Midnight and Lows

I wrote about this hypo experience before I got my CGM (Continuous Glucose Monitor) and so these days crashing blood sugars are not coming at me like oncoming trains and I am able to get off the tracks in time.

A few nights ago, I experienced the feeling of watching a "train wreck" coming towards me and not being able to avoid it. The problem, I think, the fact that I had too many options available to me in trying to prevent my imminent hypo that I didn't know which one was best to choose.

Normally, when I check my blood glucose level two hours after my dinner and they are above my post-meal target, I know that some more insulin is required. On this occasion it was 3 hours after dinner and I was even more sure that I needed more insulin. See the 11.5 mmol (207 mg/dl)

HOWEVER! Approximately 60 minutes after I had given myself more insulin, the big red dot and the sharp dip in my mysugr app told me that my diabetes was not playing by the rules!  My blood sugar level had dropped sharply to  6.1 mmol (110 mg/dl). An otherwise respectable BG number but at this moment in time, especially with the remainder of my insulin dose to activate, I knew I was in trouble and that a hypo was coming for me.

I was already tucked up in bed with my teeth brushed. So, I reduced my background insulin by 50% for an hour and a half to counter the over correction of insulin. (Note to self; that wasn't the right choice - always go for the fastest acting glucose available).

At 12:13am, perspiration steamed off me. Thankfully, I had the wherewithal to check my blood sugars again revealing a 3.1 mmol (56 mg/dl). I took 3 dextrose tabs and lay back waiting for them to kick in. But, the heat coming off my body made me grab 2 more a couple of seconds later.

I tried to lay there waiting again but I became more agitated at having to wait.... and wait, and wait, for the heat and sweat and "jitters" to subside. The seconds felt like hours!

I decided to wait the 15 minutes out downstairs and suck on some boiled sweets to, maybe, trick my brain into thinking I was shoveling glucose into me hand over fist and avoid over-treating the hypo. I pulled out the laptop and tried to document this hypo ;-) Another effort to avoid over-treating-keep my hands busy.

12:37am, 5.8mmols (104mg/dl), still feeling shaky and mildly damp but can safely go back to sleep. After brushing teeth.... again.

And yes, I had the over-correction high blood sugar reading the next morning. Sometimes, you just can't win. But you try, and try to learn:-)

Happy New Year from Gráinne