[cherie22001]

Hi Everyone
I am sorry that I have not posted in awhile. I was away travelling and had a very hard time with my blood sugars. I woke up in the middle of the night with real lows and found it so difficult going to visit friends. They were all wonderful to me and could not do enough for me yet it was super challenging. Have any of you had these same problems and if you did how did you deal with them? Thanks...cherie

[Subby]

You are type 1? Lows during the night suggests your insulin dosage may not be right. It could be that your basal is too high or that your night time bolus amounts are too much.

Change can cause real disruptions. Were you traveling across time zones? Jet lag and re-adjustment can be very difficult to cope with. The body can have definite 24 hour rythyms with basal requirements and this can mean that what is normally happening during for example the afternoon, shifts to the night time during jet lag. Again requiring adjustments of insulin and perhaps strategic snacks to compensate.

Also, if you were travelling, was your activity level changed about? This too can mean adjustments are needed.

It's hard to give much more specific advice than that. Really, the best general advice I can think of is to test, test, test, and learn, learn, learn - both what happens with certain foods and situations, but also read up on different methods to successfully live with your condition. On a day to day level, interacting with your diabetes, in ways such as adjusting your own doses if you see a change of trend, is the only way to keep on top of it that I know of. There might also be bigger changes you could make such as changing insulin, changing diet or moving to a pump. If you are unsure, not confident or feel you need help, best to try and set up good communication channels with an endo and diabetes educator so you can access their help on a regular casis.

Have you been to an endocrinologist recently to see what they say about your current situation?

[cherie22001]

Thank you for your reply. Yes I am a type 1 diabetic for 35 years and I know all the ups and downs but for some reason this vacation was difficult. I am in pretty good control most of the time but I think visiting other people's homes was a hardship something I never do but had to re-unite for many reasons. Anyways thnaks for the good advice and stay well. cherie

[Subby]

No problem, and sorry if I included all sorts of detail you already knew, it can be hard to guess where people are at on the forums sometimes . I recently travelled since getting a pump and it was magnificent for travelling. I could move all my basals around to adjust for jet lag, put on temporary basals for stressful times (like sometimes being at other peoples house could be one such stress!) and being able to bolus in small amounts at my leisure was a boon for long drawn out mealtimes. I wonder if you would look into getting a pump if possible?

[cherie22001]

Thanks for your reply. NO I really do not want the pump...I looked into it a few years ago and I hated the whole idea of it. I also know you can get infections form having it in all the time. I am very comfortable taking injections but thanks anyways. cherie