August 27 at 1:19am
I had a most frightening experience tonight and was very close to going
to the nearby ER. I am proud of my 21 year old grandson who remained calm and
listened and asked calm short questions and statements like "then where is
it going" "maybe it's taking a while" etc. I am also more
convinced my year old lab would make a great diabetic service dog. Although I
had been watching my carbs and losing weight, about 40 lbs since January with
BGs getting better and better I decided to step up my game, I began a stricter
diet about 10 days ago, the LCHF diet and I was a bit blown away by my results
and the great BGs, and I am counting carbs and frequently testing my BG to
gauge different foods effect on my BGs. Tonight, after a weekend of exceptional
BGs and a FBG 97 I took my morning dose of insulin at 7:30a, went to physical
therapy, and had an after breakfast PP of 71.
I am to report anything under 90 to my doctor which i did, ate a 14 gm
light and fit yogurt and checked 20 minutes later and my BG was 123.
I felt a little shaky while i was out, after lunch, grabbed a coconut
water which spiked my BG to 171! I checked 2 hours later at 4:40 and my BG was
123.
At 8P I took my evening insulin 70/30 but decreased it by 4 units, had
a dinner of chicken thigh and leg and a cup of mixed veggies at 10 my PP was
97.
I felt a little shaky so I ate some "emergency" low carb ice
cream.
Around 10:30 i began to feel shaky and weak and thought I smelled nail
polish remover, I don't even own any, my dog began to nudge me nervously trying
to get my attention, I took my BG and it was 68, which frightened me, I ate
some peanut butter crackers, 32 gms, 4 oz of minute maid lemonade and was still
quite anxious and not feeling much better I took my BG 10 minutes later and it
was 76. I was frightened so I took three glucose tablets couldn't wait more
than 12 minutes and my BG was 97.
15 minutes later BG was 114. With all the sugar i ate it should have
been higher. I had a light and fit 14 carb yogurt, felt better, checked my BG
and it was 160
Ate way too much sugar but I don't think I was ever so frightened -
kind of feel sick ot my stomach now from the food but feel my BG is ok, and I
am not afraid to go to sleep, my dog is asleep, attached to my hip but snoring.
I am going to decrease my morning insulin and stop by the docs in the
morning.
I so want off this insulin.
Thanks for listening.
A reply from a supportive friend, who is now off all diabetic meds:
“That smell you were smelling was
ketones from eating low carbs, perfectly normal. Your diet change and your
insulin dosage definetely needs adjusting. What you were felling was a false
hypo, nothing wrong with the 70's but it becomes a situation if your glucose is
still falling. Your doing good, might be time to cut out the insulins
altogether or reduce them a great deal.
August 27 at 4:34a”
August 27 at 5:26pm
Had a doctors appt went by the diabetic clinic for blood work, did not
get to see my nurse clinician but left her a message. I told her I was going to
reduce my my pm insulin from 54U to 40, I already reduced my am dose this
morning by 40 but based on tomorrow morning's FBG I may go up as pps' were 166
and 169, it was 144 about an hour ago.
August 27 at 5:52pm
i am not feeling really good today but I have had only 26 carbs so far,
I average 75 to 100 per day. I am a little shaky, drowsy, weak and while I am
breathing ok (I am well perfused, color good, fingernail colors good, did some
breathing exercises everything is working) at times i feel like I am not quite
out of breath but just aware, and that could be the anxiety, when I don't think
about it, it doesn't bother me. Anyone else get these feelings with the low
carbs, this past nine days I have been getting pretty strict.
I have been exceeding my protein, I am about 250 (253 last week) and
since I am still kind of sedentary (started PT last week for this blasted
sciatica) I am allowing 1/2 gm protein per kilo comes to about 56, I already
had 63 gms today. My fat carb protein ratio already is 45:16;39, , so i will
have to eat something fatty for dinner.
What is a false hypo? How can it be false if it registers in my blood?
I'll come by later, I need to get some carbs and get dinner with my
evening insulin.
August 27 at 6:12pm
Just checked my BG and it was 202! Went ahead and ate some 4% cottage
cheese anyway and really do feel better (lots), my insulin dose isn't until 7p.
I felt a bit shaky about 4:30, checked my BG it had come down 25 points in a
little over and hour, ate a small clementine, which was 9 carbs (I included it
in the 26 carbs). I guess my am insulin is wearing off. I am stressed, although
I feel better after eating the 4% Cottage Cheese. I'll keep you posted. Btw, I
am using this as sort of a guide to decreasing and increasing my insulin:
http://www.bd.com/us/diabetes/page.aspx?cat=7001&id=7237 So I think 44 or
45 am should bring me in range (will assess in the morning), 40 tonight. Btw,
have I mentioned I ABHOR insulin, lol. Oh
and i lost about 40 lbs since January.
August 27 at 7:01pm
My dog Bailey has been "nana" all day but also forced me to
play with her - climbing on my lap and dropping the ball onto me, she's a 70lb
lab, lol. Been a crazy day, I ate way under my target carbs and had an anxious
moment but I am feeling better now. I got blood drawn earlier for my 1ac and
left my nurse practitioner a long message, I took 40U 70/30 this morning and
while my numbers were mostly in the 130's, I had some 140's and 160's, not
quite where I want to be, I think 45U might do it(I'll reassess in the morning)
tonight I'll take 40U 70/30, told the NP this and since she has not called to
say "no" I am going ahead and will adjust accordingly. I was taking
56U in the am and 54U in the evening. a lot fo insulin - and have lost about 15
of the forty since I was put on that dosage about 2 months ago. I've decided to
do a modified LCHF because the absence of carbs mimics low BGs too much and I
react with anxiety. As long as I am losing weight and my numbers remain good
are my two main goals right now, long term is every insulin diabetics dream, to
get off of the insulin.
August 27 at 10:04pm
Just to let you all know, I feel really good, had a good meal with more
carbs, 27 but they were from berries and whole milk Greek yogurt and a chicken
thigh, giving me a total of 80 carbs for the day. I've lost the bulk of the
weight on about 150 (good) carbs until I started this one, so I am going to try
to stay about 80 good carbs until the I get the hypo issue better in hand
because it is a double whammy, can get confusing and make me anxious then I
will gradually decrease. Before this diagnosis, I never got anxious, was always
well balanced, could carry the weight of the world on my shoulders and I want
that back folks. Thank you for helping me
August 27 at 10:38pm
Pre-meal and pre insulin dose my BG was 199 (I was an hour late and
uber stressed) just checked my 2 hour PP and it went down a point 198. Actually
tonight it is ok, a relief really, I'll feel safe going to sleep, I'll get a
good night's sleep and be ready to tackle the BG/Insulin dose juggling act.,
Thanks again for the caring and support
August 27 at 10:41pm
Update: Just to let you all know, I feel really good, had a good meal
with more carbs, 27 but they were from berries and whole milk Greek yogurt and
a chicken thigh, giving me a total of 80 carbs for the day. I've lost the bulk
of the weight on about 150 (good) carbs until I started this one, so I am going
to try to stay about 80 good carbs until the I get the hypo issue better in
hand because it is a double whammy, can get confusing and make me anxious then
I will gradually decrease. Before this diagnosis, I never got anxious, was
always well balanced, could carry the weight of the world on my shoulders and I
want that back folks. Pre-dinner/pre insulin dose my BG was 199 (I was an hour
late and uber stressed) just checked my 2 hour PP and it went down a point 198.
Actually tonight it is ok, a relief really, I'll feel safe going to sleep, I'll
get a good night's sleep and be ready to tackle the BG/Insulin dose juggling
act
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