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Medical Forum / Diseases and Disorders / Diabetes / December 2006

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Glucose...\..Hypoglycaemia

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WELCOME  ### - 05 Dec 2006 01:16 GMT
Any of us now experienced the symptoms of hypoglycaemia.
Suppose I want to address these symptoms by taking glucose tablets. Between
my hands now a box of glucose tablets, each tablet contains 3 grams (Not
m.gm) of glucose I got it when I was in overseas. I have no instruction of
these components. If I took one tab., I think not all the glucose contents
arrive the blood stream?
I would like to know, how many m.mol reaches the blood if I take one gram of
glucose tablet ???!!!
Please who knows../ why?
Because if I know the exact amount of m.mol for one Gm glucose I/we can
avoid the Rebound Hyperglycaemia that can occur if we address the
hypoglycaemia by taking Sweet food!!
Thanks all.
===============================
Ma¢k - 05 Dec 2006 01:37 GMT
[Default] On Tue, 5 Dec 2006 12:16:41 +1100, "WELCOME  ###"
<fares@alphalink.com.au> Giggled into the madness of usenet:

>Any of us now experienced the symptoms of hypoglycaemia.
>Suppose I want to address these symptoms by taking glucose tablets. Between
[quoted text clipped - 10 lines]
>Thanks all.
>===============================

you have to determine that for yourself by testing your BG 1st, eating
one glucose tab then retesting.

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Mâck©® Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
http://www.pandora.com  enter "Jason & Demarco"

"To announce that there must be no criticism of the
President, or that we are to stand by the President
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but is morally treasonable to the American public."
...Theodore Roosevelt

        (o ô)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
             ....Bilbo Baggins

DISCLAIMER If you find a posting or message from me
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morris - 05 Dec 2006 01:46 GMT
A  common rule that many use is called the 15/15 ruile.  If you have
low blood sugar, take 15 grams of fast acting carbs, and then test
again in 15-20 minutes. If you are not back to normal, repeat and
retest.

That would imply 5 glucose tabs at 3 grams each.  You might take fewer
if you didn't have a true low, say under 60, but felt low with a higher
number only because you are used to much higher numbers still.  People
who have recently been diagnosed might start getting hypo symptoms even
though their blood sugar is above normal if that is relatively low for
them, and even those who have been starting to control well might feel
low the first time they hit 65-80. In that case you might take a
smaller dose of 2-3 pf those tabs. What you are looking to do is get
back to the normal range without shooting right past it into the upper
ranges.

Morris

> Any of us now experienced the symptoms of hypoglycaemia.
> Suppose I want to address these symptoms by taking glucose tablets. Between
[quoted text clipped - 10 lines]
> Thanks all.
> ===============================
Alexander Arnakis - 05 Dec 2006 02:29 GMT
>A  common rule that many use is called the 15/15 ruile.  If you have
>low blood sugar, take 15 grams of fast acting carbs, and then test
[quoted text clipped - 11 lines]
>back to the normal range without shooting right past it into the upper
>ranges.

These are all good points. The body "recalibrates" its hypoglycemic
response depending on what the BG has usually been running. For
example, I feel at the peak of well-being when I'm around 130, but
begin to feel uneasy when I get below 100, and clearly start to
experience the classic hypoglycemic symptoms as I approach 70. (I've
had Type 1 diabetes for more than 41 years.)

When this hypoglycemic panic sets in, the natural reaction is to eat,
and keep eating until the symptoms disappear. This needs to be
resisted, or else you'll bounce high and stay high for a long time.
That's why the 15/15 rule has been suggested.

It's also important to eat a relatively pure form of carbohydrate in
treating a hypo. Glucose tablets are good, but so are plain bread,
fruits, or juices. What's *not* good for this purpose is ice cream or
chocolate candy, because the fat content slows down the carbohydrate
absorption. It's easy -- and dangerous -- to eat a half-gallon of ice
cream before you start feeling better after a hypo.
rk - 05 Dec 2006 02:57 GMT
: >A  common rule that many use is called the 15/15 ruile.  If you have
: >low blood sugar, take 15 grams of fast acting carbs, and then test
[quoted text clipped - 30 lines]
: absorption. It's easy -- and dangerous -- to eat a half-gallon of ice
: cream before you start feeling better after a hypo.

More good points. Though, I've found when I've bolused for my meal and
then something happens whether I'm not as hungry as I thought or food
doesn't taste well or whatever.. or I'm having a weird day and I'm more
sensitive then normal and I'm having rapid drops.. I still have insulin on
board and need a way to soak it up... I've found this is the best place to
use a Snickers bar <g>

The carmel gives me a quick small rise.. maybe 15-20mg.. then the chocolate
has fat so it hits me again in close to 45mins afterwards and the peanuts
even
though small are good for protein for another small rise a few hours later..
Remember.. YMMV and this works for ME in the way that I need and use it for.

Just a suggestion if anyone else is in need of this type of solution.

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Reisa, T1, Animas IR1250 Pumper
DX-5/00 ASD-7/00
A1C: 6.2% (8/24/06)
Daily CHO: 150-200gm
TDD: 34-38u

oldal4865 - 05 Dec 2006 12:02 GMT
WELCOME ### wrote in message <4574c87b_1@news.chariot.net.au>...
>Any of us now experienced the symptoms of hypoglycaemia.
>Suppose I want to address these symptoms by taking glucose tablets. Between
[quoted text clipped - 10 lines]
>Thanks all.
>===============================

A 150-lb male would see about a rise in blood sugar of about 0.27 mmol/L for
each gram of glucose.

A 200-lb male would see a rise of about 0. 16 mmol/L for each  gram of
glucose.

That's where the first 15 in the 15/15 rule comes form.   The first 15 gram
of glucose would bump the 150 lb person's bG up by about 4.1 mmol/L,   the
200 lb person's bG up by about 2.5 mmol/L.    Since the most common
definitions of hypo refer to a 3.0 or less,   the first 15 gram would move
the person into a normal or near-normal range.

I have seen a positive effect with 11 minutes of taking 15 gram of glucose
though 15 minutes is more typical.   That's why we carry glucose pills.   A
glucose-only snack is the fastest way to bump one's sugar up.    Fat and
fiber slow the process and thus tempt us to overdose with sweet.

After one deals with the immediate problem of low blood sugar,  the diabetic
has to face another problem,  i.e.  "Why the low?"    If you are taking meds
which augment your supply of insulin,   the meds  (insulin injection or beta
stimulator pill) may still be working on you.    That's where the second 15
gram in the 15/15 rule comes from.   You have to figure out whether a second
hypo is likely.    If you think it might still be possible,  you take the
second 15 gram.    If you decide that a second hypo isn't imminent,  you
skip the second 15 gram.

One can fine tune their response after a while.  I have taken a total of 7.5
gram of glucose in such a situation.

Note that low blood sugar befuddles the mind so you wait for the 1st dose to
take effect before you decide whether or not to take the second dose.
Otherwise,   we have a tendency to " stand at the open refrigerator,  eating
with both hands".

Regards
 Old Al
shoppa@trailing-edge.com - 05 Dec 2006 12:45 GMT
> Any of us now experienced the symptoms of hypoglycaemia.
> Suppose I want to address these symptoms by taking glucose tablets. Between
[quoted text clipped - 5 lines]
> glucose tablet ???!!!
> Please who knows../ why?

This detail will vary from person to person because of differences in
digestion and body mass/total volume of blood.

> Because if I know the exact amount of m.mol for one Gm glucose I/we can
> avoid the Rebound Hyperglycaemia that can occur if we address the
> hypoglycaemia by taking Sweet food!!

Others have recommended 15 g of carbs and retesting/repeating to
correct the hypo, which will be fine in many circumstances as a
starting point. After you've done it a few times you will be more
familiar with how much glucose will raise your bg and how quickly. If
whatever caused the hypo (say more exercise than usual, or not eating
lunch, or ...) will be continuing then more carbs and more testing and
perhaps some long-term learning from the results may be in order.

Tim.
HELLO  $$$ - 06 Dec 2006 11:20 GMT
All these are good .... BUT....
As I have never taken glucose tab. in my life to address any hypoglycaemia.
I noticed that some here recommend taking " Carbohydrates ", these latter
vary in type, and the glucose is the fastest one that raises blood sugar.
I am fearing of taking even one tab, because each tab. contains 3 grams and
not mili gram: 3gm=3000 m.Gm
I want to know how many Mili gram of glucose reaches blood if I tame one
gram glucose.
============================
> Any of us now experienced the symptoms of hypoglycaemia.
> Suppose I want to address these symptoms by taking glucose tablets.
[quoted text clipped - 10 lines]
> Thanks all.
> ===============================
Ma¢k - 06 Dec 2006 14:31 GMT
[Default] On Wed, 6 Dec 2006 22:20:17 +1100, "HELLO  $$$"
<fares@alphalink.com.au> Giggled into the madness of usenet:

>All these are good .... BUT....
>As I have never taken glucose tab. in my life to address any hypoglycaemia.
[quoted text clipped - 4 lines]
>I want to know how many Mili gram of glucose reaches blood if I tame one
>gram glucose.

why? 1 gram of glucose is not enough to be counted while having a
snack between meals, nor is it enough to even make a dent in a hypo.

1 gram simply isn't enough.

Signature

Mâck©® Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
http://www.pandora.com  enter "Jason & Demarco"

"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt

        (o ô)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
             ....Bilbo Baggins

DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.

 
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