How many lows?

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Permalink Reply by Donna Heun on July 29, 2008 at 5:47pm

I like to run really tight control so that makes it much more likely that I will go low. I didn't realize how often I went low until my husband mentioned to someone we were talking to (during one of my lows) not to worry, we know how to manage this because she goes low everyday. I started really tracking it and he is right! I do go low at least once everyday but usually two to three times. I usually catch them in the 60s to high 50s and am not terribly impaired by them. I eat a glucose tab or two and continue on my way. But I also go high. In my job as a diabetes educator, I find that in general people with type 2 have a variability of about 50-60 mg/dl and rarely have bgs < 70. But people with type 1 have variabilities closer to 110-140 mg/dl and frequently go very low and can go very high. We just don't have the balancing mechanism in place like people with type 2 still have.

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Permalink Reply by Kristin on July 29, 2008 at 10:59pm

Thanks for all the comments...

Donna, I feel that our experiences are very similar-- glad to not be alone!

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Permalink Reply by Laura elrod on March 2, 2009 at 7:27am

i myself go low many times a week i can just be sitting here and go from 180 to 100 in one hour working on a pc and in another hour be 70 . if i am up moving around i drop very fast. at work i have to eat 15 carbs ever 30 min to stay from going low. i eat about ever 2 hours all day long i sleep no more then 3 hours at a time my a1c is 6.1 and all my test are good. it is very hard at times as i am taking care of my 87 year old father in law who cant do much of anything and he has type 2 also.i am coming up on my 1 year since i was told i have diabetes and i think i done well but i still go low fast. at 90 i shake in the 80s i feel very sick and i try not to let it drop lower , i know some ppl say that is fine but when u feel sick it is NOT fine to me. my insurance nurses agree with me it is all up to each person on that a low is and how they feel. love Laura:)

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Permalink Reply by Anthony Holko on March 2, 2009 at 10:34pm

Wow amazing how different this disease is I have to work hard to go low and inject more that 15 units of fast without eating to go low. Most of the time it is too high. May be not having any insulin resistance is no so good.

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Permalink Reply by Elaine on September 24, 2009 at 5:26am

Maybe this is too tight control? Can you lower your basal/ slow-acting insulin a bit?

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Permalink Reply by Kristin on March 4, 2009 at 12:00am

Have you tried spliting your Lantus into two (i.e. one in the morning and one in the evening).... or even moving your Lantus injection to afternoon or early evening. I moved my injection from 11pm to 6pm and this helped a lot with morning lows (since Lantus is slightly more active in the first 6 hours).

Morning lows are no fun.

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Permalink Reply by Elaine on September 24, 2009 at 5:31am

Krisin and Rainbow Goddess,
What about moving the Lantus injection to 'upon waking" in the AM? Then, the risk of lows is greatest (for me) in mid-morning, which I avoid by snacking and exercising only post-lunch or post-dinner--just NOT in the mornings.

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Permalink Reply by J.A. (Jeff) Neitzel on September 21, 2009 at 2:29pm

I have something like that reverse dawn thing too, but I do Humulin Regular (R) and NPH (N).

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Permalink Reply by Karen Doering on September 21, 2009 at 4:30pm

Jeff,

I was on NPH and R for 35 years.

Lantus and humalog for a year.

Pumping the last seven years.

Have you ever thought of changing insulins? There are so many peaks with regular and NPH, it is so hard to obtain good numbers, I realize now.

Just a thought.

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Permalink Reply by Elaine on September 24, 2009 at 5:28am

Rainbowgoddess,
This sounds much safer to me.

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Permalink Reply by Alessandra Paganin on September 21, 2009 at 1:39am

Hi everyone...I find really annoying when lows happen during the night...that's more difficult to cope with! How do you face this? Ale

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Permalink Reply by Sheila on September 21, 2009 at 12:13pm

I have found that since I had the CGM its not necessarily the number....its the RATE that you fall. I watch the arrows on the pump very carefully - two arrows going down signals a rapid decline...Years ago, when testing was not available one had to rely on symptoms to alert you of a low. I know, now thattesting is available that you can be 500 and drop quickly to 200 and feel like you are going low. That is the time you should "sit it out"....yes, it is very true that the tighter control you have the more lows you will get. After 55 years I am still getting them three, four, five times a week. Yes, its true sometimes at 70 you will feel terrible and other times at 60 you feel OK....its the rate that you are dropping.....
Sheila

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