One of the most concern in diabetes type 2 treatment therapy with insulin is low blood sugar. Low blood sugar can be only as a result of treatment. Without treatment sugar will be high, or sugar can drop down to normal level, but it will not go down to low sugar.
As usual, it is only mine own experience. I do have one diabetic to observe, it is me. So, someone will have another opinion, and it does not mean that one of us wrong. I just share mine experiance and my observations.
With insulin therapy low sugar is not avoidable. Of cause if sugar does not go up and stay mostly in normal level then with low dose of insulin there is no low sugar at all. I take high dose of insulin. I am diabetic type 2, meaning dose of insulin is higher then 200 units. My dose of insulin from 300 to 400 units daily.
It is easy to project that with higher dose of insulin is more chances to have higher probability of low blood sugar, and sugar will drop lower then with lower dose of insulin. In my practice, dose of insulin 50 units bring my sugar down, and i had low blood sugar episodes. With dose of insulin as high as 720 units there were no low sugar. Why it is happened? Or better say, why low sugar does not happen with dose of insulin 720 units I have no clue. It is just fact, I have nothing to add.
Low sugar is really very interesting phenomenon.Whien insulin therapy just started and sugar in blood is high, it is very danger to have low sugar episodes. They go dramatic, with shaking, and possibility to collapse, or be in great fear and pain.
When low sugar happened, it is only one way to recovery, to eat. In hospital it will be IV with glucose. It is taken for granted that if sugar added in blood as droppings, or sweet tea, or any other sweeties, sugar in blood will go up. I do not know how fast and how high blood sugar going when sugar added as glucose, or tea, or anything else. Usually in hospital I was said, this will make me stronger. It never worked in this way.
When I am not in hospital but at home, I can take something and eat. Then more I eat then more hungry I became. Hunger so strong, demand in meal so devastating, it takes all out of control. After low sugar there is very high spike, very high. It will take many days to get back to truck. I am so hungry, I cannot stop to eat, fast, and getting faster. I do not feel what I do eat, just push into mouse everything what can be ate, and this is only one action I can take.
After satisfaction was achieved, I have to go to sleep. I cannot stay awake, very very sleepy. I will sleep many hours. When finally I was able to take a readings, they are high.
It is obvious that to bring numbers up and avoid low sugar episode best way is to decrease dose of insulin. Usually every one of us do it, and this is what out medical team recommend. We take high - low swings. Every time in insulin dose changing we take ride on high - low swings.
I took another regime. When sugar dropped down I take additional small dose of insulin, before my first bite. Against all odds it works, and I am not scarcely crazy hungry. I eat as every one normal person. Satisfaction come even before normal time. But sleepiness remain, and after low episode and meal I have to go to take good sleep.
Another important part of this strategy is do not reduce routine dose of insulin. Stay in the same regime, with the same dose as it was before low sugar. Really, it works for me. Right after low sugar episode as usual numbers go up. I sty on the same dose of insulin. Then numbers go down. I inject the same dose of insulin. With this regime high - low swings get broken. If numbers started to drop, I drop dose of insulin. Sometimes it drops significantly down.
This was how dose of insulin dropped from 720 units down to between 300 units and 400 units as it is right now. I take this dose for a month or even more right now. Usually it is 300 units. But with something unknown for me numbers spike up, and I increase dose of injected insulin. Then numbers drop to the normal dose range.
As usual, it is only mine own experience. I do have one diabetic to observe, it is me. So, someone will have another opinion, and it does not mean that one of us wrong. I just share mine experiance and my observations.
With insulin therapy low sugar is not avoidable. Of cause if sugar does not go up and stay mostly in normal level then with low dose of insulin there is no low sugar at all. I take high dose of insulin. I am diabetic type 2, meaning dose of insulin is higher then 200 units. My dose of insulin from 300 to 400 units daily.
It is easy to project that with higher dose of insulin is more chances to have higher probability of low blood sugar, and sugar will drop lower then with lower dose of insulin. In my practice, dose of insulin 50 units bring my sugar down, and i had low blood sugar episodes. With dose of insulin as high as 720 units there were no low sugar. Why it is happened? Or better say, why low sugar does not happen with dose of insulin 720 units I have no clue. It is just fact, I have nothing to add.
Low sugar is really very interesting phenomenon.Whien insulin therapy just started and sugar in blood is high, it is very danger to have low sugar episodes. They go dramatic, with shaking, and possibility to collapse, or be in great fear and pain.
When low sugar happened, it is only one way to recovery, to eat. In hospital it will be IV with glucose. It is taken for granted that if sugar added in blood as droppings, or sweet tea, or any other sweeties, sugar in blood will go up. I do not know how fast and how high blood sugar going when sugar added as glucose, or tea, or anything else. Usually in hospital I was said, this will make me stronger. It never worked in this way.
When I am not in hospital but at home, I can take something and eat. Then more I eat then more hungry I became. Hunger so strong, demand in meal so devastating, it takes all out of control. After low sugar there is very high spike, very high. It will take many days to get back to truck. I am so hungry, I cannot stop to eat, fast, and getting faster. I do not feel what I do eat, just push into mouse everything what can be ate, and this is only one action I can take.
After satisfaction was achieved, I have to go to sleep. I cannot stay awake, very very sleepy. I will sleep many hours. When finally I was able to take a readings, they are high.
It is obvious that to bring numbers up and avoid low sugar episode best way is to decrease dose of insulin. Usually every one of us do it, and this is what out medical team recommend. We take high - low swings. Every time in insulin dose changing we take ride on high - low swings.
I took another regime. When sugar dropped down I take additional small dose of insulin, before my first bite. Against all odds it works, and I am not scarcely crazy hungry. I eat as every one normal person. Satisfaction come even before normal time. But sleepiness remain, and after low episode and meal I have to go to take good sleep.
Another important part of this strategy is do not reduce routine dose of insulin. Stay in the same regime, with the same dose as it was before low sugar. Really, it works for me. Right after low sugar episode as usual numbers go up. I sty on the same dose of insulin. Then numbers go down. I inject the same dose of insulin. With this regime high - low swings get broken. If numbers started to drop, I drop dose of insulin. Sometimes it drops significantly down.
This was how dose of insulin dropped from 720 units down to between 300 units and 400 units as it is right now. I take this dose for a month or even more right now. Usually it is 300 units. But with something unknown for me numbers spike up, and I increase dose of injected insulin. Then numbers drop to the normal dose range.
via Ravenvoron
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