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Permalink Reply by wv on July 17, 2010 at 10:03am

I see you are a type 2 also. I had an issue with night time lows for a while. I was on metformin 500 per meal and I would work out between 6 and 8. I constantly went low in the middle of the night. i had to stop my dinner pill because it seemed that the excercise I did earlier seem to cover me for the night. Once I cut back on my last pill at night the lows in the middle of the night seem to stop. Also I added protein to the last snack I ate before bed. Seemed to help

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Permalink Reply by KimKat on July 17, 2010 at 2:33pm

Oooo. thanks for your response.

This sounds a bit like me. I am on Met 500 2 times a day also and I also exercise between those times now (although I just started this in the last month and it is only walking on the treadmill about 45 minutes usually) but I also do some muscle toning exercise after my din (which is usually around 8 or 9 ish. Unless, are you eating before you exercise? I do mine before and eat late. I haven't had any lows in the mid night but I now waking up lower, as per my othe responses.

I am wondering if I do not need my second Met. I have get my prescription refilled soon and I bet my doctor will want me to come in before I do that (grrr another 95$) but I wonder if he will take me off my second dose? Could this be possible - that I don't need my second dose anymore? Interesting..

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Permalink Reply by KimKat on July 17, 2010 at 10:05am

This may be a bit off topic. I assume most of you are T1's except the OP said she is T2 but on insulin. I am T2 on Met.

Recently I started exercising more and am doing a muscle toning program and I have been waking up in the 60's more often. Today I was at 64 but I feel fine (well, it always takes me a while to wake up and I am a big grouch in the morning but that is not new! haha! not a morning person at all). I do realize the meter results can be off of the real number.

I can often be at a 60 number before dinner too and still feel good.

Why is it that some people can be at a "low number" and not feel anyting but other will feel "low"?

I have been wondering this lately and though maybe this was a good place to ask.

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Permalink Reply by FHS on July 17, 2010 at 12:10pm

Aside from the 20% meter error, different levels of hypo unawareness would be my guess Kimberly. I used to get the shakes and classic hypo symptoms starting in the mid 60s. 50s would have me curled up in the fetal position waiting for my correction dose of glucose to kick in.

25 years of diabetes later and I can be in the 60s at the end of a run and still finish the rest of my workout without having to correct. Partly because of my hypo awareness and being able to function reletively normally in the 60s, and knowing that my weightlifing routine will raise my BG 20 points without having to correct anyway.

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Permalink Reply by KimKat on July 17, 2010 at 1:05pm

So is my waking up at 64 mean I am hypo? I eat breakfast pretty much right away.

Is this dangerous? I thought it was only dangerous if you felt gross. I would think if my body had a problem with my bg level only being 64 I would feel horrible. I actually feel pretty good at that level.

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Permalink Reply by FHS on July 17, 2010 at 1:21pm

Technically, if you go by guidelines, it is considered hypoglycemic regardles of how you feel. I think the responsed have been pretty good about talking about why it's advisable to treat a BG in the 60s regardless of how you "feel". The bottome line is, at some point if your BG continues to drop, you risk more serious consequences. Having hypo unawareness just means you can't feel yourself approaching the range of BGs where those consequences will present themselves. it doesn't mean you can escape those consequences just because you can't feel them coming on.

If you get up, eat breakfast, and dose your meds accordingly, you are "treating" the BG of 64 at that point. I wouldn't recommend ignoring a fasting BG of 64 by going out and exercising or continuing on your merry way until lunch.

Hope that helps!!!

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Permalink Reply by KimKat on July 17, 2010 at 2:23pm

Ok, what is the 'guideline' number? I know every place seems to have a different one. I read 70 somewhere and than I read 65 or 67 somewhere else. My mom had a fasting bg of 67 on the blood test just recently and she is not diabetic - does that mean she is low?

Yes, I test right away and eat my breakfast right after (unless the cats are jumping on me first and I have to do their breakfast before mine! LOL!)

Gerri, so waking up at 64 isn't dangerous as long as I am going to eat breakfast right away anyhow? (which I would be doing regardless of what number I was).

A few times I had a number in the 60s after my treadmill walk (well an hour or so after it) but I was getting ready to make my dinner so it didn't matter as I was going to eat anyhow.

I know what you mean, I could feel crappy at 80 or 90 one day and feel great at it the next day. So it is other stuff too.

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Permalink Reply by Gerri on July 17, 2010 at 2:47pm

Under 70 is considered low BG. That's the usual number given.

One 67, regarding your mom's fasting, means nothing.

I was hypogylcemic for decades before being diagnosed, as were many others. No doctor ever told me this was something to be watched or anything to be concerned with. Wish I had known. I figured as long as it wasn't high, I was ok.

Waking up to 64 isn't cause to do anything but eat. Remember, there's a margin of error with all meters.

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Permalink Reply by FHS on July 17, 2010 at 2:56pm

Well, being clinically diagnosed as having hypoglycemia does depend on a set of criteria. To be fair, there isn't a single number at which everybody is considered hypoglycemic. When I say "guideline", I mean a number that is used as a general borderline between normoglycemic and hypoglycemic. That number seems to be 70ish. Again, that doesn't mean you're going to pass out or start having siezures at 69. It's just a caution zone that means you want to keep a close eye on your numbers if you are diabetic.

Personally, I don't consider any number in the 60s as being dangerous in and of themselves. I function fine in the 60s, have never been unconcious or had siezures in the 60s, and generally feel great. I know that I can crash though and 60s are definitely a range for me to monitor closely and I'll always have my rescue glucose close at hand at that point.

You seem to be doing fine with your routine so I wouldn't lose sleep over it, but everybody is different and you know yourself better than anybody else does.

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Permalink Reply by FHS on July 17, 2010 at 3:01pm

Heh, just so happens thatI'm at 60 right now. Since I won't be having dinner for another 3 hours, and I'll be walking over to the movie theater in 20 minutes, it's probably a good idea for me to correct now, and check again in 20 before I head out. =)

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Permalink Reply by KimKat on July 17, 2010 at 3:16pm

Or have some popcorn! :)

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Permalink Reply by solobaricsrock on July 17, 2010 at 5:04pm

and Sour Patch Kids!!!

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