Replies to This Discussion

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 Karen 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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Permalink Reply by Patricia on September 21, 2009 at 12:25pm

Hey Kristin:) I too have a fair amount of lows...2-5+/week. If I have a low it tends to breed others:) Last night I was out w/ friends and just kept eating Smarties and checking...hovering around 70mg/dl. I am one of those who try to treat w/ as little as possible so I do not go well over 100mg/dl...sometimes it means continuing to treat for an hour or so. I call "low" less than 60, but I usually feel them coming on if it is dropping quickly...around 70mg/dl. I am going to hook up my CGM today for the first time! I am hoping it will help me anticipate the lows better and fine tune my basals to help prevent so many. I have been skating pretty low these past 2 months hoping for a HgA1c in the low 6.0's:) Had a terrible low the other morning...unable to speak or treat it and had to rely on my sister to notice and give me something. Really scared me into trying out the CGM system. Do you use CGM? I am hoping it helps:)

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Permalink Reply by FatCatAnna on September 21, 2009 at 11:14pm

I've got my low threshold at 60 mg/dL (3.5 mmol/L). Yikes Jeff, 30ish and you can still function! Anything below 2.0 mmol/L (36 mg/dL) and I'm starting to panic and logically count out the Dex4's or grab a juice box. The little tin soldier takes over in away during those types of lows (Anna - you must stay focused is going over and over in my head!!!).

I get less lows since being on the pump - which is the reason I went onto it in the first place (as well as wanting to see what pumping was all about and never meaning to get hooked onto it permanently). Tho' I'm sure with tweaking my Lantus over time I would have gotten things under control and proper carb counting (you have to be more religious at that with a pump!)

When/if I do go back to MDI - - I'm hoping that the transaction from pump to MDI will be more smooth with all the knowledge I've gained since going on the pump - along with infrequent highs/lows.

So, in a nutshell Kristin - I guess I average about 3 lows per month - sometimes less.

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Permalink Reply by ravinder on September 22, 2009 at 7:19am

i feel low at midnight ,every anotherday .during day i judge it at 60 to 70 and at night it is 40 usually, the more tight control is the reason i think for frequent hypo

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Permalink Reply by molly hall on September 22, 2009 at 7:42am

Kristin,
I'm so glad you posted this question. I thought I was the only one. I'm low at least once a day and, like you, It happens at night more times than not. What's up with that? Especially if I walk in the evening. It doesn't happen right away but around 2am.
My biggest problem is that I don't realize I'm low until I'm in the 30s or 40s. Day before yesterday I was at 38, before I knew it and yesterday was 44. It must happen very fast because It just happens all of a sudden.
I know also that it is a sign of poor control but how do I get it controlled? I have cut back on my night time Lantus but it's still happening. My Doctor recommended a pump. What do you think?

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