Hi, I know I am posting alot but I am really trying to get a grip on all of this stuff. I know why my bloddsugar stays uh abnormal...either too high or too low, mainly because I take too much insulin when it is high...and then I freak out when it is low, eating WAY too much, drinking cokes and candy and spazzing out. How do you deal with low blood sugars calmly? For example, I just checked mine and it is 64, I'm trying to just eat some Cheetos...and not freak out and buy a coke out of the machine and chug it because I know in an hour it will be 500.
If you get in the habit of using glucose tabs, then that will be what you look for. And I doubt you will overdo those! I just think of them as medicine to treat lows. I don't go with the 15/15 thing, though as I don't need that much. I take either 2 (if I am just under 60) or 3 (if I am down into the 30s or 40s). And I give it about 20 minutes to take effect. One key is maybe to test more because it's easier to control yourself at 60 than at 38. And yeah, there is a definite emotional component to hypoglycemia. But just tell yourself you will be ok. I now have had enough hypos from 32 to 60 to know those glucose tabs really work and they work pretty quickly, and soon the anxiety will go away.
experiance and acceptance.
The more lows you have the better you get a recognising and treating them. It helps a lot if you can accept the idea that lows are going to be part of your life from now on. They stop being as scary then and become more of an annoyance than anything else, which makes it easier not to panic and over eat.
I like the Dex4 GlucoShots. (well, the mixed berry one; the lemon lime is kinda gross). Fifteen grams of carbs in a single liquid shot. Just pop it open, drink it down, and wait 15 mins to test again. They're more expensive then the tabs, but they're easier to use in my opinion.
Avoiding taking too much insulin when I'm high is another thing. I downloaded an insulin calculator to my droid phone, and just plug in the numbers (current BG, target BG, I:C, CF, expected exercise, carbs eaten). It spits out a number, and my only thought involved is to round 2.9 up to 3.
I'm not a huge fan of the pills b/c sometimes I run into situations where say 2 aren't quite enough but another third would be too much? W/ practice, a 60 might only need like 5 or 6G of carbs, depending on what's going on and what's on board and all that stuff. Plus having Starburst Jelly Beans, which are exceptionally tasty, makes me quite a bit less irritable when I'm low.
They are also much easier to lug along in some little bags I got @ Hobby Lobby than the tubes for the round glucose tablets. The square foil wrapped things (BD I think?) are even worse as they'd always break and become sort of gnarly.
One final consideration is that the jelly beans are about 2.99 for 9x42G/ servings (in the bag...) or 379G of carbs whereas glucose tablets seem to run about 5.99/ 100 or 300G of carbs? A couple bucks isn't a huge deal but, if you are considering them medicine, well, it adds up over the course of the year.
I'm going to second (or is that third) using the glucose tablets. I have them at home, in my purse and in my car just in case. I woke this morning at 1:30am feeling "odd" and tested my bg...it was 49. I immediately downed 4 tablets and waited then tested again. Two more tablets and I was fine. It becomes habit...just like anything else.
The normal rule is 15g carb, wait 15 mins and test again.
For me, 10g carb is enough to get me out of a hypo. I keep a stash of readily available 'doses' of 'hypo cures', all of which I have verified are the right 'dosage' of 10g carb. That way I don't need to think about it, just grab one. I suggest you do the same.
As for the Coke - here in the UK you can buy miniature bottles of Coke which contain about 13g of carb each. I find these are ideal because you just drink the whole small bottle and you don't have to worry about going too high later because the amount is just right. They are slightly smaller than the cans of Coke you get on board full service airlines. In the UK they are found not in the soft drinks aisle, but in the alcohol aisle as they're meant to be mixers.
You must get these. Skittles and other candy alternatives are good, if you can keep control of yourself. I've never been able to. So I overeat them, or I want to snack/graze on them because they're so yummy. So I stick with glucose tabs. You can get a tub of 50 at Walmart for less than $5. They sell tubes of 10 tabs for a little more than $1. I keep a roll everywhere: pants, backpack, office desk, car, nightstand, wife's car, wife's purse, etc. They taste good, but not great, so I don't have the urge to snack on them. They are measurable and countable. Makes it much easier to keep yourself from overcorrecting a low.
I started using tabs about 3 years ago, the same time I started pumping. Like you, I'd previously used anything and everything to treat a low. Problem is most other foods and sugar drinks have various rates of absorption. Some absorb fast, others slow. For example, you coke should absorb faster than the cheetos. So if you're low and eating Cheetos, you might not see a fast BG response/return to normal. So you keep eating, and eating, waiting for the BG to come up and for you to feel normal/not low. Problem is, once your BG has come up enough to feel good and you quit eating, you've already got a bunch more carbs in the digestive pipeline that will continue to raise your BG. Before, you're uber-high. I was in this vicious cycle for about 10 years. Now that I use glucose tabs exclusively for correcting lows, I'm able to do a much better job of not OVERCORRECTING. I ain't perfect, but I'm a lot better than I use to be.
Good luck sorting it out.
I will not even try to say I don't do that......The coke I mean................ugh and the over eating............I've been a diabetic for 37 years and still do it. Maybe the other's here will help you with that. I have found that 1/2 a coke will bring me out of a insulin reaction. I give the rest to whoever is around me at that time.
anybody seen my kitchen? :-o I seriously think I inhaled it the other day during a bad low ha ha. Tablets work well as they contain a known amount of carbs and you're less likely to go nuts and just keep eating them. (talkin' to myself a bit here) But you're so right, the waiting period while your BG is climbing is tough. If I can think clearly enough during a really bad low, which luckily for me isn't all that often, I remind myself how crappy I'll most likely feel If I do allow myself to overload. btw, welcome! Ask as many questions as necessary. It's why we're all here.
I have struggled with this all of my 56 years of Type 1. Before we had meters for testing, we had to rely on symptoms. My symptoms I think have become so severe - the shaking, sweating, confusion, loss of concentration, even blurry vision it is very, very hard to not over-eat. In fact I always over-eat. I do not seem to be able to stop until the symptoms have gone. I find Orange Juice to be the best. It is so hard to drink just 15 carbs and wait 15 minutes. I usually have peanut butter on wheat crackers until the symptoms subside. I still believe that its the rate you fall, rather than the numbers. As you said if you are 400 and drop very quickly to 100 you get the "hypo" symptoms. All I can say is it is very difficult to control and you can only do what is best for you - not what the "numbers" dictate.
I see right under you Mike said something about glucose tabs. me, myself, and I don't like them so I just get 1/2 of a coke (HATE OJ) just my way sorry..........................
I actually think that the fact that the tablets don't taste so great is a bonus. The taste helps me avoid overeating. The way MY mind works is I want to treat the low appropriately and get off the low-high-low-high roller coaster as soon as possible - this is one ride that is just TOO SCARY!
On top of that, I really want to avoid using coke, cake, cookies, etc as some sort of wacky reward for going low. Again, to me that's the road to some sort of disaster and/or eating disorder - YUCK!