Low bg and how to handle it. Still low after many hours

By Turtle Latest Reply 2012-12-28 18:54:09 -0600
Started 2012-12-02 23:54:53 -0600

I exercised at the Y today. I always check my bg before and after exercise. Today, before exercising, it was high and I used insulin. I went into the pool to exercise my legs slowly for just less than an hr. then I went into the hot-tub for just less than 20 min. When I got out, I went directly to the dressing room and got dressed. As I was getting dressed, I broke out into the shakes, felt hungry, and eventually became disoreintated (sp). I took my bg and it was very low. I ate almost every snack I had with me and my caregiver got me a 6 inch subway sandwich. I got my favorite, veggie. I also got a small bag of chips, a choco. chip cookie and a bottle of pop that was regular not diet cuz I needed to get my bg up.

It came up some and I felt a little better but now it is low again. I have had some crackers and reg. pop. I am going to get some p-butter in a min. cuz thats good protein. Anyone have suggestions?

Kinda scared to sleep even tho Im very tired cuz Im afarid I will be low in the am and unable to wake up.

20 replies

tabby9146 2012-12-10 09:13:53 -0600 Report

sorry this happened. I dn't know what to tell you, but I do know as you do too of course, that is not supposed to happen, after eating all that, it should not go so low so soon, I know this was many days ago, just now reading this. I hope you have been okay since that day. I would have gone to the doctor, and called the doctor's nurse once I saw that it was not going up enough and getting low again.

Debbiejf 2012-12-06 15:19:13 -0600 Report

Hi Turtle :), alrighty then…well, you learned from this experience that when you're bg is only a little high (159) and you are on your way to exercise that you don't need to take your insulin before hand. But if you do you should always eat right after you take your insulin—I would suggest some protein like a pb sandwich, the carbs from the bread will help your bg from dropping too low. Or a meat sandwich of some kind. I, unfortunately, have been known to forget to eat after I take my insulin :( and my bg would drop drastically. I have learned that, for me, juice is the best and fastest working to get my bg back up to normal. Mostly oj or apple juice and then wait until I feel better. I also am careful just how much juice I drink according to just how low my bg is. I tried those glucose tabs and they just don't work fast enough for me. I have only had one episode where I've had a low bg and did in fact eat almost everything in sight that my bg was still low, that over-eating carbs, sugar can even lower your bg. I buy those multi packs of sunny-d and try to carry one with me at all times :). It's the perfect size and amount to bring my bg up to normal levels without spiking :). I used to use Hawaiian Punch but after awhile it began to spike too much so I switched to oj and apple juice. Good luck!

Wolfgirl1213 2012-12-04 23:07:47 -0600 Report

First, I was always told that being a little high before exercising is actually better because then you won't drop as fast afterward. And also if you are below 100 before bed drink some juice or something else that raises bg then you never have to worry about falling to low at night.

jayabee52 2012-12-05 00:56:45 -0600 Report

actually I was told by my Dr that I should eat a protein and a slow burning carb like graham crackers so you have a long slow digestion going on overnight. That would keep the BG rather stable for most of the night.

I would worry that if I consumed something like juice I would spike quickly and then get on the BG roller coaster and go low where my body would feel the need to do a liver dump.

Yolanda8329 2012-12-04 22:24:39 -0600 Report

Just like a nutritionist told me. Now you're going to have to learn how to eat like a caveman. Meaning eat more natural foods and not fast foods. You may want to purchase a divider plate ( 3-section plate) and only eat what you put in the plate and a small fruit. In the large portion goes carbohydrate. And small portion meat and in the other small potion starch. Eat only what you put on the plate.

Nick1962 2012-12-04 08:51:38 -0600 Report

Hot tubs have been known to lower BG levels. Supposedly the heat increases insulin absorption rates. It’s said to be a therapy for T2’s to lower their numbers. If exercise lowers your levels like it does for most (except me), you probably were low before you went in, and quite possibly experienced a hypo episode. I’m surprised there was no warning sign posted. Hot tubs and steam showers were things I knew I had to avoid until I got my numbers in line.

ConnieMarie 2012-12-07 06:18:18 -0600 Report

Gabby & James are right on the 15/15 rule but as someone pointed out hot tubs lower sugar but they also raise bp. Those are tricky to balance…just be careful!

Set apart
Set apart 2012-12-04 05:53:20 -0600 Report

OJ and glucose tabs are key, they're fast acting like everyone said! Fast acting insulin is too quick,, and I never correct before exercise, will chk after and then correct only if stiill high. My BG continues to drop at least one half hour after a good cardio exercise, so be careful with this! Hope you're better!

Ms. DAT 2012-12-04 02:34:28 -0600 Report

Turtle if you feel yo may not wake up then don't go to sleep until you eat a light bedtime snack that will maintain you blood sugar over night such as fruit, half sandwich, graham crackers with hlf glass/cup of milk if tolerated. I hope this message reach you in time before you go to bed. However, please let me know that you are OK !!!

Mr. A1c
Mr. A1c 2012-12-03 22:32:16 -0600 Report

Next time, exercise when sugar is at least 100 and you haven't taken insulin in a while. See if the BS comes down on its own. It may take an hour even after you're done. If it's high and you really want to exercise, only adjust with insulin to bring it down to 150. The workout should bring it the rest of the way.

MoeGig 2012-12-03 22:02:53 -0600 Report

I never take quick acting insulin before exercising…and I go to the gym almost every day. You're over-correcting and going into yo-yo mode. If a 16oz bottle of coke doesn't almost immediately get you back to normal, then your dose routine is off. I am saying that because you had to eat too many carbs to correct the low sugar. Be careful with the amount of humalog you take…it's like dynamite. Good luck.

Type1Lou 2012-12-03 17:42:20 -0600 Report

When your blood sugar is very low and you need to get it up quickly, you need to eat a FAST ACTING CARBOHYDRATE like glucose tablets or glucose gels or frosting straight out of the can or tube, regular soda or juice…or, in a pinch, dissolve table sugar in water and drink that. Candy Bars, cookies, snacks…all these are not absorbed as fast as a fast-acting carb and are not effective in quickly getting your BG back to acceptable ranges. But, they will cause your BG to rise higher and higher afterwards. In the future, when your BG is high right before exercising, I would suggest not taking any additional insulin until after you finished exercising, then re-test and decide if you need anything at that point. (I personally hate glucose tablets and the gels but always carry one or the other with me…at least I won't be tempted to eat them when I don't need them.)

jayabee52 2012-12-03 16:45:25 -0600 Report

Howdy Turtle, I was gonna point you to the rule of 15/15 as Gabby did.

Also was gonna comment on your choice of foods to bring your Blood Glucose (BG) levels up. But Gabby beat me to it. One needs to consume quick acting carbs like a partial can of regular soda or a hard candy

If I had trouble with hypos I would keep the glucose tabs with me. Or I would investigate the "Life Level" glucose packets (currently advertised on DC (~ http://levelfoods.com/starter-kit/?utm_source... ) and bring those with me to the gym.


GabbyPA 2012-12-03 10:54:10 -0600 Report

Exercise should bring down your levels, so I am not sure why you gave yourself insulin before exercising. If you were over 300 it is recommended to get it lower before exercise, but other than that, i would have let the exercise do the work for you.

Then if you are low, use the rule of 15. http://www.diabeticconnect.com/discussions/16969-15-15-rule-do-you-know-it
Eating a sandwich makes your rise slow. Just drink about 1/4 cup of your pop and wait for 15 minutes. Test and if you are still low, repeat until it starts to rise. Then you can eat your meal to provide longer lasting carbs.

I know if you are reading this today, last night was okay. I hope you are feeling better today.

Next Discussion: Introduction »