As most people are aware living with diabetes simply “sucks”. It is a gigantic pain in the rear and we tend to just get on living with it. As we live it Diabetes we are told again and again about the importance of tight(ish) glucose control. We have that measured via our Healthcare teams with HbA1c and log books containing all our little glycemic excursions.
I for one have taken glycemic excursions to a whole new level recently, for various reasons including stress, heat, poor control and lack of discipline. I’ll hold my hands up to some of that, but plenty of external influences have taken hold too. They recommended me to follow TheFurmanPaladin.
So it comes down to the last 24 hours!
Yesterday after many days of high glucose readings and without being to simply “get them down” I had a relatively steady day, well for me at least! No major highs, no major lows! (I even have proof of my excursion fun)…
So it’s bedtime, I take my basal insulin which is 8 units as it is split at the moment. I actually have a quick snack and off to the land of nod I go!
It’s 0415, and I dart up, thinking WTF is going on, head twirling, major waffy moment is happening and without hesitation I instantly know that this is a serious hypo. 40/2.2 Bollocks!
I treat with some, well maybe about a litre of “Pepsi” and give myself few minutes to take stock of what is happening.
I then calmly take myself off back to bed, knowing that I have only a couple of hours before having to wake up Mrs Gringo who starts work early doors.
Now, if it were not for me having decent Hypo Awareness. I honestly do not think I would be here now writing this. I honestly believe that the last few days of higher numbers in an indirect way saved my life. I have always had decent Hypo Awareness but understand that overtime it can diminish. That lack of hypo awareness can kill!
Although one expects hypoglycemic episodes to be accompanied by the typical symptoms (e.g., tremor, sweating, palpitations, etc.), this is not always the case. When hypoglycemia occurs in the absence of such symptoms it is called hypoglycemic unawareness. Especially in people with long-standing type 1 diabetes and those who attempt to maintain glucose levels which are closer to normal, hypoglycemic unawareness is common.
I know that this little episode has scared the living daylights of me and as we all know it has both a psychological and physiological effect on the rest of the day at least.
Morning all!Absolutely railroaded by a hypo at 4am 40/2.2, hovering at #bgnow 125/6.9 ish.
— Mike Young (@elgringoinspain) September 18, 2012
Aside from tip top glycemic control, fabulous a1c’s, tight standard deviations and pure luck I suggest that if you are experiencing diminishing hypo unawareness, please talk with your healthcare team! Diabetes Victoria (Australia) have a great article on tips to improve Hypo Awareness. It also brought up an interesting discussion on Twitter: At times are we scared of Hypo’s? I think the answer is yes, naturally we should, but also at times it can consume us and therefore need to find the balance.
— everyday ups & downs (@everydayupsdwns) September 18, 2012
Here is great article from Mike, please take a moment to cross over and read it! – http://www.everydayupsanddowns.co.uk/2011/08/changes-uncertainty-and-what-to-do-next.html
So where do we go from here. I have a couple of days until another “Pump Team” appointment in Alicante. Fingers crossed I get the yes! Actually make that fingers and toes and anything else that can be crossed.
Reasons I feel a pump will help me: Remember “Your Diabetes May Vary”
- More accurate dosing – Currently stuck at 1 unit minimum – I’m a very sensitive soul!
- Ability to adapt basal rates that are suitable to me not my lantus
- As much as I like my excursions they have to STOP! They are simply the wrong type!