Afraid of the Low's

By MOMMY_OF_AN_ANGEL Latest Reply 2012-07-02 16:34:21 -0500
Started 2011-03-15 14:44:52 -0500

I have a tendancy (and not a good one…) where I tend to not take enough insulin after my lunch because of the fear of going low while at work. Like today, when I checked my sugar before I ate a salad and sandwich, my sugar was 105. So, because it was so low, I didnt take any Humalog. Well, 2 hours later, I check it and its 403! Now, Im here at work for another 3 hours, and Im afraid of taking the amount I "should" take because I dont want to go low here at work with people I dont feel comfortable being in that kinda state (seizure like). I always feel comfortable at home, with my fiance, as he has seen it before and he knows how to handle it. I have snacks in my drawer in case, I guess its just a phobia I have (and hoping other do too! lol) I appreciate all input! Thanks!

29 replies

HockeyGuy1990 2012-07-02 16:34:21 -0500 Report

Yes I know how hard that can be, when I started my job back in September I never would bolus at lunch b/c i was afraid of going low on the job, (didn't want others to get mad b/c I have to take a break to boost my BG up, yes very silly to think they would be mad for that). One of the things you might want to start doing is take 3/4s or 1/2 the insulin you normally would, so you don't shoot into the 400's which is equally as bad. If you have a fridge there for drinks keep a thing of orange juice in there incase you do go low, will boost your sugar up very quickly. Hope you find a solution for the problem you are having =).

spizale143 2011-03-24 00:05:57 -0500 Report

Do you feel lows coming on? I've had diabetes so long now I dont always before they are in the 50's. Always be prepared with something like a real soft drink ( not diet ) that will bring up your BG rapidly. I'd dose for your meals and check your BG an hour after eating. KalorieKing puts out a paperback annually that's an excellent sourse for carbs. Check with your doctor and/or diabetes educator to make sure your carb-to-insulin ratios are right. Or maybe your insulin sensitivity needs checking. If you use a pump you can avoid having lows so often. You can also instruct a trusted friend at work on how to help you if you need it.

Forestjulie 2011-03-20 15:16:46 -0500 Report

Me to I give myself 10 units not enough at lunch afraid I'll go low I work with children

AllisonK87 2011-03-20 19:46:21 -0500 Report

I have a hard time taking any insullin at lunch i also work with kids. My Doctor suggested i take half of what i should take and then if i do fine with that, later i could take more to get me back down to "normal".

nanaellen 2011-03-17 20:48:09 -0500 Report

I've found that 4 oz.s or so of O.J. usually does the trick for low sugars but I also had a Diabetes Nurse tell me to carry one of those gel frostings in the squeeze tubes!! The sugar gets absorbed really fast and you can carry it almost anywhere!!

MOMMY_OF_AN_ANGEL 2011-03-17 09:17:45 -0500 Report

Just an FYI - Last night I went to Walgreens and picked up an Emergency Kit. I showed 2 different people here at work how to use it in case they need. This makes me feel a little better about the phobia I have of going low at work. And even if it starts dropping and I feel I cant bring it up fast enough, I as well can also give myself the shot :)

sherifawson 2011-03-17 10:54:36 -0500 Report

The kit is a good thing to have and a couple of inside friends at work. I keep a can of regular coke in my desk drawer. I know that for me sugar in liquid form works fastest and there's something comforting about having something "naughty" that I would never allow myself to drink otherwise. Is that bad?

EJMac 2011-03-16 21:55:11 -0500 Report

With my insulin I take what the doctor recommended. If the numbers are too high or low (mostly high for me), I call the doctor and they sometimes adjust it for me. I don't feel comfortable doing alot of adjusting on my own. I try to eat the same kind of balanced meals and daily exercise. Lows are scarey I know.

GabbyPA 2011-03-16 10:06:43 -0500 Report

I know it takes a lot, but letting someone at work be aware of what happens and what they can do it really important. You need to have trust in someone there. I hope you can find someone there to be that support for you. It is hard to contemplate, but comfort is not really the issue. You need to take care of yourself, and people need to have some clue around you of what to do. Even if you just have a note in your desk drawer that outlines what to do. Keep one in your purse as well.

I know I have been at a grocery store and the check out lady was going low as I was there. They kept putting off her lunch break. I offered her my tabs and she said she had taken some. So I waited a bit to make sure she was going to make it to her break. The bosses need to know how important it is. Her bag boy had no clue and was joking about it. I helped him understand what was going on. It is just that they really don't understand and you need someone who does who can help you.

MOMMY_OF_AN_ANGEL 2011-03-16 10:44:34 -0500 Report

Well, actually, everyone here knows about the diabetes and they pretty know know if I go low that I need sugar. But I guess its more of going low and being embarassed. I mean honestly, who wants anyone to see them in a low bloodsugar? (Beyond our control)

melissa5786 2011-03-16 19:56:13 -0500 Report

I understand the embarrassment. You feel like you can't control your own body and honestly, you can't. Luckily, I've never had to deal with lows at work (yet) but I'm sure at some point it will happen. I make sure at least one person knows where I keep everything. I can't expect people to learn how to handle my personal situation, but I want someone there to know that if I start acting a certain way (spacey, words mixed up or shaking) that I need something to eat or drink with sugar and quick!

I'm working on finding a medical alert ID bracelet as well. It doesn't hurt to have that information on you at all times. That way if people at work are uncomfortable or can't help they just call 911 and the information is on you.

Everyone gets scared, but it's our life. You'll get over the embarrassment and be be grateful for the person that steps up and helps you.

AllisonK87 2011-03-15 18:12:24 -0500 Report

I have the same fear of going low at work. I have a really hard time taking my insullin at lunch time due to anxiety of getting low. But with my job i am on my feet all day with 16, 2&1/2 to 4 year olds. My doctor has suggested that i try an take half of what am supposed to if i feel i might go low. then check later and see if it was enough and if not take more. My blood sugars tend to go back down to my before lunch number without insullin by the time i leave work.( I am on the pump though).
Well i hope you can get it all figured out :)

courtcat79 2011-03-15 15:49:05 -0500 Report

Just a suggestion but what if you started to log what exactly was in your meals. Then you can sort of figure out what exactly caused your sugars to jump to high to begin with. I'm type 2 so I'm not sure about the whole type 1 and how carbs effect us differently, but maybe something in the salad had a high carb count. I use glucose tabs for my lows which work for me quicker than a snack would. Lows aren't fun and I know how you feel. But I wouldn't skip out on my meds its those meds that keep us from getting so bad off. It may get annoying to have to prick yourself so often, but if you catch the low before it gets too bad you can prevent yourself from getting too bad.

MOMMY_OF_AN_ANGEL 2011-03-15 16:06:25 -0500 Report

Well, the salad had lettuce, maybe 1/4 cup diced tomatoes, 2 cucumber slices, maybe 1 tbs. of shredded chs, and a boiled egg. And there was maybe 1/8 cup of ranch dressing. The sandwich was maybe 25 carbs at the most. idk…Im supposed to learn carb counting when I get closer to being put on a pump, but they want my sugars to be more controlled before they decide to do that:(

jayabee52 2011-03-15 16:27:26 -0500 Report

Well that's kinda bass-ackwards IMO.

You get in better control QUICKER if you count carbs, not calories (I seem to remember you saying they told you to count calories in another discussion - if wrong about that, my apologies!) .

Counting calories is deceptive for a diabetic, because fats have 9 calories per gram, but don't affect your BG levels as much as a carb, with 4 cals/gm. Even veggies & proteins are eventually turned into carbs, but the time taken to do it varies with the food (that's the idea behind the glycemic index).

So I suggest you search for discussions on counting carbs or search the videos section for a how to count carbs video.

Learn how now so you can hasten the time when you can get enough control to get your pump.

And that way of thinking: Get your BG#s under control before you get a pump is rather bass-ackwards too IMO.

melaniebecerra 2011-03-17 10:27:55 -0500 Report

i agree about the pump thing and it being backwards,cuz if the doctor knows me as well as they say they do, well they should know giving me the pump now will, save my life

MOMMY_OF_AN_ANGEL 2011-03-16 09:10:44 -0500 Report

No,…never said I count calories. And as for Carb. Counting, Ive already started learning about it. I went to a Diabetes Educator a while back and she explained alot of it to me and I also have the King Carb Counter book. Very helpful book if I might say!

jayabee52 2011-03-15 15:27:06 -0500 Report

How long was that 403 after you ate? If it was 2 hrs, I'd take my humalog, and monitor my BG#s every 1/2 hr. If your BG# drops too low, then eat some of your stash in your desk, about 15 cabs worth. Then keep tracking (you might want to log your #s and how you felt on a separate piece of paper). Also, test before you head home (esp if driving - I like to keep my #s slightly high, esp when I'm driving). I am disabled so I don't work, but am concerned for my and others' safety when I drive.

Blessings to you and yours Rachel!


MOMMY_OF_AN_ANGEL 2011-03-15 15:42:41 -0500 Report

Yea, it was exactly 2 hrs after I ate. I took 10 units of my Humalog after I got that reading! I dont track every half hour though because my sugar always takes at least an hour to come down after being that high. And I usually know when Im dropping, so I would check it if I felt even a little shaky (even though I only live 3 minutes away from work :)

jayabee52 2011-03-15 15:48:20 -0500 Report

To be safe I'd check just before heading home. A lot can happen in 3 min. Better safe . . . .

I take it the 10 u of humalog you took wasn't the full amt you should have taken?

MOMMY_OF_AN_ANGEL 2011-03-15 15:59:49 -0500 Report

No, the 10 u is what I would take normally. I will probaly check it 20 minutes before leaving as the the last 15 here as were all getting ready to leave is kinda hectic. Thanks Jayabee.

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