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VALERIE1619's Photo VALERIE1619 Posts: 1,084
6/19/11 9:45 A

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20 years ago when I was diagnosed, there was the "rule of 15" which was something like, when you're low, use 15 grams of glucose and then test again in 15 minutes. My CDE also said if you weren't going to have a meal within an hour, you should eat a 15 gram snack (for middle of the night lows, for instance).

Of course, the most important thing is to determine if there's a pattern to your lows, and correct that! The urge to eat until you feel better is so strong when you're low, and for many of us, part of the reason we're now trying to lose weight.

I woke up at 2 in the morning the other day and my BS was 47. I took three glucose tablets and ate a Medifast bar (11 grams and the diet I'm on since 2/18). When I got up at 7 my BS was 102; success!

I've lost 28 pounds so far so I'm having to adjust my pump basals, since I'm starting to have too many lows. I do a 2.5 mile walk in the mornings and find it a challenge when I wake up to a 62 BS and then have to walk, but here's what I do.

I don't want to allow my BS to get up to the 200 range so I lower my basal by about 70% a half hour before walking (my BS is always less than 100 when I get up). I eat a 10-12 gram carb meal (the MF meals average that) without bolusing and then drive to the lake.

When I start my walk, I test. I test again every 15 minutes (usually takes just under an hour to walk) and either turn my basal down to -80 or 90% or sometimes make the decision to turn it back on. Depending on what my number was to begin with, sometimes I have to bolus a quarter or half unit of insulin when I get back to the car because my number will creep up to the 130 range. I continue to test hourly for a couple hours after walking since now and then my BS will come up a bit due to the lack of basal.

I've found this to be pretty reliable for me. I carry a tiny fanny pack with my kit, glucose tablets, a granola bar, my car keys and my cell phone.

Valerie

Valerie

Sh*t is hard. Do it anyway.



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GRANDMADAR2 Posts: 52
6/12/11 7:18 P

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My nutritionist suggested to keep those little, individual packets of fruit snacks on hand at all times. They have 80 calories, no fat, 19 grams of carbs, and 1 protein. It has kept me out of major trouble. Try it!

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SHEL1181's Photo SHEL1181 SparkPoints: (0)
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6/9/11 2:20 P

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I am so there.....I used to go low in the middle of the night and eat peanut butter out of the jar with chocolate chips and then down it all with milk.......what a nightmare the next morning when I checked my sugar levels! And we won'd discuss the effect that had on my waistline. I've gotten better at keeping glucose tabs around and try to use those now instead of eating but sometimes food just calls.

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NADIA_92's Photo NADIA_92 SparkPoints: (0)
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6/9/11 10:26 A

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I binge on fruits when Im hypo, today at 2 am my BG was 49, I ate an apple, an apricot and berries (didnt count) and woke up with a 218 reading =s so disappointing!! specially that you feel week for some time after a hypo and think that your BG is still low.

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HHI0901's Photo HHI0901 SparkPoints: (0)
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6/3/11 3:09 P

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The more I research, I find this is quite common. Fortunately I've been doing better with this lately but it still can happen in an instant!

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TAGGARTRA Posts: 3
6/3/11 1:03 P

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This forum seems to have been dead for a while, but I don't care. I think it is an excellent topic. Lows will often be the downfall for a so well planned diet. I will sometimes bing when I am low and my motivation is down. The adrenaline kicks in and I don't care to stop eating until I feel normal, but by then the damage is done! I am hoping I am not alone out there!

SUPERDUPER26's Photo SUPERDUPER26 Posts: 1,553
10/1/10 2:46 P

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I like to start in the 200s (prob 200-250), and if I'm looking to do something long/hard I drop my basal down to 25-40% an hour before I start. If I'm just in for a quick 30 minutes of something I usually don't mess with my basal and just plan on eating more to cover any problems that ensue. I always eat right before exercising, a small 15carb snack and watch my post-exercise numbers like a hawk for the rest of the day/night.


Its not a perfect system, but I managed a 2+hour walk/jog a few weeks ago with my BG between 140-170 the whole time and made it a good 2 hours post before crashing.

***Updated 2 days later...*** Did a 1 hour jog today, and while I didn't go low, an hour after I was done I hit 350! Obviously this is not an full-proof system, so please only take my idea with a grain of salt! Grrrrr....


Edited by: SUPERDUPER26 at: 10/2/2010 (23:26)
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CLRSB301 SparkPoints: (0)
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10/1/10 11:58 A

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I hear you on the low blood sugars. They suck. I tend to get them 30 minutes after I have intense work outs. I am with the juice box group...and have been using juice boxes for 20 years when I have had low blood sugars. It helps me to prevent the insane bounce backs of being high later if I binge and eat carbs or fats.

Any one care to share what kind of blood sugar levels they like to have before starting a work out? And then how they manage through the work out and after? I'd be really curious to hear how people are doing that.

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HHI0901's Photo HHI0901 SparkPoints: (0)
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9/30/10 10:33 P

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Hey Tricky - I know what you mean. The pump is awesome but then again I don't know what it's like to be on shots... so anyway it is so hard to balance it.
It's true that eating fewer carbs than I did pre-Spark has made my blood sugar easier to handle!
Post anything on here if you want - I love discussing this stuff, too.

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TRICKYFISH's Photo TRICKYFISH Posts: 31
9/30/10 9:51 P

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I know all about the 'binge' but refer to it as 'eating thru the hypo' which is exactly what i'm doing, eating till the symptoms go.
The first thing i always grab is a juice box, good sugar, quick to get down and easy to digest. Then i'll go for a muslie bar but if i'm still feeling bad after that i'll take what ever i can get my hands on. My educator said i should have complex carbs after the initial sugar to help stabilise things.

I'm on a pump and still have really up and down sugars. I think with cutting back my food they'll get heaps better but i might need to cut back my basal pattern and that might help stop hypos.

It's so nice to finally have people to talk to about all of this stuff.
emoticon

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SUPERDUPER26's Photo SUPERDUPER26 Posts: 1,553
8/20/10 2:33 A

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I used to have a handle on lows- I would drink a juicebox so fast I didn't have to taste it (strong aversion from years of juice as "medicine"), then grab a nice snack like a piece of toast with peanut butter or an apple and a glass of milk and then sit and eat the good snack while reading a magazine. I couldn't get up until I was done with whatever article I started, and that usually took long enough that the "binge or die" feeling had passed. At work I get one dried pineapple ring for the good snack, and then just go about my day. Since there isn't generally a whole kitchen's worth of food at work its much safer to get low there, lol!
I guess I should re-implement my magazine plan, quick before I finish off the rest of the cookies in a low induced stupor!

As to the protein question, I know I feel better faster if I stick some protein in my second snack, I always start with a juice box because I know it works and works fast, but following up with a snack with some substance makes me feel better. Sure it adds calories, but not as many as a free-for-all in the pantry!


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CE1966 Posts: 89
8/18/10 11:44 A

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Daytime lows, I treat with glucose tabs only. They don't taste horrible or great, but I know they will work fast. If I feel like I have to have something else but know I don't likely need any more carbs, I'll grab a T. of peanut butter. Not to treat the low...just to keep me from eating any other high carb stuff that's going to exacerbate a rebound high. I think since PB also has some proteine & fat it helps stabilize things a bit afterward. Nightime lows, I'm not as disciplined. Sometimes eat the glucose tabs and go back to sleep, but otherwise, look out fridge. I think the survival instincts kick in on top of being tired. Just want to ensure that I'll wake up, even if it's with a high blood sugar.

One thing I did here on SP was set up a separate snack category for "Treating a Low". I get convinced sometimes that is what is sabotaging my weight loss, and that puts some reality to whether it is true or not.

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CAREY.LISK's Photo CAREY.LISK SparkPoints: (0)
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8/18/10 9:29 A

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those little juicy juice box's are the perfect 15 carb we need snd they taste great. i also have mlike a this low bow it is a little bobow with snacks that are just made for my lows so i know they wont make me high latter maybe that might help you.

"you CAN do ALL things through Christ which STRENGTHENS you"
phil 4:13


I don't believe in failure.

( this includes getting healthy!!)


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RLEEGIRL's Photo RLEEGIRL Posts: 530
8/18/10 7:46 A

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My lows usually happen at work,bummer I know, but my coworkers are always prepared with Smarties and juice,most of the time I dont even know im low but they do,they say I look different,,sometimes I could be combative low girl,but lately I just do what they tell me because i know they care about me and my situation(also they dont want to work alone ) LOL

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HMB621's Photo HMB621 SparkPoints: (4,136)
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8/17/10 10:31 P

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I hear you! When I have a low, I get so hungry that I can't stop eating. Lately, I've been eating 3 or 4 glucose tabs and then an apple and peanut butter or PB crackers. It helps when my husband tells me to stop eating... usually. (Sometimes I get mad and just end up eating more to spite him!) :-)

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HHI0901's Photo HHI0901 SparkPoints: (0)
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8/17/10 9:22 P

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Wow, that makes so much sense. I'm definitely doing that next time - I have a timer on my phone so wherever I am, I can do this.

I always seem to binge when I'm at home because there's a whole kitchen full of food... when I'm on the road I just carry packs of fruit snacks.

Thanks SO MUCH for your tip!

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MICHTOTMAN's Photo MICHTOTMAN Posts: 848
8/17/10 9:19 P

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I know that fats (even healthy fats) slow the absorbtion of sugar. So I don't generally have anything during my lows EXCEPT straight sugars - be it juice, Smarties, whatever. I, too, struggle with the binging - I HATE the way low bg feels so I just want it to end, then wind up with the "bounce" effect.

What I try to do is to set a timer for 15 minutes after I've had my treatment "sugar". I know that it generally only takes about 15-20 minutes for my blood sugars to return to normal, and 15 minutes can seem like an hour when I'm in that condition. SO if I set the timer I know that I've got only 15 minutes to wait and it's easier. After 15 minutes I take my bg, and usually I'm up to normal by then. Sometimes I still feel low even when my readings are normal. If I see the numbers on my monitor I can convince myself that I'm going to be okay.

The greatest glory in living lies not in never falling, but in rising every time we fall.

NELSON MANDELA


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TOOTIEFRUITIE1's Photo TOOTIEFRUITIE1 Posts: 87
8/17/10 8:54 P

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I like to give my son peanut butter cracker sandwiches. That way you get carbs and peanut butter. Perfect all around.

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HHI0901's Photo HHI0901 SparkPoints: (0)
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8/17/10 8:43 P

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I'm usually good about eating in my calorie range but when I get low (which happens here and there but at least a couple of times per week) I end up BINGING! I just want to eat until I feel better. I start with good stuff and end up eating crap like ice cream to round it all off.

What do you eat for lows? How do you manage them?

My doctor said I need to eat a protein along with the carb but I don't know if I really need to.

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