Author Topic: How do you define a 'hypo'?  (Read 101 times)

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Offline GrammaBear

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How do you define a 'hypo'?
« on: 09 January 2019, 09:36:52 PM »
Recently I saw my GP for my diabetic check and mentioned to her that I had been bothered by what seemed to me to be too many hypos.  She suggested that I allow my blood sugar to run a bit higher for several weeks, to perhaps get some "awareness" back.  I did as she suggested and set the "low" alert on my cgm at 80 (4.4).  Prior to seeing the GP, I had the low alert at 65 (3.6).  How do you peeps define a hypo?  Is it different for each person with diabetes or is it set by your doctor?
Sometimes I can treat a hypo quickly and other times it seems to take forever to get the numbers to begin to rise.  I wish I could avoid a hypo altogether as I often get a headache with them.  Thank you for your comments.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018

Offline Liam

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Re: How do you define a 'hypo'?
« Reply #1 on: 09 January 2019, 10:31:17 PM »
I treat anything under 4. That isn't a "true hypo" as non-diabetics can get lower and be fine. It is just the lowest number I'm willing to see. It matches the guidelines that my doctors, nurses and members here would suggest.

If I have IOB and test in the 4-5 range I'll either put a minus temp basal on or eat something, sometimes even both. I do that more by instinct than hard and fast rules.

At the end of last year I stopped feeling hypos as sure as I had. I even tested in the 2-3 range a lot of times without feeling it.

I raised my target BG by myself. The next visit to the nurse I told her about it and she suggested I up my target even more. I'm talking 7 during the day and 10+ overnight.

That seems overboard but running that high isn't going to kill you overnight, but a hypo might.

I've been lucky and stopping almost all hypos for a couple months has lead to me getting clear warnings in the 3-4 range again.

I've now lowered my targets again. Not quiet as tight as before but hopefully the right range to be safe and to get a 'good" Hb1Acs next set of bloods.

I hope my post gives some answers on my thoughts on the matter.
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 sedge

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Re: How do you define a 'hypo'?
« Reply #2 on: 10 January 2019, 12:10:22 AM »
That IS the 'cure' for hypo unawareness - you have to keep the higher BG for a few months before dropping it again but NOT as far down as 3.6 Kathy.  That is FAR too close to the point where it absolutely DOES affect the brain - ie 3.3 whether you can feel it or not.

Please do what Liam has suggested.

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: How do you define a 'hypo'?
« Reply #3 on: 10 January 2019, 07:21:17 AM »
I think 4.4 still sounds a bit low, that sounds like the alert level for someone with good hypo awareness. In order to regain hypo awareness you have to be fixing the hypos earlier.

I consider a hypo to be below 4.0, but I have a small amount of carbs if I am under 5, to nudge my bg up and try to prevent the hypo.
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

Offline Pattidevans

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Re: How do you define a 'hypo'?
« Reply #4 on: 10 January 2019, 09:38:51 AM »
What everyone has said Kathy.  You definitely need to be aware when your BGs are dropping, particularly if they are dropping fast.  Set something over 5 as the alarm.  I don’t know exactly how CGMs function since I’ve only ever used the Libre, but if I was 5.5 and dropping fast, I’d treat with a small amount of slow carbs.

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 Sept 2017.  45 (6.3) April 2018.

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Offline GrammaBear

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Re: How do you define a 'hypo'?
« Reply #5 on: 10 January 2019, 02:42:39 PM »
Thank you to all who responded.  I have begun the process of raising my targets and adjusting my basal rates accordingly.  It does become worrisome when these hypos happen at night.  But I would rather be 'annoyed' by a hypo than the "alternative" of absolutely not knowing and suffer the dire consequences.  I appreciate the collective knowledge you all have shared with me.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018