Tag: nocturnal hypoglycaemia

A BS kinda day!

*BS  as in  Blood  Sugars*

Unless you are a diabetic or a person who has a loved one who suffers from diabetes, you may have no idea what diabetes is all about. How constant it is and in actual fact, how life threatening it can be. It is a hard condition to manage and you may not even consider the daily vigilance an individual needs to have, in order to keep a tight reign on their blood glucose levels.

I thought the best way to develop an understanding of what day to day living with diabetes can be like, was to give you a glimpse into the sort of days I can have. Every day is unpredictable.

SHSL-BLOOD-SUGARS

So here goes

December 15th–  I decided to pick a random crazy day, so you can truly see how up and down sugars can be. The day starts with the night of the 14th.

 10:37pm – Blood sugar reading – 6.5mmol/l 

The perfect Blood sugar reading to go to bed with. After a heavy pasta dinner that night, I’m pleasantly surprised. I usually aim for a BS between 6.5 -7 mmol/l  before heading off to bed.  Although 6.5mmol was a great reading, it’s become a habit to always make sure that i’m prepared for any lows in the night. It saves me from having to make that journey down the stairs, or disturbing my husband. Although he say’s,  “he doesn’t mind”. I sometimes feel bad that I’m disturbing his sleep too, but if I really can’t make it I do ask him.

Nighttimehypo

I head off to bed and a few hours later I reach a point in my sleep, where I’m fighting to open my eyes. I’m using every last bit of energy I have to try and get myself up. It isn’t just the feeling of being tired and not wanting to open your eyes. It’s a real struggle, one which means your draining every last bit of energy you have in your body. I tend to have this feeling, when I’m hypoing, but you can never be too sure so I decided to check my blood sugar level.

02.36 am – Reaching for my blood glucose meter I feel very weak. My pj top is soaked. It’s definitely a hypo. Thank god I brought up all those goodies the night before. I check my sugar level and low and behold, I’m having a pretty low low.

Blood sugar reading – 3.4mmol/l

To correct my low blood sugars I usually give myself  15g of fast acting carbs. This usually comes in the form of Lucozade (which by the way isn’t so great in the early hours of the morning).

But this is diabetes, being forced to wake up in the middle of the night to eat or drink something, when all you want to do is sleep. I dare not just go back to sleep!

So, after having my Lucozade I waited 15 minutes, I sat on the edge of my bed in my sweaty pjs. NICE! I watched the time as it ticked by slowly.

The thing about hypo’s are, they can make you feel quite ravenous.  In that momment, you’d do anything to get back to feeling more like your usual self again. Knowing that the food consumed will allow me to return to this normal state, sometimes I am guilty of consuming more than the 15g and waiting for my BS to increase.

Resisting an over correction is one thing but on that night I found I wasn’t able to wait the full 15 mins without checking my BS level again. 7 minutes later, at 2.43 am, when I tested my BS I got a reading of   3.4 mmol/l. Hmmm it hasn’t budged yet!!!

Do I wait till I reach the 15 Mins?

Nope!  I go straight for the apple and satsuma.

02.55 am  – And  yes I’ve  finishedboth fruits in record time. BS reading  is now 4.0 mmol.l. Great finally its starting to come up! I wait a little bit longer and test my BS at 3.30am 5.0 mmols/l. Maybe I was safe to go back to sleep now. At this point I’m feeling even more exhausted than ever.  In a sitting position I rest my head against the headboard and fall into a very deep sleep, until my alarm goes off at 6.30am.

 

07.31 am – BS reading before breakfast 6.0mmol/l

  

The rest of the day went a little something like this….

13.09 BS reading before Lunch

17.10 BS reading before dinner

22.32 BS reading a few hours after dinner.

This was definitely a rebound BS.

*Rebound otherwise known as the Somogyi phenomenon. This sometimes occur when the BS level drops very low and then rebounds very high, causing a high BS level.*

I’m happy to report that after a crazy couple of hours my sugar settled and fell more in the normal range again. PHEW! So just remember, the next time you see me looking all tired, or I make mention of feeling exhausted. It’s possible that I had a crazy night like this one.

Thanks for stopping by  Amina x

Hyper or Hypo!

HYPO vs HYPERAs a Type 1 diabetic, I am all too familiar with high and low blood sugars. It’s a constant struggle to keep levels within a good range. When I think about it, diabetes and controlling BGL is quiet a scary prospect. People without diabetes may not realise the difficulty of managing their sugar levels, because the body does this automatically.

On a daily basis I’m faced with the complexity of managing, my sometimes unpredictable blood glucose levels. I’ve learnt that there are many factors which can impact blood glucose level (BGL) such as, eating too much, or not eating enough, eating on time, how much exercise I’ve done, stress, too little, or too much Insulin. It is extremely important to keep a close eye on what I’m eating, the Insulin I take and most of all my BGL. It all ties together!

What is Hyperglycaemia (Sugar High)?

sugar high

Hyperglycaemia – this occurs when blood glucose levels increase above 11mmol (200mg/dL) and circulate in the blood stream. High BGL’s over a period of years can lead to many type of serious complications. I will touch on these complications in another post.

Symptoms

In the weeks prior to my diagnosis, I began to experience symptoms which were consistent with chronic hyperglycaemia. I will just outline a few of these symptoms.

  • FatigueTiredness which I can’t even begin to explain. If I had to explain this, it would feel like running a marathon, with no water, under the scorching sun and no breaks. Absolutely zapped of energy! Then you’ll probably have a rough idea of the sort of exhaustion I feel.
  • Polydipsia – This is a frequent and uncontrollable thirst. (Hence the need for my huge 2L bottle which was permanently attached to my hip before my diagnosis.
  • Polyuria – Frequent Urination. I was permanently glued to the toilet. It was all day and night. From what I can remember, it was probably between (20- 30 times ) in a day.
  • Dry Mouth – My mouth was always dry. No amount of liquid eased this feeling.
  • Fruity taste – This is a very strong and almost sickly fruity taste, which resembles a really sweet pear. This is a sign of ketone’s.
  • Blurred Vision – My eye sight changed and I needed to wear glasses. Which I then wore for 2 years straight.
  • Weight loss Diabetic Ketoacidosis (DKA), this arises when there is a shortage of Insulin in the body. The body in response to this, lack of insulin adjusts and begins to burn fatty acids whilst producing acidic ketone bodies. My appearance changed rapidly. I’m naturally quiet a tall and slim figure so you can only imagine what I looked like.

What is Hypoglycaemia (Sugar Low)?

PrintHypoglycaemia – A hypo is triggered when blood glucose levels fall under 4 mmol/L or (72mg/dL). This fall occurs when, too much insulin is given or too little food is consumed.

My Hypo symptoms:

Hypo symptoms vary from person to person. Some diabetics have very few to no symptoms at all. My symptoms, and the way they happen have changed throughout the years. The biggest change was during my pregnancy. Its really up to the individual to learn their symptoms so that they can act quickly when they find themselves in this situation. However I’ll give you a general break down of the way my symptoms usually occur.

  • Initially I may feel hungry or dizzy – this hunger feeling is an urge to eat something quickly, for me it’s usually something sweet.
  • This is then followed by a change in my mood. Which can range from feeling irritated, angry, and I have even found myself getting upset over the smallest of things. At that moment in time, everything is blown out of proportion. I really believe that emotions, such as anger which may not be in a person’s characteristics may be brought to the surface, or exaggerated because the person is in a hypo state.
  • Change in temperature – Usually I will feel extremely hot. ”Over heated!” Almost like I’ve been made to stand in a sauna for hours. At this point I break out in a sweat.

If my symptoms progress:

  • “The shakes”. I am unable to stop my hands from shaking, followed by a tingling feeling on my tongue.
  • Concentrating on one thing at a time can feel really confusing. I develop the ”one track mind” and I tend to fixate on what is being said, with a need to defend myself, even if it isn’t directed at me.This quickly turns into silence, as I feel myself crashing. Unable to speak, and move, trying to preserve the last bit of energy I have left.
  • ZERO energy – to the point of collapsing.
  • In extreme cases diabetics are known to go into ‘diabetic coma’s’ and even have seizures . I have never experienced this and pray that I never do.

PrintOccasionally I’ve had hypo’s during the night. This is known as ”nocturnal hypoglycaemia”. I usually wake up in a confused state, feeling absolutely exhausted, with a piercing headache, damp clothing and sheets due to sweating.

Dealing with these symptoms can definitely be frustrating and testing at times. The huge responsibility, that comes with accepting my condition, whilst trying to manage it to the best of my ability is terrifying. I can’t say that any one symptom is more severe than the other, as the feeling of each one is severe in itself. As the hypo progresses the earlier symptoms are enhanced. Finding the right balance between food, exercise, and insulin will give you the best of BGL’s on one day. Then on another day this perfect balance becomes irrelevant, causing BGL’s to be disrupted. It really is a daily battle, one which can make other things seem so trivial. As hard as it can be,  I try to remember this,

“my rules of encouragement”

  1. ‘Push’ for the best results for you
  2. Try to stay strong
  3. Be determined to reach and keep within that normal range
  4. Do what you’re supposed to do, ie test sugars levels, eat well, take your insulin, exercise (find something active that you love and can maintain).
  5. ‘Overwhelmed’ don’t suffer by yourself 
  6. Stay positive
  7. Remember a down day is normal. Everyone has their down day!

“Take responsibility and control of it, before it controls you.”

I’d love to see your perspective in the comments! What symptom’s do you have? How do they progress? Have they remained the same throughout your time with diabetes? Any Type II diabetics have you experienced any symptoms? If you’re not diabetic, have you ever experienced being with or around someone who has suffered a hypo/hyper? Are you able to recognise that the person is experiencing a hypo/hyper? Maybe by a change in their mood, expression, or the way they are talking etc?