Finally edit: See below - problem solved! Edit to my tale. After my low of 34 at 5AM this morning, I of course took too many glucose tablets to treat because I wanted to go back to sleep, and this morning woke up at 209. But then I kept corrected and only have gone up. I've been in the 300s since lunch. I corrected and came down a bit (249) but then went right back up and now am 327 at 10:45 at night. I'm nervous to treat because of last night, but I'm not going to go to bed in the 300s. I've had some questionable sets, and changed twice, but nothing obviously wrong. Is this a normal reaction to a bad low - though one in which I didn't lose consciousness?
If so, I'll treat a bit longer, as I stay up pretty late, see if I can at least get into the 200s. Hopefully it will be better tomorrow? I've never had this experience. Thanks any nightbirds who respond!
I had one extreme hypo when I first started using insulin where I went unconscious and my liver kicked in, but it was because neither I nor my doctor knew what we were doing and I was on way too high a dose. In the three years since I haven't had any lows I couldn't easily manage. So I think I might have gotten too cavalier an attitude towards hypos. (Maybe, maybe not and I'm just nervous this morning).
I only treat hypos under 60. I realize some people treat under 70 and some under 60, and I'm not planning to change my treatment level. But I do have a habit of "letting a low ride" for example when it's close to mealtime and I'm say in the 50s. I really prefer not to eat glucose tablets when not necessary (I'm a bit fanatic about weight gain and about consuming sugar. I haven't eaten sugar in 17 years. I do allow glucose tabs as "medicine" but still don't like it) So in a case like that I'll just go ahead and eat and then monitor my bloodsugar for when it comes up into a safe range to bolus I also bolus my full carb amount (as the Ping wizard suggests) as I find if I don't I go high.
I also correct promptly, and fully but usually don't exceed the amount taking into account the IOB. (only do when I'm having trouble getting down)
At bedtime I'm a bit more conservative as I live alone. If I'm in the 60s or lower I will treat and then wait to make sure I come back up before going to sleep. If I'm in the 70s, I'll take a couple glucose tabs and then go to sleep, having ascertained that will normally raise me up into a safe area. Some people talk about going low, treating and then going low again and needing to eat something to sustain. I've never had that problem, as long as there is no IOB I come up and stay up. Recently, though I've noticed that I've had a few instances where I had to stay up for hours because I would go low, treat with the dose I have always known to work and still not come up. I have gained 10 pounds over the weight I was at after losing at diagnosis but that was over a period of a couple years so I don't think that is significant in changing the dose needed to raise.
Anyway....last night I was 73 at bedtime (1AM -five hours after my last Apidra bolus and my basal doses have seemed very accurate for awhile). So I took 2 glucose tabs to be safe and went to sleep. I really hate staying up when I'm sleepy but would have done so if it was lower.
I woke up around 5AM, with my nose running and reached for a tissue. I have allergies and often do this in the middle of the night, so I keep tissue boxes everywhere. Unfortunately (actually fortunately!) the tissue box was empty so I got up to get a new one from the cabinet. My house is strange - it's round and with a very narrow area where the cabinets are.I've only lived here a few months and I've actually gotten disoriented walking around in the dark before-but not like this. I stopped at one cabinet and remembered it was in another further along. Then I was suddenly confused because I was past the cabinet area altogether. All I remember feeling is: annoyed at the runny nose and no tissues and really really cold. It was in the 20s out and I keep my heat low at night as I sleep under a down comforter. I only had on the light thermals I sleep in and my feet were bare. I was so cold as I groped, touching things to find my way and it seemed to take a very long time. Gradually it hit me, I am really not thinking straight and I must be quite low! I finally made it back to my bed and immediately ate some glucose from the night table, then I tested and was 34. It was hard to do this because my cat was really demanding attention and getting in my way. Where were you, Lula 15 minutes ago?? After testing I got the brilliant idea to turn on the lights, got tissues and worked on getting warm. I stayed up for awhile till I came up enough to go back to sleep.
Ok, too cavalier or just a freak occurrence?