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The Question
Fri Jun 28 17:11:16 EDT 2013

Why am I having so many low blood sugars?
Asked By: napsternova  
Category: Type 1
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Background Info Hide
I have been Type 1 for 35 years and on an insulin pump for the last 11years. My most current A1c is 6.5 . I have been having an extreme amount of low blood sugars to the point of having to call paramedics last week because I was unresponsive. I haven't changed anything except I did lower my basal intake across the board. I weigh 210lbs and stand 5'8
Diabetes Profile Hide
n/a
Expert Answers (1)
2013-08-31 10:16:10.0

Sometimes it is difficult to find the answer to these situations. I would look at perhaps your exercise patterns. Have you been building new muscle lately? The more muscle mass, the more efficient our bodies become. You can also ask your doctor about using a CGM to zero in on the time of these lows...after a meal, in the morning,etc... While you search for answers, lowering the basal rate will probably be advised by your health care team while you both do some investigating. I would also ask if you are taking any new medications, both prescription and/or over the counter. Have you started taking new supplements?? Keep us posted, and stay healthy.
Answered By: susan sloane
Accreditations: B.S.,Rph.,C.D.E.,Nutritionist
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Community Answers (7)
2015-06-06 16:42:22.0

This is where a CGM could be very helpful. While I still test 10-15x a day, the trending alerts are truly valuable,. I am alerted when I am starting to trend - in either direction. I can act immediately to stop lows (and highs) form happening. Unfortunately, my healthplan doesn't cover CGM - but I find it worth the $. Indeed, if you consider that the typical ER run is $17,0000 and EMS services without transport can cost $200, it saves $ in the long run - not to mention your quality of life.
Answered By: pugmommy

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2015-06-06 16:42:15.0

This is where a CGM could be very helpful. While I still test 10-15x a day, the trending alerts are truly valuable,. I am alerted when I am starting to trend - in either direction. I can act immediately to stop lows (and highs) form happening. Unfortunately, my healthplan doesn't cover CGM - but I find it worth the $. Indeed, if you consider that the typical ER run is $17,0000 and EMS services without transport can cost $200, it saves $ in the long run - not to mention your quality of life.
Answered By: pugmommy

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2015-06-05 15:26:07.0

Are you sure that your pump is functioning correctly? If nothing else has changed (including physical activity), then there may be an issue with the pump itself. Have you noticed the reservoir emptying faster than usual?
Answered By: jlbksmith

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2015-06-05 15:12:21.0

The expert response that you've already received is a good one. (It is very complicated, and depends on a number of factors.) I have a very similar profile to yours and despite testing 6-8 times a day, I also have experienced unpredictable lows with loss of conciousness. I'm a retired chemical engineer and should have adequate problem solving skills for this. I've kept an extensive database of tables and graphs for years which I review with my endocrinologist. His best response to this complex problem is that my sugar level cannot unexpectedly drop into severe hypoglycemia without insulin. So the short answer is "when I begin any strenous activity, I temporarily reduce the basal rate on my pump to 5% of normal." My severe epsisodes of hypoglycemia have been nearly eliminated.
Answered By: rgs0517

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2013-09-13 08:42:10.0

I would have to ask a ton of questions before intelligently answering that question. I'd also have to see a comprehensive log including food intake, energy output, daily activities, pump settings, etc. It's really not a simple question to answer though sometimes a new set of eyes will see the problem right away. Oh - usually another type 1 set of eyes not a non-diabetic medical practitioner. Something that would also be needed to resolve ... fasting basal and bolus testing. Have you ever done it or known how to? Doris Dickson
Answered By: dorisjdickson

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2013-07-29 00:55:57.0

Why was this flagged? Is it not a legitimate question? My dr doesn't know why "all of a sudden" I'm having so many low sugars.
Answered By: napsternova

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2013-07-29 00:04:15.0

This is serious, you need to see your Dr
Answered By: asm1234

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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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