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Re: [IPk] Hypo control



Hi Pat

I tried a biscuit on Thursday at 1.30.  My bg was 5.7.  There was no basal 
going in and at that time I thought that would see me through but the 
trouble began on that night at 5.20 (I know, some people are getting up 
about that time).  I am now reducing at midnight.

I have kept it higher today as you suggest and it is certainly higher 
tonight - 11.9.  I'm going to bed soon and hope this works.  I need a decent 
sleep.

June

----- Original Message ----- 
From: "Pat Reynolds" <email @ redacted>
To: <email @ redacted>
Sent: Friday, June 23, 2006 7:47 PM
Subject: Re: [IPk] Hypo control


> Hi June,
>
> What was your reading when you had a biscuit?
>
> You measured hypo at five - how dow you know you were not hypo from 2am?
> Or 3am?
>
> My guess is that you go hypo quite early, and stay hypo until you
> measure your bg.  Reducing at 1 may not be early enough.
>
> If you do find that your body appears to be 'pooling' insulin and
> delivering it later, then you could try swapping insulins to a different
> type to see if that sorts the problem.
>
> If you find it makes no difference, and you actually do need 0 insulin
> and + carbs through the night, then eating to match the insulin may be
> your only option.
>
> Biscuits tend to be quite short acting.  As someone who was put on
> Ultratard as a cure for late-afternoon lows (!!!), I got quite good at
> working out what the longest-lasting foods are.  Down to personal taste,
> of course, but I found high fat and oats worked really well - cheese and
> oatcakes seem to go on for years in the body!
>
> It might also be worth running your bgs as a whole, a whole lot higher -
> treating anything under 10 during the day as hypo, for example, and
> aiming to go to bed around 12 or so.  Once you have a nice flat line at
> 10 - 15, you can then reduce it down, gradually, until the hypos show up
> again.  I suggest this as the repeating hypos may be a vicious circle,
> and breaking the circle may stabilise things.
>
> Hoping that something there was some use,
>
> Pat
>
>
> In message <015101c6964a$0e66c400$email @ redacted>, June Searle
> <email @ redacted> writes
>>
>>My present problems did not improve last night.  Unusually for me, but to 
>>ward
>>off a problem, I had a biscuit before bed and I have now cut my basals 
>>from
>>1.00 am - 5.00 am from 0.0.  At 5.00 am basal set at 0.5.  Last night at 
>>5.20
>>I was 2.4 and took 15g Lucozade.  Each quarter hour it was still down and 
>>took
>>further 15g Lucozade.  It didn't rise until 6.30 am and 60g Lucozade 
>>later.
>>
>>I just can't work out where the insulin is coming from.  Please, does 
>>anyone
>>have any idea what is wrong or what I am doing wrong?  The hypos have been
>>going on for nearly 3 weeks now but usually earlier than last night.
>
> -- 
> Pat Reynolds
> email @ redacted
>   "It might look a bit messy now,
>                    but just you come back in 500 years time"
>   (T. Pratchett)
> .
>
>
> -- 
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