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Do you have hypoglycemic unawareness?

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The Question
03/07/10 11:33 AM

"Recently, having instances of low blood sugar but not feeling the signs ie: shaky, sweating, tired. How do I get back to feeling the signs? "
Asked By: trickygirl  
Category: Insulin

Background Info Hide
No change in medication doses Insulin dependant - 3 Injections a day (R & N insulin) 5mg of ramaprill (blood presure pills) Hemogloban A1C = 6 Cholesterol is good and blood pressure a little high (just tested in Jan/10) Blood tests usually between 80-120/per day 5'5 and 120 pounds and fit Nothing has changed with medication , food or activity but I am much more suseptable to low blood sugar and not feeling it drop to dangerously low levels.

Expert Answers (1)

03/18/10 04:09 PM

Thank-you for contacting dLife.com. It sounds like you may be developing hypoglycemic unawareness. This is where as you say "not getting the usual feelings or warnings." This is quite common in the Type 1 diabetic.

I would do the following:

  • FIrst talk with your MD and make him aware of this. Is he will ing to let your numbers run just a titch higher for safety sake.
  • Make sure that the people around you are aware of the treatments for hypoglycemia
  • Make sure you are wearing an ID band alert
  • Are you able to change you eating pattens to more frequent small meals with complex fiber rich carbs and protien?
  • Would your MD consider hooking you to a Continuous Glucose Monitor to identify how often this happens.

    A CGM may be appropriate for you since it has alarms for when your levels are trending downward. Try to look at patterns of your meals with simple versus complex carbs and if this is contributing to the lows.

    There are also some great articles about animals dogs especially being aware of when their owner is having a low blood sugar.

    Keep good records, inform those around you and report the results to your MD and CDE to brainstorm for the best solutions for you.

    Stay well and stay self managed

    • Answered By: Janet HowardDucsay
    Accreditations: RN BSN CDE
    Sources Show

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