How Do You AVOID the Inevitable Spike After a Low BG ???

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Diabetes Complications

Diabetes Complications Diabetes can cause many short term, long term, acute and chronic complications. Please use this section to discuss any experiences you have with Diabetes related complications. New members please feel free to post about your concerns and ask questions to the community.


How Do You AVOID the Inevitable Spike After a Low BG ???


Closed Thread
 
Shared Thread Thread Tools
Old 06-04-2010, 00:42   #1
Senior Member
 
Join Date: Mar 2010
Location: I live in the once great state of California
Posts: 203

Member Type
Type 2
Diagnosed in 1995 (but, I'm sure I had diabetes several years before it was offically diagnosed)

12 likes received
2 likes given
Default How Do You AVOID the Inevitable Spike After a Low BG ???

The problem is, I will have a hypoglycemia low a few hours after eating my lunch. I've tried adjusting my insulin, but, I still have one or two drops a week.

The question is... there are times the drop is so quick and so bad that I need several Glucose gel drinks, or tubes to get the BG to move back up. Last night, I needed a second bottle of Glucose liquid and two banana's to get the low to reverse itself. And I get terribly bloated after these episodes.

When this happens, I inevitably end up with a spike in the low to mid 300's by dinner time, and the next day, all my pre-meal numbers are up 50 to 70 points for the entire day.

BTW. I've only been on pre-meal insulins for maybe 8 months now. So, I am learning many little lessons everywhere I go.

Any suggestions as to what you do to avoid that potential for the after low spike would be appreciated.

Thanks for your assistance...

Shalom,

Pastor Paul

righteousdude2 is offline  
Old 06-04-2010, 01:33   #2
Active Member
 
breezeonby's Avatar
 
Join Date: Dec 2009
Location: Ohio, USA
Posts: 2,771

Member Type
Type 2
Diagnosed in 2000

55 likes received
6 likes given
Default

Rebound blood sugar Paul! I experience this on occasion but my blood sugar never goes above 200 on rebound. Most of the time when I treat a low, it responds immediately to fast acting carbs. So, I try and follow 15-15. Take 15 grams of carbs and wait 15 and then repeat if necessary. I have some hypo unawareness and I usually don't get any low symptoms until I am below 40. If you think that you have over treated, keep checking your blood sugar and take a correction bolus. Remember to keep your insulin on board in mind if treating soon after a meal bolus.

__________________
Breezeonby {Female}
Medications: Metformin ER, Lantus, Novolog
Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
A1C/5.2% October 6, 2010
A1C/5.0% February 7, 2011
breezeonby is offline  
Old 06-04-2010, 03:52   #3
Active Member
 
onaughmae's Avatar
 
Join Date: Mar 2010
Location: Texas, USA
Posts: 1,590

Member Type
Type 2
Diagnosed in 1981

45 likes received
1 likes given
Default

Quote:
Originally Posted by righteousdude2 View Post
The problem is, I will have a hypoglycemia low a few hours after eating my lunch. I've tried adjusting my insulin, but, I still have one or two drops a week.

The question is... there are times the drop is so quick and so bad that I need several Glucose gel drinks, or tubes to get the BG to move back up. Last night, I needed a second bottle of Glucose liquid and two banana's to get the low to reverse itself. And I get terribly bloated after these episodes.

When this happens, I inevitably end up with a spike in the low to mid 300's by dinner time, and the next day, all my pre-meal numbers are up 50 to 70 points for the entire day.

BTW. I've only been on pre-meal insulins for maybe 8 months now. So, I am learning many little lessons everywhere I go.

Any suggestions as to what you do to avoid that potential for the after low spike would be appreciated.

Thanks for your assistance...

Shalom,

Pastor Paul
Wow...how low did it get that you needed 2 glucose liquids and 2 bananas to raise it? How long are you waiting between each attempt to raise it? No wonder you are at 300 before dinnertime. Bananas are very carby and will raise your blood sugar a lot. I cant even eat a whole one.

If your blood sugars are getting that low after lunch maybe your fast acting insulin dosage is too much for what you are eating. You may need an adjustment in your insulin to carb ratio. Also, when treating a low...give yourself some time between each snack. It seems to me that you are over correcting your low and thats why you are so high before the next meal.

__________________
Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
onaughmae is offline  
 
Old 06-04-2010, 04:06   #4
Senior Member
 
Join Date: Mar 2010
Location: I live in the once great state of California
Posts: 203

Member Type
Type 2
Diagnosed in 1995 (but, I'm sure I had diabetes several years before it was offically diagnosed)

12 likes received
2 likes given
Default

I agree with both of you. I am probably over correcting. At Costco, I didn't have my meter, which made it hard to know how low I was, but, it was low, because I nearly fainted.

I took the glucoe (16g) and waited 12 minutes, but, it seemed as though it was getting worse. I was sitting down, in one of their display garden chairs, and got to shaking and sweating. That is why I ate one banana, and waited another 7 minutes, and nothing changed, so, I drank a second bottle and ate the banana.

At that point I may have over corrected, but, it was a bad situation, and ....

I wasn't aware that I could take additional Novolog, should I over correct and get my numbers too high.

Is Bolus the same as novolog?

Thanks for your advice. As I said, this is so new to me, and I am learning by the seat of my pants. which is not always a great way to learn about insulin injections.

Love and appreciate the two of you. You seem to always be there for everyone that writes in.

Pastor Paul

righteousdude2 is offline  
Old 06-04-2010, 04:39   #5
Active Member
 
onaughmae's Avatar
 
Join Date: Mar 2010
Location: Texas, USA
Posts: 1,590

Member Type
Type 2
Diagnosed in 1981

45 likes received
1 likes given
Default

Quote:
Originally Posted by righteousdude2 View Post
I agree with both of you. I am probably over correcting. At Costco, I didn't have my meter, which made it hard to know how low I was, but, it was low, because I nearly fainted.

I took the glucoe (16g) and waited 12 minutes, but, it seemed as though it was getting worse. I was sitting down, in one of their display garden chairs, and got to shaking and sweating. That is why I ate one banana, and waited another 7 minutes, and nothing changed, so, I drank a second bottle and ate the banana.

At that point I may have over corrected, but, it was a bad situation, and ....

I wasn't aware that I could take additional Novolog, should I over correct and get my numbers too high.

Is Bolus the same as novolog?

Thanks for your advice. As I said, this is so new to me, and I am learning by the seat of my pants. which is not always a great way to learn about insulin injections.

Love and appreciate the two of you. You seem to always be there for everyone that writes in.

Pastor Paul
Novolog is your fast acting insulin. That is the one that you use to bolus yourself before you eat. If you are getting low after you eat, then you are taking too much Novolog to cover the carbs you are eating. So, you either need more carbs, or less Novolog. Did your doctor give you either an insulin to carb ratio to use when you take your Novolog...or maybe at least a sliding scale? Like for instance...take X amount of novolog before you eat, if your blood sugar is less than 90 take 1 unit less, less than 80 take 2 units less...etc? If they did not give you some sort of guideline to follow then you need to ask your endo about it.

Since I also take insulin, I always carry a meter with me. I know its easier since I carry a purse, but I cant afford to be caught someplace and not know what it is when I am feeling sick. Sometimes it can be hard to tell the difference between the beginnings of a high or a low.

I was shopping at Costco also just the other day and started feeling low. Sure enough, it was 58. I usually carry some sort of 15gm snacks with me. So I ate a 100 cal snack pack of chocolate chip cookies and after about 15-20 minutes I was back up to 95 and fine.
It is really easy to over correct a low if you aren't careful.

You can also ask your doc about how much insulin you should use to correct highs when you aren't eating. The best way to get really good control is to be on an insulin to carb ratio and use strict carb counting with your diet. For instance...my insulin to carb ratio is 1:5. That means that I need 1 unit of insulin for every 5gms of carb I am going to eat. My correction sensitivity is 1:10. That means that when I am correcting a high glucose I need 1 unit of insulin for every 10 points my glucose is over my target. Now...these settings work for me, and yours might be very different so you really need to talk to your doc about them Not everyone requires the same amounts.

__________________
Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
onaughmae is offline  
Old 06-04-2010, 22:42   #6
Senior Member
 
Join Date: Mar 2010
Location: I live in the once great state of California
Posts: 203

Member Type
Type 2
Diagnosed in 1995 (but, I'm sure I had diabetes several years before it was offically diagnosed)

12 likes received
2 likes given
Default

Thanks Pam. That helps me a lot.

righteousdude2 is offline  
Old 06-05-2010, 04:17   #7
Active Member
 
breezeonby's Avatar
 
Join Date: Dec 2009
Location: Ohio, USA
Posts: 2,771

Member Type
Type 2
Diagnosed in 2000

55 likes received
6 likes given
Default

Quote:
Originally Posted by righteousdude2 View Post
I agree with both of you. I am probably over correcting. At Costco, I didn't have my meter, which made it hard to know how low I was, but, it was low, because I nearly fainted.

I took the glucoe (16g) and waited 12 minutes, but, it seemed as though it was getting worse. I was sitting down, in one of their display garden chairs, and got to shaking and sweating. That is why I ate one banana, and waited another 7 minutes, and nothing changed, so, I drank a second bottle and ate the banana.

At that point I may have over corrected, but, it was a bad situation, and ....

I wasn't aware that I could take additional Novolog, should I over correct and get my numbers too high.

Is Bolus the same as novolog?

Thanks for your advice. As I said, this is so new to me, and I am learning by the seat of my pants. which is not always a great way to learn about insulin injections.

Love and appreciate the two of you. You seem to always be there for everyone that writes in.

Pastor Paul
Paul, it is always a good idea to east some fast acting carbs if you feel low and don't have your meter, better be safe than sorry. There is a great book out called "Using Insulin" by John Walsh. It will guide you to help you figure your insulin to carb ratio and insulin sensitivity factor and so much more.

__________________
Breezeonby {Female}
Medications: Metformin ER, Lantus, Novolog
Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
A1C/5.2% October 6, 2010
A1C/5.0% February 7, 2011
breezeonby is offline  
Old 06-05-2010, 05:49   #8
Active Member
 
onaughmae's Avatar
 
Join Date: Mar 2010
Location: Texas, USA
Posts: 1,590

Member Type
Type 2
Diagnosed in 1981

45 likes received
1 likes given
Default

Quote:
Originally Posted by breezeonby View Post
Paul, it is always a good idea to east some fast acting carbs if you feel low and don't have your meter, better be safe than sorry. There is a great book out called "Using Insulin" by John Walsh. It will guide you to help you figure your insulin to carb ratio and insulin sensitivity factor and so much more.
I am really liking "Think like a pancreas" also. Its a good book and very easy to understand. Plus the author has a great sense of humor.

__________________
Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
onaughmae is offline  
Old 06-05-2010, 15:38   #9
Active Member
 
breezeonby's Avatar
 
Join Date: Dec 2009
Location: Ohio, USA
Posts: 2,771

Member Type
Type 2
Diagnosed in 2000

55 likes received
6 likes given
Default

Pam, I enjoyed that book too! And the author does have a good sense of humor.

__________________
Breezeonby {Female}
Medications: Metformin ER, Lantus, Novolog
Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
A1C/5.2% October 6, 2010
A1C/5.0% February 7, 2011
breezeonby is offline  
Old 06-06-2010, 00:33   #10
Senior Member
 
Join Date: Mar 2010
Location: I live in the once great state of California
Posts: 203

Member Type
Type 2
Diagnosed in 1995 (but, I'm sure I had diabetes several years before it was offically diagnosed)

12 likes received
2 likes given
Talking Endo Says "No" to Novolog for Over-correcting

I checked with my Endo as to how much Novolog I should take if during a BG low, I over-correct. They were adamant that I not use any Novolog between meals, even if I spike following a BG low, and correcting that low.

They told me all I should do is hydrate my body by drinking a glass of water every 30 minutes, check my numbers, and cease hydrating once the spike subsides.

Sounds strange, but, I'll try it if there's a next time!.

Anyone else told to do this drinking water thing?

Shalom,

Pastor Paul (think not!)

righteousdude2 is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
How Do I Avoid Hitting an Artery/Vein When Injecting Insulin? righteousdude2 Diabetes Complications 11 08-01-2010 17:52
Blood Sugar Spike By Sweeteners breezeonby Diabetes Diet and Nutrition 9 04-01-2010 16:53
I know now what made me shake and spike- others beware peachy Diabetes Symptoms 2 03-08-2010 16:21
First spike in months, and the cause is... warrenh Diabetes 4 10-28-2009 06:29

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 22:55.




Powered by vBulletin®
Copyright ©2000 - 2019, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.