Low blood sugars, what do you do!?

Danni-the-diabetic
By Danni-the-diabetic Latest Reply 2010-02-19 19:03:04 -0600
Started 2010-02-18 01:02:56 -0600

My sugar get low at least once a day, usually. I was taught to drink juice to bring it up and peanut-butter (protein) to stabilize it. I don't know if that is how it works, but that's how I was taught so I stick to it. Anywho, I am sick of peanut-butter, anything with peanutbutter and I hate cheese. And when I am out I take glucose tablets for a quick fix, but I have to eat like three of them and they make me feel sick :(
To make a long question short, what do you do if your sugar is low?


54 replies

dee2me
dee2me 2010-02-19 16:54:32 -0600 Report

Hi:

I am a type 1 and usually drink a small glass of orange juice. Also it is good to keep a tube of cake icing found in the grocery stores in your pocket or purse. Snacks every 3 to 4 hours help to avoid low blood sugars.

Elrond
Elrond 2010-02-19 16:27:00 -0600 Report

I just popped in to report. I had to share this with somebody. I got my lab report and my A1C is down from 8.6 to 7.5. I'm headed to the grocery store so I'll have ro restrain myself from buying ice cream to celebrate.

Blue Angel
Blue Angel 2010-02-19 13:55:14 -0600 Report

You and me both, I don't like peanut butter a lot, only by spells I crave a pb&j sandwich. My BS have been up. I'm trying to keep it up . It went back down a little to119 this morning but still higher than usual .but I'm going to remember what I did to keep it regular. Hope you do the same.You tagged me about this same thing. SoI hope we can both keep it up.

dyanne
dyanne 2010-02-19 01:23:16 -0600 Report

I HAVE HEARD THAT THE BEST THING IS MILK AND MAYBE A GRAHAM CRACKER OR SOME PEANUT BUTTER. I KNOW IF U DRINK TOO MUCH OJ IT CAN CAUSE U TO SPIKE AND THEN MAYBE CRASH AGAIN. SO U WANT TO BRING IT UP BUT NOT TOO HIGH… U NEED TO SEE WHAT WORKS FOR U. 18 WOW THAT IS REALLY LOW… BE CAREFUL !!!! I THINK MY LOWEST WAS 40 AND ITS SUCH AN AWFUL FEELING !!! GOOD LUCK ..

Elrond
Elrond 2010-02-18 22:20:20 -0600 Report

Tonight while cooking dinner, I felt a low sugar but pushed on, rationalizing that I would be eating soon. By the time I got around to my pre-dinner test, I was down to 45! It's no wonder I was having trouble locating stuff in the cupboards. I got through dinner and I can almost feel my sugar climbing now. I skipped my shot before dinner and I'll make any necessary corrections at the 2 hour post meal test. Not only was I scared to take any insulin then, I was shaking too much to fill a syringe.

Danni-the-diabetic
Danni-the-diabetic 2010-02-18 22:35:55 -0600 Report

Oh that stinks! I was right there with you tonight, but I took my insulin because, well I wasnt thinking.
You need to be careful cooking like that with low sugars. You're lucky you didn't hurt yourself or the house down…:)

Elrond
Elrond 2010-02-18 23:42:59 -0600 Report

But if I didn't cook, I wouldn't have anything to eat.My roommate is an elderly lady struggling with congestive heart failure so I do nearly all the cooking.

Deb-G
Deb-G 2010-02-18 21:39:30 -0600 Report

You dont want to use some sugars because they spike you too high…and if its all you have you want to limit how much…for instance not an 8oz glass of milk, just a 1/4 cup will do it…Glucose tabs are best because they are the right kind of carb to bring you up but not spike you up…There's also little "shot bottles" along side the glucose tabs in the store, you can just guzzle…its actually better I think and like you one tab never does it for me either…the drink is worth more…so the glucose sources you can buy specifically for lows are best because they are the best kind of carbs to not create roller coastering…Then again when i'm going low, I go fassssssst unlike most so maybe my treatment is more sensitive to avoid flip flopping…

I was always told Candy, soda or Juice shoots you up and its really overkill and to only use those items IF i didn't have my glucose on me…your goal is to bring it up to level but not over…you dont need that much to do it…

and yes, always follow it up with protein to stabilize…peanut butter actually isn't a good source unless its the all natural kind because otherwise its a sugar high carb source instead of a stabilizing protein…grab a piece of deli meat or something out of the fridge??..its doesn't have to be alot of anything…just a little something…I usually go for cheese, but you said you hate it…soooo that wont work lol

Danni-the-diabetic
Danni-the-diabetic 2010-02-18 22:33:29 -0600 Report

Very informative, thanks Deb. Good to know about the peanut butter. Yes, I get that yo-yo or roller-coaster affect alot and it drives me nuts - nuts! that's be good source of protein. Deli meat is cool, just that a couple times a year for some unknown reason I cut meat out of my diet for a couple months. I saw that someone posted string cheese and I looove sting cheese :)
Those glucose shots you were talking about, I think I saw some at the store for the first time last weekend and I thought "yuck!" lol, so are they good??
:) Danni

Elrond
Elrond 2010-02-18 23:40:37 -0600 Report

The glucagon shots are prescription only. Glucagon is a hormone that causes the liver to release stored sugar. It's very effective but should never be used on a concious patient. So if you're in good enough shape to use it on yourself, you shouldn't. I've trained my roommate in it's use and my girlfriend is a Registered Nurse. Both have glucagon kits handy, just in case. But the last time I needed one was more than five years ago so quite a few kits have passed the expiration date and wound up in the trash.

kdroberts
kdroberts 2010-02-19 10:22:29 -0600 Report

Glucagon, the anti-insulin! I have a couple of kits, I hope I never have to use one though. At $100+ per kit they are not cheap either.

Deb-G
Deb-G 2010-02-19 10:55:20 -0600 Report

Elrond…I was meaning a shot DRINK..not a shot with a syringe…

I do also have a Hypo-kit because I have severe lows and seizures but the hypo-kit is only used when I am unconscious…

I was meaning the liquid shot-drinks (like a shot glass) of glucose next to the tablets in the pharmacy..its quicker, easier and a bit more of a boost then a single tab..I never have time to chew each tab :)

Deb-G
Deb-G 2010-02-19 10:56:31 -0600 Report

the average low blood sugar does not ever need glucagon…its typically a type 1 need and generally those more brittle…

Deb-G
Deb-G 2010-02-19 10:58:11 -0600 Report

Ooooooo if you like string cheese thats absolutely an awesome protein source! you said cheese and I assumed all but yes yes string cheese is perfect :) but only after ya chew a tab or two or use a liquid guzzle :) the string cheese isn't a carb source, just a solid protein source to balance ya…

packrat2
packrat2 2010-02-18 19:55:35 -0600 Report

it is best not to get too low.{test offend} but I keep a Coke on hand, it works fast, hard candy can brake a tooth so I do not use them. the problem is not to yo-yo back up too high…regards packrat2

Sweet tea
Sweet tea 2010-02-18 19:26:16 -0600 Report

Okay I found it in my book. the warning signs and the treatment.
warning signs
shaky
weak
sweaty
grouchy
hungry
sleepy
headache
teatment:
1. Dring or eat one of these right away:
1/2 cup (4oz) fruit juice
1/2 cup (4oz) cola(with sugar)not diet
3-4 Glucose tablets
1 tablespoon honey, jelly, or syrup
Repeat 1 above if your blood sugar is not more than 70 within 10-15 minutes.
Eat a meal or snack.
Causes of Low Blood Sugar:
Too much diabetes medicine
Meals more than 4-6 hours apart
Missed meals
Not eating enough carbohydrates
Extra exercise without extra food
(Call Your Doctor If You Have A low Blood Sugar and Do Not Know Why)
I hope this help

Roy531
Roy531 2010-02-18 20:25:44 -0600 Report

My problem I don't get any of those if my blood sugar gets too low. When I was first DX if my sugar dropped into the 70's I would shake so bad scared everybody at work. But anymore don't shake or any of those other indicators. When it dropped to 40 that one night I was wide awake and could not sleep so I checked my BS and it was 40.

Sweet tea
Sweet tea 2010-02-18 19:16:43 -0600 Report

I was told in my diabetes class to keep one coke on hand at all time for low blood sugars but they also told me to do the orange juice and the apple juice. I like gram craker and peanut butter try it, it's not so bad even if you just eat the craker by it self. I also like grapes but you have to be very careful with fruit because they will make your blood sugar go up. I hope fine this helpful. Oh by the way do you work out? that could be why your blood sugar is going down are you are not eating enough. I had the write down what I was eating in order to keep up with my reason for low blood sugars because I work out a lot and I have to test before and after to make sure that every thing is ok. Good Luck

Peachieking
Peachieking 2010-02-18 18:01:20 -0600 Report

I eat Ritz crackers sometimes or just oj or something that sweet. My lowest was like 67 when I am on my tread mill. I think whatever u eat will work. Thats what I do whatever I have in my Apt. Also,Reg. pop is good 2 like Reg. Mountain Dew or Reg. Pepsi

Peachieking
Peachieking 2010-02-18 17:39:11 -0600 Report

YA CANDY OR ORANGE JUICE IS GOOD. MY MOMS BS WAS ABOUT 54 & SHE WAS OUT OF IT & PASSING OUT & SIS PUT OJ IN HER MOUTH & SHE CAME OUT OF IT, THANK GOD!!!

Roy531
Roy531 2010-02-18 17:44:46 -0600 Report

I have heard that orange juice is very good for that. Use to keep it all the time.

Elrond
Elrond 2010-02-18 18:51:51 -0600 Report

I keep chocolate milk on hand because sometimes when my sugar gets very low, I get very hard to deal with and I refuse to cooperate with most efforts to help me. However, I will never refuse chocolate milk. It also has at least some nutritional value. By the time I can think again, I can adjust things as needed.If I'm too 'out of it' to drink milk, it's time for the glucagon but that hasn't happened for several years.

rankearl
rankearl 2010-02-18 21:43:07 -0600 Report

i have passed out or just not woke up more times then i want o admit i always have a glucagon kit in the fridge i have a ongoing problem with nausea and the glucose tablets make that worse i drink maple syrup it doesnt take much i have always loved pnut buttter so i follow that with pnut buttter bread reg pop works if iam out and about hugs julie

Danni-the-diabetic
Danni-the-diabetic 2010-02-18 22:17:34 -0600 Report

The lowest my sugar has been is 18 and for some reason I never passed out or anything, I was actually walking around. I guess I got lucky. I was waking up every morning at 3am with sugars in the 30's and 40's and I have gotten to where I just wanted to lay there and not move but something kicked in.

Deb-G
Deb-G 2010-02-19 10:45:05 -0600 Report

I didn't know this until recently myself but did you know they say your meter is not accurate for low blood sugar…meters are designed for regular blood sugar levels and high end levels…In the 50's or below your meter reading could very well be inaccurate…it could be 10-15-20 higher then the meter is saying…Learned this at Mayo…I didn't know it either but lab tests on my lows did back it up…my meter was wrong by almost 20…Just an FYI :) Makes sense as the purpose of a meter is to allow diabetics to get their blood sugars down into normal range…it doesn't treat the other end of the spectrum…

kdroberts
kdroberts 2010-02-19 11:18:38 -0600 Report

Same is true with high blood sugars, the higher it is the less accurate it can potentially be. The standard meters are FDA approved on is within 15 points of actual blood sugar when actual blood sugar is under 75 and within 20% of actual blood sugar when actual blood sugar is 75 or more. Some countries have stricter controls but that is the base international standard. It's hard to compare meter readings to lab readings because the lab is using blood from your vein and giving a plasma reading but a meter uses capillary blood, gets a whole blood reading, translates it and gives a plasma equivalent reading. The rate of glucose change between blood in your vein (or blood from alternative testing sites) and blood from your fingertips can be quite different so one test can be lagging 20 minutes or so behind another.

Deb-G
Deb-G 2010-02-19 11:35:51 -0600 Report

I guess what i mean is your meter doesn't work that low…so if its showing that low treat yourself conservatively and until its in a range where the meter functions properly…High blood sugar readings the meter works for…there is of course a difference between lab and meter testing but without a lab in your home you dont know what your low truly is…the meter doesn't work for that…

kdroberts
kdroberts 2010-02-19 12:09:27 -0600 Report

Realistically home meters are not accurate at any level. They are most accurate when your blood sugar is around 70 but the higher you go the less accurate the meter can potentially be. For instance, if your blood sugar is 200 then any reading between 160 and 240 would be considered technically accurate, if your blood sugar was 70 then that range would be 55-85. It's not great but it's the best we have right now.

Zimoss
Zimoss 2010-02-19 14:04:18 -0600 Report

the same inaccuracy exists for highs too… so if your meter ever reads "hi" depending on your meter (500+ for freestyle and 600+ for Accu-chek) you need to make sure you are treating it seriously since the meter gets increasingly inaccurate the higher your blood sugars are so you may in reality be 700+ when your meter is reading 500.

Danni-the-diabetic
Danni-the-diabetic 2010-02-19 19:03:04 -0600 Report

Wow, thanks for sharing that. Good to know. I think that may have happened today…my sugar dropped to 49 and I didn't feel that bad and I even told my sister how that's scary that I didn't feel it drop (didn't think to test again though), and I just ate some string cheese :) recommended by another member here and literally a sip of juice and it went up to 199 in less than an hour. Thought that was odd. Guess for low sugars you can only go on your feelings and partly your meter *shrugs* why can't things be easy!? Ha!Ha!

Roy531
Roy531 2010-02-18 15:46:19 -0600 Report

When mine drops into the 60's I'll eat 3 slices of cheese that usually brings it back to the high 80's or low 90's, for me anyway other people might be different.

spiritwalker
spiritwalker 2010-02-18 14:37:36 -0600 Report

I use glucose tabs followed by protein. I usually have a piece or two of string cheese which brings me back where
the numbers need to be.

kdroberts
kdroberts 2010-02-18 12:58:16 -0600 Report

You have to figure it out based on your blood sugar and what you have. Basically you want to have enough sugar (simple sugars are best) to bring your BG up to a good number, keep it from going too high and keeping it from going back down again. If you r blood sugar is 60 you may only need a single glucose tab to bring it up to a good number but you may need more. I generally ignore numbers in the 60's and then base my treatment of lower numbers on how I feel, when I ate, how much insulin I've taken and when I'll eat next. The peanut butter is because the protein and fat should help stabilize your blood sugar so anything would work, but eat it after your blood sugar is good or you may cause yourself some issues. Anything that has protein and fat will work so the choice is up to you.

More important than what to do when you go low is to try and avoid the low in the first place. Can you pinpoint what could be causing you to go low every day?

Elrond
Elrond 2010-02-18 01:26:44 -0600 Report

For a quick fix, my treatment of choice is chocolate milk. If I'm 'on the run', I always carry glucose tablets then back them up with protein as soon as possible.

Danni-the-diabetic
Danni-the-diabetic 2010-02-18 02:15:15 -0600 Report

I have glucose tablets, but like I said they sometimes make me feel sick, but thats when I had orange flavor which I use to love and grape. My moms friend had sour apple flavor, which I never tried and it was so good. What's your flavor of choice?

tholz
tholz 2010-02-18 01:07:26 -0600 Report

I eat 3 piece of candy. crunch them. Dont suck on them. That is what I was told
Tammy

Danni-the-diabetic
Danni-the-diabetic 2010-02-18 01:21:32 -0600 Report

Hard candy, like peppermints? or mini candybars, like yum! kit-kats lol!?!?

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