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From: Nicky on 23 Jul 2008 03:55 On Tue, 22 Jul 2008 12:47:09 +0100, "Jonathan Ellis" <jle30303(a)gmail.com> wrote: >So. How to deal with this when it happens, or hopefully stop it happening... >On the one hand, my basic background levels are still too high. Which >indicates I should be on more rather than less, of whatever treatment. On >the other hand, if I'm having hypos (and I only just barely averted another >one last week), I should be on less rather than more, and/or need finer >control than I currently have available to me... Ouch. These kind of worries >are giving me a headache already... Bet the hypo's adding to the headache, too - I used to loathe those night-time swings! : ( What's the insulin peak? would that have hit you at 4am? I had it in my head it's longer, but I'm not sure. The mega munchies definitely says you went too low - but as you had a sandwich, might it be reactive hypoglycemia? Maybe a lower carb, protein based snack next time you're nibbly at bedtime with those same kind of numbers? Sorry, more questions to add to your headache! :{} Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.4% BMI 25
From: Jonathan Ellis on 23 Jul 2008 05:00 "Nicky" <ukc802466929(a)btconnect.com> wrote in message news:8jod84dtjdsfs1v34ilsvcbmcf9mqmlc4v(a)4ax.com... > On Tue, 22 Jul 2008 12:47:09 +0100, "Jonathan Ellis" > <jle30303(a)gmail.com> wrote: > >>So. How to deal with this when it happens, or hopefully stop it >>happening... >>On the one hand, my basic background levels are still too high. Which >>indicates I should be on more rather than less, of whatever treatment. On >>the other hand, if I'm having hypos (and I only just barely averted >>another >>one last week), I should be on less rather than more, and/or need finer >>control than I currently have available to me... Ouch. These kind of >>worries >>are giving me a headache already... > > Bet the hypo's adding to the headache, too - I used to loathe those > night-time swings! : ( > > What's the insulin peak? would that have hit you at 4am? I had it in > my head it's longer, but I'm not sure. The mega munchies definitely > says you went too low - but as you had a sandwich, might it be > reactive hypoglycemia? Maybe a lower carb, protein based snack next > time you're nibbly at bedtime with those same kind of numbers? > > Sorry, more questions to add to your headache! :{} Well this morning's back to what's passed for "normal" since I went on insulin - at least 8.9 is survivable, and as long as I can bring those numbers down gradually (and preferably not TOO fast, in case of reaction) I wonder about the reactive hypoglycaemia thing. Could it be that I made a mistake, having said sandwich on white bread instead of brown? To tell the truth, knowing how fast blood sugars can swing in either direction by several points (and having had what definitely felt like a hypo only a couple of days earlier, after a breakfast that was very protein-heavy but fairly carb-light - mostly meat and eggs), I definitely felt like I wanted *something* with carbs of some sort in it as a pre-bedtime snack. And it's still a bit scary for an anti-hypo reaction to be THAT big, as in 12-18 hours of being stuck up at 15. Decisions, decisions... Jonathan.
From: Andy Hall on 23 Jul 2008 06:10 On 2008-07-23 08:55:09 +0100, Nicky <ukc802466929(a)btconnect.com> said: > On Tue, 22 Jul 2008 12:47:09 +0100, "Jonathan Ellis" > <jle30303(a)gmail.com> wrote: > >> So. How to deal with this when it happens, or hopefully stop it happening... >> On the one hand, my basic background levels are still too high. Which >> indicates I should be on more rather than less, of whatever treatment. On >> the other hand, if I'm having hypos (and I only just barely averted another >> one last week), I should be on less rather than more, and/or need finer >> control than I currently have available to me... Ouch. These kind of worries >> are giving me a headache already... > > Bet the hypo's adding to the headache, too - I used to loathe those > night-time swings! : ( > > What's the insulin peak? would that have hit you at 4am? I had it in > my head it's longer, but I'm not sure. The mega munchies definitely > says you went too low - but as you had a sandwich, might it be > reactive hypoglycemia? Maybe a lower carb, protein based snack next > time you're nibbly at bedtime with those same kind of numbers? > > Sorry, more questions to add to your headache! :{} > > Nicky. > T2 dx 05/04 + underactive thyroid > D&E, 100ug thyroxine > Last A1c 5.4% BMI 25 Can this be a glycogen deal, Nicky, or doesn't that apply in this case?
From: Nicky on 23 Jul 2008 07:58 On Wed, 23 Jul 2008 11:10:49 +0100, Andy Hall <andyh(a)hall.nospam> wrote: >Can this be a glycogen deal, Nicky, or doesn't that apply in this case? with Jonathan - who knows : ) He's not your bog-standard Type anything, this is all experimentation... Are you thinking that he could usefully try to keep his glycogen stores high? - but he doesn't low carb, I'm not convinced that's a problem? And I think he's tried low carbing, so living in ketosis didn't help either. Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.4% BMI 25
From: Jonathan Ellis on 23 Jul 2008 08:53
"Nicky" <ukc802466929(a)btconnect.com> wrote in message news:517e84l7npk4tq44t1cn9jmsmjtfukdfjh(a)4ax.com... > On Wed, 23 Jul 2008 11:10:49 +0100, Andy Hall <andyh(a)hall.nospam> > wrote: > >>Can this be a glycogen deal, Nicky, or doesn't that apply in this case? > > with Jonathan - who knows : ) He's not your bog-standard Type > anything, this is all experimentation... > > Are you thinking that he could usefully try to keep his glycogen > stores high? - but he doesn't low carb, I'm not convinced that's a > problem? And I think he's tried low carbing, so living in ketosis > didn't help either. Well, it depends by what definition you mean low carbing. I know I eat far less carbs than anyone else I know in real life, diabetic or no (dumb diabetic nurses usually ask me to at least double or triple my carb intake: smarter ones say to not change a thing - I know my diet's already pretty heavy on protein and low on all kinds of sugars and starches with the possible exception of fructose in fresh fruit), although more than some people here. And I did try for a "cut down to as close to no carbs as possible" approach for a good month or so at one stage. Didn't actually achieve anything apart from making me lose weight that I don't actually particularly want to lose, having already gone from "chunky" to "gangly" (at 6'1", weighing under 12st 7lbs is fairly healthy), and stink of ketones which I don't particularly want to smell of, and always be short of energy. I'm not sure what you mean by a "glycogen deal" but I think the best thing I can do is treat last night as a one-off, and mostly carry on doing what I've been doing over the last few days, which is eating sensibly and not trying to do anything silly. And if I get peckish before going to bed, and have my lowest test reading of the day and decide to have a snack, have one with a much lower and/or slower glycaemic index. (In retrospect I should probably have had some potatoes with dinner and not gotten hungry enough to need a later sandwich snack at all: or, failing that, made the sandwich with brown bread instead of white.) I mean, things have *mostly* been a lot improved over the last couple of weeks. And then I get sent on musical tours to play in care homes, where I discover that it's absolutely amazing just how much cake a roomful of little old ladies can get through. It seems the homes absolutely stuff them with it. I was seeing this in home after home, all these rotund oldies being stuffed with sugary snacks, and seeing the menu which always had sandwiches for lunch, chips with everything for dinner, breakfast always had cereal and toast, cakes and sweets for mid-afternoon tea, most cups of tea with at least 2 sugars in (seriously, it was a struggle to convince the staff to make me a cuppa with no sugar at all), and I was thinking "yeah, and we know why type-2 diabetes is so prevalent among the old"... (In fact, seeing the kind of menus available in most care homes, makes you realise why DiabetesUK's meal guidelines are in fact much lower-carb compared to the awful diets most people follow - we, here, think of their guidelines as obscenely high-carb but that's because we already know what healthy low-carb diets ARE.) Jonathan. |