Seeking everyone's feedback on----Shared Best practices

Michael V Baker
By Michael V Baker Latest Reply 2014-12-05 15:45:29 -0600
Started 2014-12-04 11:10:19 -0600

When initially diagnosed with Diabetes & commence taking 'prescriptions' to lower your Blood Glucose levels(BG), how do you counter Hypoglycemia symptoms when you know your BG is 70 or Less? If on a CGMonitor, how do you compensate the 'LOW' when the arrows on your CGM shows One vs. Two arrows fall in BG. I remember for years and years overcompensating with way Too many Carbos which escalated my BG levels too far upward and needing to manage reducing again. In recent years past, I now only ingest simple sugar food i.e. orange, grapes, raisons…, but, only ingest 20-25 grams of carbos at inception of the low BG level. We ALL know that have experienced hypoglycemia and then compulsively ingest way too many carbos to relieve the symptoms

6 replies

Panda99 2014-12-05 15:45:29 -0600 Report

Sometimes I have found that the 15/15 didn't work well from me (I continued to drop) My Diabetes educator suggested to try 1 15/15, and if I didn't start to correct, follow that with a 30/30. That has worked well for me with before bed lows.

lilleyheidi 2014-12-05 03:14:00 -0600 Report

Now, after having read about the 15/15 rule a few months ago, I've been trying to remember to follow that. However, prior to knowing about the 15/15 rule, I was a fridge raider. I would make myself a thick PB&J sandwich and a glass of milk because it was quick and as soon as that was gone I was looking for the next thing to devour. My BG was UP soon, and I'd be dealing with the hyper's, and then the rollercoasters, and the major mood swings that went with that. For me, the mood swings (also being bipolar) was the worst part of the hyper swing to hypo problem.
I'm so grateful that Jaybee52 headed me to the information about the 15/15 rule. A juice box of apple juice followed 15 minutes later by a graham cracker and peanut butter usually sets me straight now.
Have a good day. Heidi

Michael V Baker
Michael V Baker 2014-12-04 20:59:14 -0600 Report

Great discussion input jayabee52, Thank You. As simple and fundamental as your sited practice is in practicality and safeguard to avoid a huge spike, I wish and hope that more Endocrinologists, Dieticians… would provide this type of logistical protocol. I can only assume as in past discussions here, many individuals over react in carbo indulgence when hypoglycemic less than 70 mg/dl and below. For those that have a CGM, how do you handle differently the arrows indicating a doulbe arrow drop vs a single arrow drop, if at all?

jayabee52 2014-12-04 18:49:16 -0600 Report

Howdy Michael
When I go low (which is extremely seldom) it is good to follow the 15/15 rule. Consume 15 gm of a fast acting carb wait 15 min and then test again. If the BG comes up, then eat some protein to keep from falling again. If in 15 min the BG level hasn't budged. then do another 15/15. Do that up to 3 times and if the BG hasn't budged, then call 911 or have someone else drive you to ER Dept. (generally best to arrive by ambulance as you get care on your ride there and you seem to be seen more quickly)

Foliowing the 15/15 rule keeps one of the "BG roller coaster".

My late wife had lows frequently due to her condition. She had Lupis and received cortisone injections or prednisone to help her deal with the joint pain when she had a flare. It would send her BG level into the 300 mg/dl + range and she needed to inject two types of insulin on their own sliding scales. (Since she was totally blind I had to read the BG levels and draw up her syringes) She usually had symptoms of a hypo in the middle of the night. When she had those symptoms she would wake up and eat carbs ravenously.
She had a stash of candy and cookies in her nightstand.

She only woke me up one time and I managed to take her BG level. She was having a false low. I urged her not to eat, which she did, but didn't like it much.

That was the only time she ever woke me up at night, even through I urged her to do so repeatedly. (she did love her carbs).

Praying for improving health for us all


. .

Just Joyce
Just Joyce 2014-12-04 13:12:17 -0600 Report

I carry Levelife which didn't work the first time I used it because my blood sugar was constantly going up and back down. I ended up in the ER. It would have worked had I not had the episode that I had. My neighbor uses it. I have not had a low like the one I had or had a low that required my needing it, I still carry it just in case.

RebDee 2014-12-04 12:02:17 -0600 Report

When my hypoglycemia raises its ugly head, I take a sugar tablet which works quickly. I carry them in my purse so I always have them and I have another bottle on my nightstand.

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