Blood Sugar Going Too Low

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Blood Sugar Going Too Low


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Old 03-19-2010, 06:08   #1
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I just had a terrible low. I was writing an email and I got really light headed and I COULD NOT THINK. I tested at 34 at 11:05PM. I saved most of my carbs for dinner, I ate cheese ravioli and a dinner roll and took a large bolus at 7PM. I have a diabetes check-up with my doctor tomorrow. I have never blacked out but I am afraid that I might. I really do not have much warning until my blood sugar drops below 45. My Mother goes to bed very early and is hard of hearing and I am afraid that I may black out while being alone. I just can't stop taking my insulin and I am not sure why I am going so low. I may need to to reduce my Actos or Glucotrol. I have already reduced my basal insulin by 10 units at night over the last 3 weeks. I hope to get some answers tomorrow.

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Old 03-19-2010, 07:26   #2
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Be careful girl! That is so scary! Let us know what your Dr says. Be sure and keep your meter and a snack close by.

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Old 03-19-2010, 08:31   #3
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Oooh breezeonby it's scary, isn't it! Just do what onaughmae said and have a snack near you if you're worried, and test lots even if it's just for piece of mind. Hope the doctor will help tomorrow!

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Old 03-19-2010, 09:47   #4
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(((Breeze))) I bet you feel crummy now too. Cussed lows. And (like you need to hear it again ) . . . be careful!




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Old 03-19-2010, 13:28   #5
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sounds like you should mention switching insulins to your doc. I had that problem about 10 yrs back. Now im on humalog which you take depending on how many carbs you have. So your covering exactly what you eat if you do it right and your lows wont be so LOW. I had a crash the other night from drinking on st pattys day and luckily my gf was there to get me what i needed.

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Old 03-19-2010, 14:30   #6
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I saved most of my carbs for dinner, I ate cheese ravioli and a dinner roll and took a large bolus at 7PM.

Do you use a sliding scale with the Bolus. That low was 4 hours after eating sounds to me like too much Bolus. what was your BG 1 hour after eating?

Have you been exercising lately.

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Old 03-19-2010, 15:19   #7
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Do you use a sliding scale with the Bolus. That low was 4 hours after eating sounds to me like too much Bolus. what was your BG 1 hour after eating?

Have you been exercising lately.
I count carbs and usually don't correct for a low or high reading when I test before meals. I had my carbs matched correctly. I don't test after meals. I am always around 120, 2-hours post meal. I have gastroparesis and that can cause my blood sugar to go wacky at times. I have been to 3 gastroenterologists for the gastrparesis and none of them can shed any light on the predictability of the gastroparesis. It is a common minor complication, but can make taking insulin tricky. I didn't walk last night. I just don't know why I go so low at times.

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Old 03-19-2010, 16:14   #8
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Breeze, if that happened to me then it might be due to my needing a change in my carb ratio for my evening meal. I take 1 unit of Humalog for every 6 carbs I eat. That is called a 1:6 carb ratio. that gives me a high two hours after breakfast so I use a 1:4 ratio which gives me more insulin. That solved my high BS after breakfast problem. If I had lows after my evening meal I would try a 1:7 ratio, which would involve my using less insulin and result in higher tests in the late evening. I don't know how your gastroparesis works into the equation since I don't have that problem. I am just thinking that it may just be a matter of too much insulin for that time of day. Many insulin users do not seem to realize their carb ratios can vary throughout the day. Carb counting with carb ratios is much more effective in controlling BS levels than a sliding sccale.

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Old 03-19-2010, 18:14   #9
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Carb counting with carb ratios is much more effective in controlling BS levels than a sliding sccale.

I thought that is what a sliding scale is. How much you take depends... Your not takin 6 IU regardless of...

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Old 03-19-2010, 23:17   #10
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I take 1 unit for every 4 carbs before breakfast and 1 unit for every 6 carbs the rest of the day. If I eat something very late in the evening, after 9 pm, I take 1 unit for every 8 carbs . I am more sensitive to carbs at that time. That is carb counting. It is different and more precise than using a sliding scale. If you study John Walsh's book "Using Insulin" you will get a better understanding of carb counting.

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