous meals not properly digested and naturally find it difficult to eat occasionally.

Hi novorapidboi26
Gastro paresis is the pits.its unpredictable too but im ever hopeful that the more i watch things the more i'll understand what affects what.
This week still working on BI and am trying for usual targets after having been intentionally high for a bit for hypo unawareness. My bi has not been right and now think this has been more a cause of highs and lows than thought before.
its a struggle to see patterns (they dont last-brittle diabetes and gastro-paresis). i will bring question to renal-diabetology consultant re tablets for Gastro-P. when i see him. I'm going to a pump open-evening soon also,
Some of your suggestions i may try. its encouraging to see you be so on top of things and aware,and how helpful you are to people on the site Thank you, emma

One thing I've learnt from Dafne is not to overcompensate for post-hypo highs. I was taking higher QA to bring bs down & it just wasn't working, it just leads to more hypos & you get into a cycle of yo-yoing bs. You just have to ride out those highs & not worry too much about it, just take a corrective dose of no more than 4u QA & things should become less erratic.

hi Duchess, yes i am careful to not over compensate for same reasons and wait 'til after3 meal times at least to do any small corrections if at all.i am still not with best BI so still hoping that'l make things smoother but aware gastro-paresis may mean i cant avoid erratic bms.Thanks for your thoughts. E