Quick Blood Sugar Question: Help!

Eeyores Butterfly

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I have a quick question about low blood sugar. I have prediabetes and am prone to episodes of hypo, but my doctor didn't give me any solid numbers for what is considered hypo and what is not.

Tonight I started feeling like crap and tested and it was down to 59. I did the 15 grams of glucose and now it is up to 73. The one site online I found that had actual numbers said that you can stop treating when it gets above 70, but I still feel like crap. How long does it normally take for the feeling to go away?
 
It can take an hour to feel better sometimes, even after your sugar is back in the normal range.Bleah! Hypoglycemia is anything less than 70. some people start getting symptoms before that, but the lower it gets the more symptomatic you get. Sounds like you handled it well. Just be sure you follow that glucose tab with some protein, to stabilize the sugar. :thumbsup2
 
even though it isnt my favorite thing in the world to snack on.......If I start to feel bad......I eat a few peanut butter crackers. The peanut butter will keep you at a better level for longer then just a glucose tablet....
I start to feel rotten when I get to below 90ish....but have been down in the 50s.......then I really feel horrible....
If you are really not with the program at some time ......get a med alert bracelet. that way you know if you go past go and you didnt get a snack....someone would know to get you oj or call someone.......
 
even though it isnt my favorite thing in the world to snack on.......If I start to feel bad......I eat a few peanut butter crackers. The peanut butter will keep you at a better level for longer then just a glucose tablet....
I start to feel rotten when I get to below 90ish....but have been down in the 50s.......then I really feel horrible....
If you are really not with the program at some time ......get a med alert bracelet. that way you know if you go past go and you didnt get a snack....someone would know to get you oj or call someone.......

My husband is the same. We use peanut butter crackers in a pinch, a small apple, or a piece of whole grain bread. The glucose tablets make him feel funky. He needs a compex carb and a protein.

I hope you figure out what works best for you.:hug:
 

No, I'm not on medication. Right now I treat with diet and exercise. From what I understand it is a rebound reaction. I'm insulin resistant, so if it gets too high, my pancreas cranks out even more insulin and then I drop. That's what I was led to believe anyway. I will freely admit that I ate more than my carb allowance last night for dinner thinking that one time wouldn't hurt. Guess I was proven wrong.

I do have an appointment with doctor today. After the glucose tabs I had the remains of my dinner (I always box up half): penne pasta with chicken. I literally only had three or four bites because of how queasy I was, so maybe between the gluco-shot and the pasta I had two servings of carbs. When I checked again 45 minutes later it went up to 189. I even checked it again and ran a control, and the meter is working fine. So in the space of an hour I went from 59 to 189 with only two servings of carbs. That does not seem right to me. Hopefully we can figure out what is going on.
 
I am a diabetic with no meds, and trying to control with diet and exercise. I get lows and I GET HIGHS......I test in the morning and two hours after dinner......I test if I feel yucky.......I have been to 8 or so diabetic classes when I was first diagnosed. I am trying very hard not to have to take meds......Good luck to you
 
Below 70 is considered hypo. After you have the 15grams of carbs you should also have something containing some protein to help keep your sugar levels stable.
 
I try to avoid carbs as much as possible. If I go low then I will have some carb but I strictly limit them. Remember that a meal of pasta even half is way too many carbs to eat. When I do pasta or rice we limit it to 1/3 to 1/2 cup. Usually I try to get my blood sugar a bit higher than 70 before I stop treating. 90 - 100. Btw I am at the point where I may not feel low until I am in the mid 30s if I am dropping slowly. Highs can go well over 300 for me.
 
I remember your first thread, responded to it then and just re-read it. I'd really like to help you figure this out - some questions. What was your Hemoglobin A1C level when it was checked in September? Have you had or are you scheduled for a recheck and follow up? (Good, see you're going today.) Have your sugars since you've been testing them been low as much as they were before? Is your doctor aware of them being low and what did he say about that? Have you met with the nutritionist or had the diabetes education class yet? Have you read through the information they gave you at the doctor's office? What changes have you made since you posted last about this? (Not trying to be accusative or prying, just trying to understand.)

Diabetes is a disease of high blood sugar. It's a little unusual to continue to be plagued with low blood sugars if you're not on medication, you've been following instructions and your machine is accurate. So if you're not on medication and your machine is accurate, it suggests your diet may be the culprit. Your goal, really, is to keep your blood sugars at an even keel and avoid the highs and lows. It may take a while to figure out how this is going to work for YOU, since everyone's unique. (If you are doing things as you should, then you should let your team know, because they'll probably need to re-evaluate what's going on.) I'd think, though, that based on your last post, that the most likely scenario is the carbs again - you may be especially sensitive to refined carbs. You'll need to start making different food choices to better manage your disease. Here's some information on the glycemic index of foods.

I'm going to re-post what I said on your first thread because it's basically the same as I'd say here.
Carbs turn into sugar. When you eat a lot of either sugar, or foods that turn into sugar, you get a surge of insulin in your blood which binds to the sugar and brings it to the liver for storage. Sometimes there's so much insulin because of the surge, that it leaves your bloodstream depleted of sugar, and that's when you get the feeling of being low. It's better to regularly eat a good variety of foods including proteins/legumes, complex carbs (like vegetables and whole grains), eliminate sodas, and limit refined foods and simple sugars.

Diabetes occurs when either there isn't enough insulin or the insulin that you have isn't working efficiently. This makes your blood sugar high because the insulin can't bind to it and take it for storage. High sugar in the blood, over time, can cause problems throughout the body.

So we're really talking about two separate things. In the OP, you thought you might be low. Now, you've had a reading that was high, but we don't know when that was taken. When you last ate before the bloodwork would make a difference in how the reading is interepreted. The A1C will be important, too, because it will give an average of your readings over the last couple of months.

A dietician will review what I told you above (about carbs) and go over your current diet as it stands. Then she will show you how you should be eating, how to read labels, and make recommendations for a carb controlled diet for you. She will likely show you proper serving sizes of foods. For example, a serving of rice is 1/3 of a cup, which comes as a surprise to many. She will also talk about the role of exercise, and how it helps burn excess blood sugar. She will give you some teaching materials on this and also make another visit for follow up in a couple of months.

Whether or not you have diabetes will be determined by your doctor once all the results are in. It may be that you will be given a chance, if your blood sugars are shown to be on the high side (but not super high), to control them with diet and exercise. On follow up with your doctor (yes, you'll see her again lots) you will have repeat bloodwork to see how your average sugars have been again and whether you've achieved any weight loss, begun an exercise program, etc.

There's a lot to learn, but there's a lot of support available in the diabetic community also. Hope this helps, and good luck to you.

Here are some links on hypoglycemia and pre-diabetes that should be helpful.

http://diabetes.webmd.com/tc/diabetes-related-high-and-low-blood-sugar-levels-topic-overview

http://www.diabetes.org/pre-diabetes.jsp

http://www.diabetes.org/pre-diabetes.jsp

http://www.diabetes.org/pre-diabetes/faq.jsp
 
When mine drops, it can take a while for me to start feeling normal. But then I get so sleepy.

I'm also in the peanut butter crowd. I keep a small jar of peanut butter with me. When I feel my self dropping, I will take a spoon full.
 
Thanks for all the replies. In answer to your questions:
1.) My A1c was 5.8. She said if she had not had me testing my blood sguar they would never have caught on to the problem.

2.) I have dipped as low as 68, but since carb counting it's been much better. I haven't gone as low as often. I have had pasta before, and I am very reiligious about my portion sizes making sure I don't go over my 3 servings of carbs. Normally it's not a problem, although last night I know I went over thinking that one time wouldn't hurt.

3.) I did have an appointment with the doctor the next week and that was when she told me I am prediabetic. I have also met with the diabetes educator and was given a "prescription" for my diet. Since I count points she said I don't have to worry about sticking to her fat and protein numbers since the purpose of that was reducing calorie intake and I'm doing that anyway. I do have to count carbs though. I normally don't have all my carb servings in one meal.

4.) My FBS has been creeping steadily higher. It was in the upper 80's lower 90's now it's been up to 110 and even higher several days a week. This is within the space of a month. :confused3 She only has me testing in the mornings and when I don't feel well, but I've also started testing in the evenings too. I've noticed that it's typically higher in the mornings than the evenings.
 
What you are describing is pretty typical of the pre-diabetes state--very unstable blood glucose and overly reactive pancreas. I've seen diabetic kids go from 59 to over 500 in the space of 20 minutes as a result of carb overload during a low episode. Hang in there! You'll get it straightened out eventuallly.
 
even though it isnt my favorite thing in the world to snack on.......If I start to feel bad......I eat a few peanut butter crackers. The peanut butter will keep you at a better level for longer then just a glucose tablet....
I start to feel rotten when I get to below 90ish....but have been down in the 50s.......then I really feel horrible....
If you are really not with the program at some time ......get a med alert bracelet. that way you know if you go past go and you didnt get a snack....someone would know to get you oj or call someone.......

The peanut butter crackers are better to take instead of the glucose tabs. My twins are type 1 and are always having insulin reactions but the other nite one of them had one before he could get to the fridge for juice he collapsed and the paramedics had to break his door down to give him his glu shot his BS was 20. Keep crackers in your car or whereever you are. And like Pumba said, GET A MED ALERT Bracelet. I have type 2 and when mine is below 90 I start sweating and shaking and it feels horrible. :)
 
Thanks for the replies. My doctor pretty much confirmed what you all told me. She suggested keeping nuts or protein bars with me. She also suggested peanut butter, but it's so messy! I picked up some nuts and some beef jerky sticks last night. I looked at the protein bars at Wal Mart, but they're all so high in carbs! Does anybody know of any protein bars that are low carb?
 


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