Author Topic: Hideous Hypo  (Read 613 times)

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Offline Pattidevans

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Hideous Hypo
« on: 15 February 2017, 03:43:36 PM »
Yesterday we went for a walk in the afternoon, not that far really.... About 2.5 miles round trip so I can't think the exercise accounted for what happened later.  We were going to go all the way to Mousehole as the sun was shining and it was warm, but I found my legs dragging after about 1.2 miles (due B12 probs I am sure).  Anyway, returned home and later cooked Sirloin steak with celeriac dauphinoise and green beans.  Sat watching TV for an hour or so and I remember saying to Julian that I felt really tired and wanted to go to bed.  The next thing I remember was being awake in bed, no memory of getting ready for bed or whether or not I had slept and testing 3.1  According to my meter that was 22:00.  I ate 3 glucose tabs, waited 10 minutes and tested again 2.4.  Cut a long story short I ended up disconnecting my pump entirely, eating a  packet and a half of glucose tabs and two cereal bars and just could not get BGs above 3.  In the end Julian brought me a slice of toast (no butter) absolutely dripping with honey.  I ate half a slice of it and had real difficulty keeping it down, so couldn't eat the other half.  Then he brought me a cup of hot chocolate made with milk and sugar, but it was 00:17 before I got to 4.3 and felt confident enough to sleep.  So the hypo lasted over 2 hours - much of which is a blur to me.  It was really frightening and I think it frightened J too.  Needless to say FBG was 10.2

Only thing I can think is that two days ago I upped my metformin to 1500 and perhaps my ratios need lowering along with basals.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline Liam

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Re: Hideous Hypo
« Reply #1 on: 15 February 2017, 05:00:41 PM »
Scary stuff. Do you normally use a -TBR after walking? I know I'd need one. Sure it isn't hard but when things are as tight as we try to keep them even small changes need accounting for. I'm sure you are right that things have changed because of the Met. I'm guessing 3 tabs normally does you? I'm more of a 4-5 tabs kind of guy.

Not totally related but I had a hypo the other day. Treated it with 4 tabs. I then changed my cannula about 45 mins later and did what I always do and took a correction (if needed) when testing at change for the base line for the 1hr check. Of course Mr Liver decided to soak up some glucose and I was hypoing again 10-15 mins later. Normally I'd have 1/2 treated the high (9ish I think) but was so in my change routine that I gave the full correction.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: Hideous Hypo
« Reply #2 on: 16 February 2017, 09:47:15 AM »
If it had been a longer or faster walk I'd have put on a -TBR Liam but it wasn't very far and I was walking so slowly I barely considered it as exercise.  I do think I overestimated the carbs in dinner, because I couldn't eat all the meal.  Lovely steak it was too (Valentine treat).


I was on 4 Metformin a day (SR ones) but stopped taking them because I thought they were the cause of the B12 deficiency.  It didn't help, so I have been weaning myself slowly back onto them and had just gone up to 3 a day.  I'm having a bit of a time balancing insulin needs and I need to continue as is for a day or two before adjusting again and a week or so before ramping up to 4 a day.
 
Regarding your hypo through the Liver jumping in to absorb glucose, sometimes habit is so strong and we do things automatically without thinking too much.  It's understandable, sometimes it's so tiring constantly thinking about insulin/food and more so, the underlying factors like exercise, recent hypos that all contribute to "what happens next".
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline himtoo

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Re: Hideous Hypo
« Reply #3 on: 16 February 2017, 11:24:10 AM »
I have had ( but not recently) hypos that just won't finish --
as you are pumping it is totally unlikely to be some "pooled" insulin

the metformin , walking , and an overestimation of your carbs appear to have combined

scary stuff !!
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Pattidevans

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Re: Hideous Hypo
« Reply #4 on: 16 February 2017, 12:40:05 PM »
Quote
I have had ( but not recently) hypos that just won't finish --
as you are pumping it is totally unlikely to be some "pooled" insulin

Hi Paul - Thanks for bringing that up, but does pumping preclude pooled insulin?  What about those times when you are lobbing in corrections and it just looks like you are bolussing water... could that not cause pooled insulin - or rather, might the bolusses you made have been pooling?

Quote
the metformin , walking , and an overestimation of your carbs appear to have combined
I don't disagree that it could well have been the combination as you say... I am just mystified as to why it took so long and so many carbs to fix it.  It's never happened to me before.  Once before when I visited the physio and she did some work on my buttocks saying they were bumpy, I had a series of hypos for the rest of the day, but I could get BGs up between them.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: Hideous Hypo
« Reply #5 on: 16 February 2017, 02:41:31 PM »
I've had some weirdos like that recently too - quite a few tested, hypo so corrected, waited 15 mins and retested and been lower than the previous time, so drank more Lucozade and disconnected the pump, ate stuff I didn't want, repeat repeat .....  Oh look next morning my BG is in the stratosphere.  Oh what a surprise - NOT.

AND I've lost my hypo symptoms so that just shows I've often run low at times I haven't tested because it isn't a mealtime or any other reason when I'd usually test and obviously without a reason and if your body doesn't prompt you, you don't test, do you?

Right.  That that.  I'm sending for a Libre.  Watch this space .....
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: Hideous Hypo
« Reply #6 on: 16 February 2017, 06:51:56 PM »
Quote
Right.  That that.  I'm sending for a Libre.  Watch this space .....

Yaaay... you will love it!  I haven't had one since before Xmas but I keep threatening to get one.

Sorry to hear you have lost hypo symptoms... that is scary.

Oh, but beware, the libre can sometimes say you are hypo in the night when you are not, if you sleep on your side and you are laying on it because it compresses the skin and it can't read the interstitial fluid.  I wake during the night as a rule and did scan and see low.. and then tested and I wasn't.  Otherwise I have always found my sensors very accurate.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: Hideous Hypo
« Reply #7 on: 16 February 2017, 09:54:59 PM »
Well it's bound to compress at some stage since before I drop off I've usually changed sides a number of times plus if my right shoulder happens to hurt (something left over from playing a killer unreturnable tennis serve 30+ years ago LOL) then I simply HAVE to apply pressure on it by lying on it until it eases and I can relax.   However whether I start off upside down or back to front (probably even inside out, but not tried that yet) - I always wake up right way up and my left side!  So my right arm is actually favourite really - as I should logically think it must spend less time squished.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Lucy

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Re: Hideous Hypo
« Reply #8 on: 16 February 2017, 11:13:55 PM »
Right.  That that.  I'm sending for a Libre.  Watch this space .....

I have an unused libre reader if you want it
Type: Lucy. A1C 44 / 6.0% Jan17.
Lantus, Victoza and Apidra. Metformin XR, Bisoprolol (for SVT). Dexcom G4 with xdrip and nightscout.

Offline Pattidevans

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Re: Hideous Hypo
« Reply #9 on: 17 February 2017, 12:22:30 AM »
Oh yes, if anyone wants one I too have a spare.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: Hideous Hypo
« Reply #10 on: 17 February 2017, 12:33:53 PM »
Oh - does that mean I could just order sensors for like £98 instead of £138 for the whole kit?  Or not?  (haven't ordered it yet - don't say it, I know ....)
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: Hideous Hypo
« Reply #11 on: 17 February 2017, 05:32:04 PM »
Yes it does.  Providing you don't mind my graphs being on the old reader, but I haven't used it for ages (a lot more than the 90 days it stores stuff) and it's probably wiped now.  You'll need a lead as I didn't get one with the 2nd reader.  Standard lead though, USB one end and standard thingie on the other that is the same as the one the Kindle and my phone used.

Let me know if you want it.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline Lucy

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Re: Hideous Hypo
« Reply #12 on: 17 February 2017, 06:04:54 PM »
Oh - does that mean I could just order sensors for like £98 instead of £138 for the whole kit?  Or not?  (haven't ordered it yet - don't say it, I know ....)

You could just order one sensor and see how you found it. I did check my emails as was sent a free delivery code a while ago but dont seem to have kept it.
Type: Lucy. A1C 44 / 6.0% Jan17.
Lantus, Victoza and Apidra. Metformin XR, Bisoprolol (for SVT). Dexcom G4 with xdrip and nightscout.

Offline Pattidevans

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Re: Hideous Hypo
« Reply #13 on: 17 February 2017, 06:40:58 PM »
Might be able to get the latest code
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline GrammaBear

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Re: Hideous Hypo
« Reply #14 on: 18 February 2017, 01:09:22 AM »
Patti, another thing to consider about your horrid hypo is:  what was the weather like while you were walking?  If it was a warm sunny day and you were sweating the least little bit, maybe that set you off and used more energy than you suspected.  I know I posted a while back about hypos and warm showers causing me to go hypo.  That particular problem continues to the point where I don't shower unless my hubby is home just in case I should go super low.  I'm sorry you had such a horrid hypo because it makes one feel like rubbish.  Maybe you could have a small container of apple juice or some other kind of juice as juice seems to work faster than glucose tabs for me.  Hope you are feeling better now.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G4 CGM Sep 2007
A1C 6.5%~ Sep 2017