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Do you have hypoglycemic unawareness?

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February 10th, 2012
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We found 10 result(s) that match your search "hypo unawareness":

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The problem that I have with Lantus is that one dose just doesn't cut it for me. It claims a 24 hour lifespan, but honestly...it's probably more like 20 hours on a good day. Which means that my blood sugars start spiking towards the end of that injection.

 

That's exactly why I split my doses however many years ago. It worked, dropping my A1c like a lead balloon. And now that my schedule nearly forced me into either the insane asylum or a once-per-day dose, I'm struggling to find an appropriate time for my Lantus injection.

 

An evening shot wasn't working because I was having to take such a bulk of insulin that I was dropping way below my safety point by morning. And now I've switched to an early afternoon injection, but I'm afraid that looks like it's bombing as well.

 

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My vacation was extremely nice. My mom and I spent several days with her family (who I haven't seen in several years), then trekked to New York City (my favorite place in the entire world). And mostly, my diabetes played nice. Nothing too out of the ordinary and no insane highs. Just plenty of hypo unawareness that left me annoyed, but thankful that I'm vigilant.

 

Now that I'm getting back into the grind of "normalcy," I'm kind of in a funk. There's a lot looming in my mind at the moment about my life, my health, and my future. And those things are weighing heavily into my diabetes world...causing me to forget insulin or blood sugar checks or to eat on a schedule.

 

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The last five days have been exhausting to say the least. My nearly non-stop lows started on Thursday. I thought it was just one of those days. But Friday brought its fair share of lows as well (though not as many as Thursday).

 

Saturday my family, along with my mom and dad, drove the RV from Phoenix north about two hours to Sedona, also known as Red Rock Country. The extra nearly 3,000 feet of elevation provide quite a respite from the valley heat.

 

On the way up, while Mom and I were attempting to entertain No. 1 and No. 2, I got that familiar low feeling. I tested immediately and rang in at 50 mg/dL. I was pretty shocked considering I tested as soon as I felt the low. I went for my Skittles and fortunately Mom had some non-diet soda in the RV fridge.

 

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After my recent posts, I've gotten a lot of feedback from you guys. I'm very appreciative of it all! Some of it is common sense to me after 16 years with this disease, but you never know which piece you can overlook in the complexity of diabetes. So I decided to sit down with it all and figure out where I need to listen most.

 

I heard differing arguments as to if I'm doing the right things and if I'm just lost with this disease. I've chosen to believe the positive feedback with that. I know that I'm doing the right things. I aim for a low A1c, but I also aim for a safe level of numbers since I know that I'm prone to lows. But lately, maybe I have been aiming a little too low in too little of time.

 

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It seems like every time I meet a new diabetic, there is the normal discussion of management. The management of blood sugars, tricky situations, and the unexpected. We always hit the high points: A1c, what foods make things worse, number of lows/highs, and the rest of the "normal" diabetes lingo.

 

So every time I meet a new diabetic I'm usually thrown into the low blood sugar toss-up. As I talk about my diabetes, it is inevitable that I discuss lows. Because ever since I can remember, I've been prone to low blood sugars. And nearly every time, I get the normal response of "Your A1c must be great!" or "Oh, how lucky!"

 

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Why is it that I can remain much calmer than those around me when it comes to diabetes? I can manage a low with ease, while my mom or my friend will freak out on me. No matter the severity, the past, or the person, it just seems I can keep composure better than them.

 

Last night, my mom and I went out for our usual walk. I had worked out earlier in the day, so I knew my blood sugar would probably be an issue. I cut my insulin back and drank a juice half way through the walk. Not long after, I felt the low coming on full force. It was bad, I knew that. Inside my own mind, I was thinking that I just needed to make it around the next part of the walk so we would be closer to the house.

 

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55, 48, 35. These numbers mean nothing really until you see them on the One Touch after testing because you feel a little off. Not low, just a little off. Or maybe you don't even feel off, you're just testing because you're about to eat lunch. These are the moments (like this one!) you start shoveling Skittles down your throat because the second you see that low is when you start to feel it. And it feels like s%$t!! (It's not easy to type when you're low, by the way.)

 

Happens on the other side of the spectrum for me, too. Sure there are times when cotton mouth, fatigue and a hideous headache clue me in to a ridiculous high, but there are just as many times when I feel perfectly fine and I find that I'm well over 200 or 300.

 

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Since I can remember, I've always had certain symptoms of being low. A funny feeling in my stomach, shaking, cold sweats, feeling tired, slow or incomplete thoughts. Depending on the low, sometimes certain symptoms would be worse than others. Almost every single time, I got this feeling in my stomach kind of like butterflies. Lately, I've been having some of these low symptoms when my blood sugar is not even close to a low. I get the feeling in my stomach, I feel shaky, I even start slurring my words. I check and I'm fine. 141. 126. Even 204. So why do I feel low? (READ MORE)


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I was a little shocked, actually, to have gotten a real answer instead of a blow off "It's in medical review" answer.
My pump rep and my endo's nurse have jumped through hoops giving my insurance company the information it needs/wants in regard to approving my CGMS claim. I thought there was going to be a conversation between the insurance folks and my doctor's office, not just a flat out "No." I really thought that giving them all this information and stressing that I have hypo unawareness would surely make them say yes. Like I said, I was shocked.
I have mixed feelings about this. On one hand I'm still ready for a fight. I've called my pump rep to fill him in and see where we go from here--not to say, "I give up, thanks for trying." On this hand I feel a little angry that they have all this information detailing medical necessity and still say no. (READ MORE)


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On more than one occasion I've been rather surprised at how low a post-meal or random blood sugar check is. Not in a 'wow-I-did-good' kind of way; more like a 'geez-I'm-53-and-not-feeling-it' kind of way.
I don't consider myself to "suffer" from hypo unawareness, but it's safe to say that I get it quite often. I remember plenty of times waking to a fasting of around 60 and feeling great.
So when I have a day like today, it really drives me crazy.
After lunch, I was feeling pretty shaky. Not terribly low shaky, just like a going-low kind of shaky that I knew needed to be dealt with soon or it would get bad. I expected to be in the 60s and was quite shocked with an 83. I treated, thankful that I caught it early and went on my way. (READ MORE)


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Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
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