Diabetes Type 1 hypoglycemic episodes?

Question

My Mum regularly gets these when her friends are round and often acts silly, it takes a while for me to pick up but can often handle it. Coke does the trick, is there any other way in helping her control these, she has the 5 meals a day and regularly checks her blood sugar levels. Also, it sometimes happens in the night where she herself wakes up from sweating loads, any help?

Answer 1

Speaking from experience, the hypoglycemic episodes shouldn't happen that frequently and it sounds like her dr. needs to change her insulin to carbohydrate ratio or adjust her basal dose.

Usually, a really simple carbohydrate is best to treat low blood sugar. Fruit juice is good, honey works great. You can also buy remedies from the pharmacy, but I really dislike the taste of them. I'd rather have a glass of juice.

Answer 2

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Answer 3

If hypoglycemia occurs frequently she may need a downward adjustment in her insulin dosage. The best protection is testing frequently. Be aware that a fairly severe hypoglycemic event (say blood sugar is less than 45) there will usually be a "rebound" effect, wherein the blood sugar will spike up higher than normal following recovery from the hypoglycemia. The rebound usually lasts for only a few hours.

Answer 4

What type of insulin does your mother use? N and R tend to make people have more severe lows due to erratic peaks. A pump allows more personalization and better insulin dosing. Short of that, Lantus or Levemir are flat insulins, and therefore have a lower chance of causing lows, but you would need a mealtime insulin, like Apidra, Humalog, or Novolog with it.

Logging blood sugars will help too, because you may be able to better predict when the lows will happen.

Answer 5

I have had diabetes for 34 years, am currently on the insulin pump. I have never been in control of my diabetes until I was put on the pump. Hypoglycemic episodes are something that even I can't describe. I have found to have had fewer being on the pump, the only way I keep a watch on them is testing my BS especially when doing heavy exercise or being more busy that usual. Emotions have alot to do with bringing a episode on with me. It takes a strong person to care for someone with diabetes and I am sure you are such that kind of person, my major support is my Mom and believe me I have put her thru it all. I don't know if this helps you any but do know this, diabetes don't have me I have it. Best of luck.

Answer 6

I am also a type 1 and somedays it is like a balancing act to get it right. I like small juice boxes the 4 oz all juice 100% kind, or in my purse and in my car I keep glucose tabs. I go through phases where I'm low alot then along time goes by before I get low again. Adjusting the insulin may be the needed step here.

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Answer 8

coke is ok, but not the best sugar source, due to the acid, carbination, caffeine, and additives. They actually make pills (like giant smarties) and paste (like frosting); of course there is the glucogen injection for serious lows. Orange juice, apple juice, grape juice, are usually enough to balance you out. If it seems severe, you can add sugar to the juice as well.