When you ate less, did you adjust your insulin accordingly?

I'll leave any other details to folks who use insulin.

Priscilla, T2, diet, exercise, metformin

Cloudedbrains > wrote in message ...

 Sure sounds like a hypo.   The most common medical definitions I have seen
assign 2.7 - 3.0 as the dividing line between  "low"  and "hypo"

Scary,  made you fell lousy,  but did you pass out?    If not,  that's
encouraging.    The more "hypo-tolerant" you are,  the more freedom you have
in trying to control your blood sugars.

Not eating could have caused the hypo.    However,  I am more interested in
your steroid dose and timing.    IMO,  a large part of your insulin dose is
aimed at fighting the effects of your steroids.   Skip some steroid doses
and interesting things can happen.

When did the hypo hit?     Lantus has a minor peak at ~6 hours after the
injection.   If that's when the hypo hit,  then you're a candidate for
splitting your daily Lantus dose between two shots,  ~12 hours apart.

Actually,  you're a candidate for splitting no matter what.    All of the
injected insulins have more variable actions then we would wish.   Splitting
the total daily over two doses reduces any deleterious effects of that
variability.

Another thought. . .one result of that variability is that evening shots of
Lantus will have more of an effect on FbG than morning shots for many
people.   I've forgotten whether you shoot in the A.M. or P.M.

One SWAG on my part. . .(Scientific Wild Ankled Guess). . .Insulatard taken
around midnight is one of the most powerful anti-high-FbG insulins around.
Tricky,  sometimes causes 3 a.m. hypos,  but very powerful.  The neat thing
about an Insulatard dose in that type of application is that it wears off
mid-morning and won't give you afternoon hypos.

Regards
 Old Al

Sure sounds like one at 2.7mmol/L = 49mg/dl

Someone will chime in with the "15" advice for next time.

I agree with Priscilla and OldAl - but there is also some
good news. It seems that at long last you are getting those
numbers down; just remember, while you are on insulin, to
not starve yourself.

Try to find that happy medium between 2.7 and 13:-)

Cheers, Alan, T2, Australia.
d&e, metformin 1000mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltravel.blogspot.com/
latest: Liguria to Pisa

Never having been on insulin and being put on it it a real shock! LOL! I
had my very first super low and it scared me SO BAD! I've had several,
now, and it hasn;t been becuse I didn;t eat, i am trying to be EXTRA
carful to make sure i am eating enough, even though at times it is hard
to. One thing I learned to do isto check my BG before bed, as this is
when th lows have occurred, and to eat something of a snack before bed.
Not just a little something, either, In the hospital, they gave me a
full turkey sandwich, apple and juice, before bed and that is pretty
much what I do at home. Something more substancial than crackers and
milk. My sister's doctor has her on Lantus, and blew a gasket when she
found out they gave her crackers and milk a bedtime and ordered apples
and protein. I'm pretty much following that lead. I also split my meals
to accomodate the extra calories at night, and am finding things that I
can eat at night that won't make me have fbg highs. I am still learning
as this is all new to me.  I hate the scary lows and am scared to go to
sleep before I take care of them. I aso am eating some dried fruit ... I
cannot eat raisins, they make me go too high, but I CAN eat apricots,
which don't, and I have also tried cottage cheese and a carb at night,
That seems t work too.         Rainbow