Can someone discribe what happens during a
diabetic seizure (Hypoglycimia)? Yesterday
I was taken to my medical clinic by ambulance.
I live in a remote area on the South Coast of
Newfoundland, Canada. The experience left
me weak. I have been a diabetic for over 37
years. My grand pa and my mom were diabetic.
I 'll be 62 years old this coming May. I have been
disable for over 10 years now and exercising is
not an option. My daily dosage progressed to
45 units of humalog pure before breakfast, 45
units of humalog 25/75 before dinner, 45 units
of humalog pure before supper and lastly, 45
units of humalog 25/75 at 8:15 pm.
Throughout the years I have for unknown rea-
sons had unexpected lows. Nothing serious.
I would eat one or two candies or drink a glass
of orange juice and it will gradually passed
without any complication(s), except for a bit
of double vision and feeling a bit dizzy. But
yesterday at the grocery store while shopping,
without warning, my vision started to blur then
double so I told my wife to quickly get me a
candy bar and ate it immediately. My vision
got worst, my inside was trembling, my head
wanted to tilt backward, my face was twitching
and I barely had a chance to sit on the edge of
a meat freezer. I could see the panic in people
faces and was totaly alert of the commotion
of the people scurying around me but I was
totally helpless for a few minutes, I almost
lost it (passed out) . I shortly regained my
composure got up and waited for the ambulance
arrival.
Now, as I mentioned, I have had lows in the
past and had plently of time to take corrective
action(s). Yesterday, it was so quick. At the
most 2 to 3 min. before I became incapacitated.
The candy bar never got a chance to work. Had
I known I would have taken a juice.
After an EKG and various examinations I was
release, and the wife drove me home. The
clinic doctor informed me that I had a bad low
and that only my quick reaction time to the candy
bar stopped from fainting.
I keep a strick diet ei. for the last 20 years I have
one toast and two unsugared black coffees. No
more no less I get up, go to bed always at the same
time irregarless of holiday(s) of visitors. My
meal are vary constant and regular. I pratically eat
the same food day in and day out. This is probably
why I have been doing so good for so long.
Now my question is, what are the symtom(s) of
diabetic lows, why was this one so fast... hardly
any warnings whatsoever. Your comments will
be greatly appreciated.

Signature
With regards
(^_~)
Gill Julien
Blkbear - 16 Feb 2005 20:29 GMT
>I live in a remote area on the South Coast of
>Newfoundland, Canada. The experience left
[quoted text clipped - 3 lines]
>disable for over 10 years now and exercising is
>not an option.
Howdy Salty,
You say you are disabled and unable to do ANY sort of exercise, or
only exercise that you are unable to do, due to your diability?
Also what wold you consider (for you at this point in your life), to
be exercise?
--
Type 2 - Dx'ed 11/2001
No meds - A1c 4.8 7/2004
Old Salty Frog - 17 Feb 2005 01:59 GMT
Hi,
I used to be an athlete, biking 50 miles every day. Both sides
of my family suffered from severe arthritis, oesteo arthritis,
sugar diabetes, etc. Most of my aunts and uncles on mom side
and also on my dad side had hips, backs, shoulders and other
joints surgeries. I have a sister who has cerebral pulsey and
another one who has MS. My two brothers and three of my
systers including myselft have one leg shorter than the other.
Unfortunately 10 years ago after many knee surgeries (three on
the left knee and one on the right) and two lower back and one
upper back surgery to correct my spinal side curvature and
ease the pain caused by the siatic nerves in both legs, feet,
buttock area and hips. To-day I am barely ambulantory. I
can't walk more that 100 feet, my shoulders, knees, elbows,
upper and lower back are too sores to attempt to do anything.
By the way, I am taking over $500.00 Cdn of prescription
drugs a month.
The pain is too severe to exercise regularly. This is a tought
pill to take, but that's the way it is. I'm not complaining but
it's what I face and must live with everyday.
> Howdy Salty,
>
[quoted text clipped - 6 lines]
> Type 2 - Dx'ed 11/2001
> No meds - A1c 4.8 7/2004
Julie Bove - 16 Feb 2005 21:20 GMT
> Can someone discribe what happens during a
> diabetic seizure (Hypoglycimia)? Yesterday
> I was taken to my medical clinic by ambulance.
I don't think seizures and hypos are one and the same. I've had plenty of
hypos. Never had a seizure.
> I live in a remote area on the South Coast of
> Newfoundland, Canada. The experience left
[quoted text clipped - 7 lines]
> of humalog pure before supper and lastly, 45
> units of humalog 25/75 at 8:15 pm.
I too am disabled, but can do some forms of exercise. In my case, it's
mainly the legs that are affected. But I can still use hand weights or
resistance bands. I don't use insulin, so I can't help you there.
> Throughout the years I have for unknown rea-
> sons had unexpected lows. Nothing serious.
[quoted text clipped - 16 lines]
> composure got up and waited for the ambulance
> arrival.
Wow! That is scary! I don't currently have a lot of problems with hypos,
but I have in the past. I learned then, that the only safe time for me to
go shopping was right after eating.
> Now, as I mentioned, I have had lows in the
> past and had plently of time to take corrective
> action(s). Yesterday, it was so quick. At the
> most 2 to 3 min. before I became incapacitated.
> The candy bar never got a chance to work. Had
> I known I would have taken a juice.
I have fainted with little warning. I remember once, not feeling well. My
parents were visiting and we were getting ready to go to eat lunch. The
doorbell rang. It was the UPS man with a package for me. I had ordered
some Christmas presents. Turns out that the company I'd ordered from had
sent me a very expensive item that I had not ordered. They had charged me
for it too! I was not happy with this and wanted it resolved right away.
So I called them. This whole thing delayed my meal by about 15 minutes.
And then there was the extra trip down the stairs to the door. Going up and
down stairs would also cause hypos for me. I remember going into the
kitchen for a cold drink because all of a sudden I was very hot! Next thing
I know, my dad was pulling me out of the refrigerator. I had slumped over
in there and fainted. It happened that fast.
A similar thing happened when we sat there debating as to where to go to eat
lunch. This delayed my normal meal time by 10 minutes. We finally came to
a decision and I went to use the bathroom before we left. I came out of the
bathroom and felt myself going down. I remember grabbing onto the back of a
wooden chair. Luckily, I wasn't injured when I fell.
I think because I do not use insulin, it is easier for me to come out of a
hypo than it might be for you. But that's just a guess on my part.
> After an EKG and various examinations I was
> release, and the wife drove me home. The
> clinic doctor informed me that I had a bad low
> and that only my quick reaction time to the candy
> bar stopped from fainting.
That's good!
> I keep a strick diet ei. for the last 20 years I have
> one toast and two unsugared black coffees.
You might want to rethink having just toast. If you eat straight carbs,
they'll go straight into your system and will probably leave just as
quickly. You need to add some protein and fat to this meal.
>No more no less I get up, go to bed always at the same
> time irregarless of holiday(s) of visitors. My
> meal are vary constant and regular. I pratically eat
> the same food day in and day out. This is probably
> why I have been doing so good for so long.
Eating on a regular schedule is good. But you might have to change what you
eat. I used to eat the same foods daily as well. This worked for me in the
beginning. But now I find that my numbers can vary wildly! And for no
apparent reason. So if my numbers are running high, I cut back on the
carbs. If low, I increase the carbs. In all, I find that I can't eat as
many carbs as I could before. But I do need to be flexible with what I eat.
I am also type 2. I presume that are you are type 1?
> Now my question is, what are the symtom(s) of
> diabetic lows, why was this one so fast... hardly
> any warnings whatsoever. Your comments will
> be greatly appreciated.
My hypos are all different. I can have one where I feel very sick, yet my
numbers are only slightly low. I've tested at 29 and felt nothing. The
only reason I tested then was because other people said I was acting
strange. There is something called hypo unawareness. Could be that is
happening to you.

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Old Salty Frog - 17 Feb 2005 02:08 GMT
Hi Julie
I have lots of tolerance for hi but not for lows.
The strick diet and adhering to a rigid schedule
works best for me.
Iwas doing fine for 37 years with a few lows a years
but yesterday that was a killer.
Thanks for the good word and support.
Gill
>> Can someone discribe what happens during a
>> diabetic seizure (Hypoglycimia)? Yesterday
[quoted text clipped - 122 lines]
> strange. There is something called hypo unawareness. Could be that is
> happening to you.
oldal4865 - 16 Feb 2005 22:12 GMT
>Can someone discribe what happens during a
>diabetic seizure (Hypoglycimia)? Yesterday
[quoted text clipped - 65 lines]
>
>Gill Julien
.
Some common symptoms of an impending low blood sugar are:
a. blurred vision
b. incomplete vision (blind spots) as if staring at the sun then looking
in the shade
c. physical weakness, trembling
d. sudden sweating
f. high pulse rate
g confusion
h. nervousness
The best way to fight a rapidly onsetting low blood sugar is pure glucose
(sometimes called dextrose).
There are glucose gels available in many countries. All pharmacies have
glucose tablets. The gels are faster than the tablets but can be a bit
sloppy.
In Canada, one gel product is "Insta-Glucose which comes in a tube.
http://www.canadadrugs.com/otc/product/Insta-Glucose/2241/
I think that the gel is more expensive than the glucose tablets but the gel
works much faster.
In the U.S., we sweeten our soft drinks with a glucose mixture.
Therefore, U.S. soft drinks work well in fighting hypoglycemia.
I don't know what they use in Canada.
Juice is good. Candy bars are bad. Chocolate is a very slow way to
fight hypoglycemia. You can take enough chocolate to ultimately solve the
problem but it won't start working until after you have passed out.. .
.(ugh!)
Most doctors want you to eat or drink rapidly-absorbed glucose to
neutralize the oncoming low blood sugar, then follow it with a dose of
slow carbohydrate to make sure the low doesn't come back.
Some remarks about hypoglycemia from a medical site
http://www.lifeclinic.com/focus/diabetes/hypoglycemia.asp
Unfortunately, your basic problem is your method of taking insulin.
You are using an insulin which is notorious for rapid onset of hypoglycemia
with no warnings whatsoever, i.e. the NPH portion of your 25/75 insulin
The NPH in 25/75 has a very bad reputation for causing this problem. Many
diabetics complain about this feature of NPH. You should be very alert to
the chance of low blood sugar at about 3-5 hours after any injection of
25/75
One way to solve this problem is to inject pure NPH in small doses, more
often during the day instead of the two big doses which you use. (Insulin
25/75 is 75% NPH)
The more modern insulin regimes based on Lantus or Ultralente are better.
However, they require more shots during the day. You may want to discuss
the more modern insulin regimes with your doctor.
Your post seems to say that you always inject the same amounts every day
and try to always eat the same amounts every day no matter what your blood
sugar before the injection. Many of us will measure our blood sugar
before injecting insulin then change the injection or the amount of food we
will eat based on our measured blood sugar before injection.
Regards
Old Al
Guy - 17 Feb 2005 02:23 GMT
Do a google search on Guy and hypo as the key words.
First, the word hypo has many meanings. I suspect
many normal people experience transient low
blood sugar episodes at times.
Some people that take drugs to promote insulin production
or inject insulin o have low sugar episodes at times. I
do think it comes from some failure in the normal release
of system glucose. I have the bias some of it comes from
some of the diabetic drugs we use.
When it is present a person must take some method to
control it or deal with it. IN mild cases the carrying of
glucose tablets seems to be best. The glucose can enter the
blood stream faster. I find a bit of carbonated beverage speeds
the process. Do be sedentary until the incident is over.
People like myself have a bigger problem and it is different
for each individual. Mine progress from confusion and fighting
to get some glucose tablets to complete unconsciousness
with no recovery until a dextrose IV is used. Many 911 runs.
If caught in time I am very wet with sweat and am very
confused with a nightmare situation. At this stage my
wife prepares a Glucagon injection and tries to inject me.
At times that is impossible. I am fighting her.
If she fails or I do not recover very quickly after the
injection or I am totally unconscious she calls 911.
I am usually back home in two or three hours, a bit like
an old rag.
I do not have many now because I have a careful injection
schedule where the insulin level will not take me below 50.
Results in a bit poorer control but must be done. Last one I
had i was setting at the kitchen table watching TV. Next
thing I was aware was riding on the "rail road" car with
a medic working on me The ambulance with all of the equipment
rides and sounds like a railroad car. Rough.
Old Al has mentioned some insulin schedules. If
your doc is the proper doc he will do a lot there. I
cannot use the RECIPE schedules. I do test, test ,test.
I did run a series of tests watch my blood sugar for an
extended time to see what was happening. Now I can avoid
most of the incidents BUT not all.
I do not drive.
My raving in the archives will provide more of the story.
But ,they like this post are my perceptions and opinions.
SEE the RIGHT doc for reliable information.
Guy
Old Salty Frog - 17 Feb 2005 02:27 GMT
Old Al
I do test before injecting and do adjust my dosage
accordingly. But my average dosage is what I
stated. This seems to work best for me. In the
37 years that I've been diabetic I have tried every
brand and dosage. This is the formula that work
best for me...and it has till yesterday. The list of
symptoms you mentioned:
a. blurred vision
b. incomplete vision (blind spots) as if staring at the sun then looking
in the shade
c. physical weakness, trembling
d. sudden sweating
f. high pulse rate
g confusion
h. nervousness
were all present, but it happened much too severe
and too quick.
I contacted my endocrinologist and beleives that
because I am so regular and doing so well, he think
I cauld have had a bad insuline vial (which I have
already discarded) or in rare case sometime the
boby will produce some insuline out of the blue. He
sympathized with me and feels that I have been for-
tunate to have in the pass, lows that are slow in coming
and easily corrected before having a seizure.
I carry juice where ever I go but from now on I will
carry dextrose.
Lesson well learned.
Gill
>>Can someone discribe what happens during a
>>diabetic seizure (Hypoglycimia)? Yesterday
[quoted text clipped - 143 lines]
> Regards
> Old Al
Nico Kadel-Garcia - 17 Feb 2005 03:50 GMT
> Can someone discribe what happens during a
> diabetic seizure (Hypoglycimia)? Yesterday
> I was taken to my medical clinic by ambulance.
Your blood sugar goes so low that your brain, itself, cannot operate.
Different people have fairly different symptoms for this, but common ones
include irritability and shakiness as the blood sugar drops, and eventually
you will pass out. People also have a "glucagon response" that responds to
dropping blood sugars by releasing glucagon, which causes your liver to
convert glycogen to glucose and keep you going a while, but it's possible to
overwhelm, and if you've been poorly controlled for some time, it's not very
reliable.
Sounds like you had a scary time. *TALK TO YOUR DOCTOR*, they can walk you
through the latest reports and suggests and policies most appropriate to
*your* lifestyle.
Ma?k? - 22 Feb 2005 18:08 GMT
On Wed, 16 Feb 2005 22:50:54 -0500, "Nico Kadel-Garcia"
<nkadel@comcast.net> Huffed and Puffed the following into the madness
of usenet:
>> Can someone discribe what happens during a
>> diabetic seizure (Hypoglycimia)? Yesterday
[quoted text clipped - 12 lines]
>through the latest reports and suggests and policies most appropriate to
>*your* lifestyle.
actually too many hypos to close together makes the glucagon response
far more unreliable than any length of time in poor control. Multiple
mild hypos, or multiple hypos in one's sleep that do not wake you up
or cause any severe problems, thus going un-noticed, then 1 severe
hypo will result in the problems described by the original poster.
Mâck©®
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
"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."
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(o o)
--ooO-(_)-Ooo--------------------
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cadcoke3@yahoo.com - 18 Feb 2005 02:51 GMT
I've been Type I for around 18 years. Over that time my response to
a hypoglycemia has changed.
Initially my first symptom would be tingling on my tongue..
A few years later it was a numness or tingling on my limbs.
A few years later, slurred speach or blurry vision.
I've had one eposide (about 10 years ago) when I had a conversation
with a non-existing person while I was having a low.
Most recently, I think some shortness fo breath that I've been
experiencing has been related to a hypo. ( Only caught it once with the
meter, and once it wasn't actually low when I measured it durring an
episode - so I can't say 100% yet)
While there are a number of body system responses to a hypo, when the
brain is affected, it can result in absolutely anything happening.
Also, in general my ability to detect one coming on has diminished
over the years. Dr's also tell me that the glycemic response (when the
body detects and compensates for the low by releasing glucose stores
from the liver) diminishes with time.
Joe Dunfee
laylabliss - 08 May 2008 03:48 GMT
>Can someone discribe what happens during a
>diabetic seizure (Hypoglycimia)? Yesterday
[quoted text clipped - 58 lines]
>any warnings whatsoever. Your comments will
>be greatly appreciated.
Hi. I am diabetic and have been for twenty-one years, almost. I am wondering
why you take 45 units of humalog. I take humalog and I take 1 unit for 15
grams of carbohydrates.