Morning Skorkysmom; Thank you for including dLife in your diabetes care planning, you inquire of "why" frequent hypoglycemic reactions are occurring. Research suggests these occurrence are due to the diminished capacity of your counter-regulatory stress hormones, (primarily glucagon produced in the pancreas), to trigger the liver to provide glucose with an approaching low. Referenced as hypoglycemia unawareness, the symptoms of a low become less obvious after having diabetes for several years because repeated lows impair the body's release of stress hormones. The major counter-regulatory hormone that causes glucose to be released by the liver to raise the blood sugar is glucagon, (get a kit and include the support team in how to use). Glucagon secretion is reduced in most people who have Type 1 diabetes within the first two to ten years after diabetes onset. Warning symptoms became less obvious because counter-regulatory hormones, like epinephrine, nor-epinephrine, and glucagon are released more slowly and in smaller concentrations if a low has occurred in the previous 24 hours. The second low becomes harder to recognize. Strange behavior, such as the foaming, need to be shared with your PCP, as you have some idea of the danger that hypoglycemia unawareness can present. Fortunately, research and clinical experience has shown that this condition can be reversed.Reduce the frequency of your lows, if the GI is sluggish liquid complete meals are absorbed more rapid Be especially careful to avoid another low for at least two days following a reaction Test blood sugars often to note dropping numbers and treat them before they become lows Set your target blood sugars slightly higher so that you will experience no more than one or two insulin reactions per week Always match your insulin doses to changes in your lifestyleAvoid drinking alcohol or limit consumption An occasional 2 a.m. blood test may help in preventing lows.
Accreditations: RD, CDE, MA