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The Question
11/16/09 08:59 AM

"What process does you body go through to correct a severe (siezure) BS and nobody is around to help you? Could this cause death?"
Asked By: lorriane  
Category: Type 1

Background Info Hide
I am a T1 for 26 years now. I was on a pump for 4-5 years and went back to shots 3 months ago. my a1c on average is 7.0. My bs is crazy since I went off the pump. I am working with my doctors to controll it but the inconsistances are wearing me down. I am waiting to get an omnipod. My next appointment is Nov 25 hopefully we will get the ball rolling. During the crazyness I have had 2-3 seizures and I am worried. I don't know what happens if nobody is around and I have a bs seizure. Any info would help. My daughter is scared for me and I cannot answer this one question for her.

Expert Answers (2)

11/17/09 11:19 PM

If there is no one to help someone in a severe hypoglycemic state, seizures and death can indeed occur. Fortunately, the liver is always on guard to try and keep blood glucose (BG) levels in balance and will release glucose if the reserves are available (which they will be unless the person has suffered recently from frequent low BG). If glucose isn't available,.an incredible process known as gluconeogensis can occur. Simply, this is when the liver actually makes more sugar which can then be released. Generally, if you are alone and without sugar or carb to eat, rest comfortably (don't expend energy) and wait it out. The liver will generally release (actually too much) glucose, and soon you'll be able to get yourself up and to food. Better yet - - - follow the previous instructions and don't let it happen! Good luck!
Answered By: Anne Carroll
Accreditations: RN, CDE
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11/17/09 05:06 PM

Hi Lorraine, thank you for writing dLife. Your question is very good, as very erratic blood sugar levels can in fact be quite dangerous. This is an important reason for you to take your blood glucose readings quite frequently and as directed by your physician. It may also be a very good idea to look into the possibility of using a continuous blood glucose monitoring device, such as the Dexcom, which can be quite helpful for people who have very difficult issues with blood sugar fluctuations. Also, if you are not already, be sure to wear some sort of identification such as a bracelet, that indicates that you have diabetes. Always have a form of readily available glucose with you such as the glucose tablets or glucose gel which are available at any pharmacy. Keep these in your car and by your bedside as well. Be sure you are eating regularly spaced meals and snacks and if you have had T1 diabetes for 26 years, your gastrointestinal tract may also be affected, causing erratic blood sugar levels- ask your doctor if this has been considered. If this is so, your meals and snacks should be carefully planned with the help of a registered dietitian who is familiar with complications of diabetes. Be sure also to have a glucagon kit available, and have family members learn how to use this- this helps bring blood sugar levels back up if for some reason you get so low that you cannot wake up or swallow. Ask your doctor and diabetes educator about this, as it is quite important for those who take insulin and have frequent low blood glucose levels. I wish you the best of luck and hope that things smooth out with you very soon!
Answered By: Janice Baker
Accreditations: B.Sc., MBA, RD, CDE, CNSC
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Community Answers (1)

01/06/10 11:05 AM

I can relate to what your going through,as I also have the same issues,I've had it for 24yrs. Its really hard to explain to Doctors what goes on ..Sometimes they look at me like I'm crazy,my bs. have been as low as 9,thank GOD for my husband.My body reacts very weird to insulin.I've also had sez. from the lows and have been as high as 500.I know its hard ,And I PRAY they find a cure..God Bless and Good Luck with the bs.
Answered By: kiki
FLAG
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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