buzzybee @ stock.xchng

"I totaled my truck”  

I looked at my friend in shock. He did not look hurt or anything but his lower lip quivered enough to tell me it was bad.  

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douglas

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)

In most people with diabetes, lows occur either because we've overcalculated the amount of insulin we need, or because of an impaired, inhibited, or insufficient glycogen response. While this is obviously an oversimplification, I remember reading that either autoimmunity or modern insulins did weird things to the glycogen response in people with type 1 diabetes, and I know that at least one class of oral diabetes drugs works by inhibiting, if not completely blocking, that response. Then there's the issue of undereating, or not eating sufficiently, for there to be glycogen stores that can be easily converted to fuel our bodies — and, of course, drugs such as glipizide which work by stimulating additional insulin release.

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