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Re: [IP] Calling on the Experienced!
I had almost the exact same thing happen to me about a year ago, although I
didn't end up calling the paramedics. I'd just finished exercising, did a
test, and found that I was at 65 or so, so I ate 15g of glucose tabs and sat
down to rest. 15 minutes later I tested again and was at 50. Did the
starvation thing and ate every CHO in sight, which was a mistake (I should
have stuck to glucose tabs). I kept testing every 10 minutes and it
wouldn't come up. I stayed between 50 and 60 for over an hour, and my
stomach was bulging with the amount of food I'd eaten. Finally it started
climbing and I ended up over 400 when it got done.
I haven't had this happen since, and the only thing unusual that I could
correlate with it was that the next day I came down with an ugly virus. My
conjecture was that perhaps the stress that my immune system was
(unknowingly) undergoing somehow affected my liver's ability to convert
glycogen (or maybe it got depleted somehow).
In retrospect, I think I would have come back up quicker if I'd fought off
the 'snarf til you barf' urge and just sucked down glucose tabs and water.
Anyway, it hasn't happened since, although I do watch it pretty closely
after I exercise.
I don't think you need to be particularly gunshy about exercising, but I'd
suggest that you watch the fat content of your lunch if you like to exercise
in the afternoon. Fat slows down digestion and absorption of CHO more than
protein does, in my experience. You may also need to decrease your basal
rate for some period of time after the workout, until your muscles have
restored most of their glycogen stores. Lots of frequent testing after a
workout will give you the info you need to fine-tune it.
At 10:04 2/18/98 EST, you wrote:
>I have had Diabetes for nearly 33 years and last night I had an experience
>that I have never had before. Yesterday afternoon, I went for my usual
>Tuesday workout. I normally cut my lunch bolus in half and eat some crackers
>after the exercise to keep my bs controlled. Because I didn't have any change
>to buy the crackers, I skipped the snack and headed home. It was raining hard
>and I ran into some delays. What should have taken 20 minutes, took nearly an
>hour. Ok, no big surprise, my blood sugar dropped into the 60's. I took a
>few glucose tabs and drank some milk. I was feeling extremely dizzy and
>walking like I was drunk. I rechecked my bs ten minutes later and it had
>fallen more. I ate some p-nutbutter cups. Still no change. I ate a few
>cookies, no change. I ate more p-nutbutter cups-an entire bag of them. Blood
>sugar stayed in the 60's and I was so dizzy I could hardly sit up. By now I
>was so full of junk food with the dizziness, I started vomiting. I called my
>husband home from work. I drank nearly 2 quarts of fruit juice-no effect.
>This went on for over an hour. No matter what I ate, my blood sugar would not
>come up. By that time I was exhausted and dizzy and felt that I couldn't keep
>eating and I was afraid to stop, thinking I would completely bottom out if I
>did. I called 911. After I hung up the phone, I checked and my bs was up to
>68. After a couple minutes with the paramedics, they checked and I had
>started going up more-107. Naturally, just when I call for help, something
>starts to kick in. They took me to the hospital anyway because my B/P was
>210/110 and pulse down to 60. Of course, once it started up, the bs
>continued to climb till it reached 450. After an hour or so, the dizziness
>faded. They discharged me to go home and bring the bs back down slowly.
>My workouts are something I do twice a week and have been for several years.
>I actually cut it short because I wasn't feeling well. I have never had an
>insulin reaction that I could not handle myself and in 33 years, I have never
>been hospitalized for my Diabetes (except diagnosis). I've never been to an
>emergency room before. To say that my confidence is in the toilet, is an
>understatement. The only other symptom that may or may not be related is that
>I was having difficulty hearing out of one ear leading into this. That also
>went away once my bs came up.
>The doctor could not offer any reason as to why the carbs did not bring my bs
>up for over 1 1/2 hours. My problems with gastroporisis (sp) are limited to
>eating meat, which I don't do.
>Does anybody have any ideas????
>Marti, who is afraid to leave the house!
>Insulin-Pumpers website http://www.bizsystems.com/Diabetes/
Insulin-Pumpers website http://www.bizsystems.com/Diabetes/