Every time I turn around lately, I'm low. These are beyond my "discomfort" zone and into the "scary" zone. I've had three below 70 just today. One that woke me, shaking and sweaty, at 7 this morning. A 55 in the afternoon. And the most recent, a 69 that felt much lower.
I know the facts of diabetes: too much insulin equals lows, too little insulin equals highs. It's not rocket science, really. But the frustrating part of these lows lately (pretty severe ones for the last two to three weeks) is that I'm lowering my insulin and I'm still seeing just as bad of lows. Nothing in my schedule or diet has changed, except that I'm exercising much less. I even had a urinary tract infection this past week.
Everything is telling me that I should be running high. Not dropping to 55 in minutes. Or ending up soaked in the middle of the night from a 67. It isn't making any sense to me. A diabetes veteran. Seventeen years of this disease, seventeen years of severe lows. And I can't figure this out.
The only thing that I can think is that the Accutane (which I was on from November to April) is continuing to leave my system reducing my overall insulin resistance. That or the birth control is drastically lowering my hormones and straightening out my PCOS.
I'm still not back to my pre-Accutane insulin levels. At one point, I had doubled my dose. I am much much closer to the 16 and 14 units of Lantus that I was taking, with 20 and 14 unit doses now. Perhaps this is just that slide back into my previous insulin needs.
I'm going to lower my morning Lantus to 18 units for the next few days and see if that stops the lows. I'm also heading to visit Marvin and get some moving things situated, which will mean different foods for a few days which always leave me higher. Honestly, I wouldn't mind running in the 180 range for a few days just to let my body adjust to the non-low life.
I am so sick of the shaking, the worry, the nausea. I want to shower without feeling like I need juice on the counter. I want to sleep all the way through a night. I want to enjoy my life without having to take so many time outs from this disease. I want to stop consuming so many calories.
I really hope that the lowered Lantus does the trick. I was transitioning to a 1:8 carb ratio as well, but I haven't really kept up with that so I think my 1:10 carb ratio works for the time being. I have spotted a few lows that are following meals where I've overcompensated for the carbs. But the night lows are the ones I'm most worried about and the ones directly linked to the Lantus.
I just hope that the lows don't suddenly disappear as they have before leaving me with torrential highs. Diabetes is such a delicate balance. My fingers are crossed that I'm closer to finding that balance soon.





Hi Lindsey,
Concern...what are your insulin to carb ratios? Have you tracked the data for a couple of days to determine when your insulin to carb ratio changes during a 24 hour period. Meaning are you more sensitive, a higher insulin to carb ratio in the morning or the evening? For some of us it is not a fixed number through the entire day. It is better to getthe facts. Hope this helps andas always have a great day.
Dan