Hypo rebounds- I'm so fed up!

[Starlight]

I'm so tired of this..
Lately, I'll be low..say anything from the 2.1 (37.8) to the 3.1 (55.8) range. I'll eat my jellybeans and then further it with a carbohydrate. Half an hour later? I'll be anywhere from 15.0 (270) to 25.0 (450). I dont understand this. Not one bit. It's not like im over correcting..I'll have a few lollies and just a few crackers or maybe abit of cereal. Infact, compared to the way I used to correct my hypos months ago..Im way way undercorrecting. I could have been 2.8 had a sip of coke, ate a biscuit , had some lollies and THEN a carbohydrate and I'd be fine. So what is this? Im also concerned about the amount of insulin, primarily humalog, that I'm using. If I was high I'd correct with say, 5 units and go low. So generally I'd be using around 2-3 units to correct anywhere from 13 (234) to 18 (324). Now at this stage 5 units only does half the job- I need around 12 units to correct myself. and then I fall low. and then I eat. and then rebound. Its a really bad cycle. 0_o Ive been feeling ill lately, as in maybe I have some sort of bug but I dunno if thats contributing to it. I feel like im over-dosing on insulin...and trust me, the roller coster its creating is making me feel like ****. I think I might call the educator later but any comments are really really appreciated.

[rzrbks]

Being sick will most Definitely effect how you react to corrects. It will also effect how you react to "Normal" dosages and "Normal" corrections.

Could also be, as one of the UK members puts it, the Moons of Sarurn are out of phase.

EDIT:

couls also be that your body is reacting differently to the jellybeans and other fast acting carbs.

I use slower acting to carbs to raise B/G. Ganola bars, 1 slice of bread with Peanut butter, anything that raise B/G slower. That seems to help me keep more balanced.

For me, using sugary treats causes B/G swings.

[Starlight]

True- it could be my body acting differently towards the more sugary carbs but the point is I don't understand why its just happened now all of a sudden, it was never like this...I havent really done or changed anything to make myself go this way..Maybe its some metabolic change?..I'm hoping its not insulin resistance or anything like that..:ahhhhh:

[Stuboy]

to you bolus for your hypo corrections???

[Starlight]

No, I'm not on the pump.. I'm MDI - 2 a day. I bolus for hypers though.

[Lilly164]

It sounds like your liver is responding to the lows by putting out glucose. Do you have a sense of going low at the start of a drop? A few carbs at the start, to head off a low might smooth things out. Do these lows occur the same time of day?
The educator can be helpful with solving this....

Lilly

[Stuboy]

Twice a day or MDI? MDI is considered 4 or more injections a day, bolus and basal as seperate injections.

If you are on Mixed insulin then you will find it very hard to control the rebound effect of a hypo. I was having the same problems on mixed so i changed to Basal Bolus regime. Worked wonders.

[Cyborg]

If you use the 15/15 rule, you should be able to eliminate the rebound effect. Treat with 15g of glucose (approximately 4 tabs), wait 15 minutes and then retest. Repeat if necessary.

[Injecto]

If you use the 15/15 rule, you should be able to eliminate the rebound effect. Treat with 15g of glucose (approximately 4 tabs), wait 15 minutes and then retest. Repeat if necessary.

I find that 4 tabs will push me way high, I need someting like 2 tabs, but if I use other forms of carbs (crackers), I totally need 15g. Of course, the pure glucose get's me back up faster, so it's much better.

[REDLAN]

I find it depends on the hypo...

one caused by not matching the fast acting to food/exercise needs very little sugar - and I need a fast acting sugar - suck some of those nasty dextrose tabs.

one caused by my long acting requires fast and slow carbs - fast to get me comfortable - slow acting to keep my BG up. generally I also need more carbs. honey on toast is my fav (",)

but I like the 15/15 rule - helps to stop those times where you overeat simply because the hypo has made you ravenous - especially with hypos caused by a basal insulin it's way too easy to overcompensate with those, and find yourself staring at an 18mmol (330) wondering what the **** went wrong.

on a separate note and re-reading the hypo question again - I've been getting a similar but not so extreme problem in the morning - my basal has been sending me low late night and early mornings - so I've been taking my carb ratio back and popped a splash of honey on the toast to make sure I don't hypo driving to work. I then get a rebound 11 to 12 noon - I suspect that the rebound is caused by my liver dumping glucose in response to the early morning low.

[Gangrel]

It sounds more like your liver is dumping to me..... I've had that happen a few times, usually at night. I'll wake up low, treat, and think i'm fine. When i wake up in the morning, i'm sky high because I probably awoke during the night just as the liver was starting, and simply piggy backed my carbs onto the sugar.

The only other time i go sky high is when i KNOW that i eat too much. I used to do it all the time, but now can resist the overeating urge... usually. ;)

Roller Coasters are never fun.

[Stuboy]

I find it depends on the hypo...

one caused by not matching the fast acting to food/exercise needs very little sugar - and I need a fast acting sugar - suck some of those nasty dextrose tabs.

one caused by my long acting requires fast and slow carbs - fast to get me comfortable - slow acting to keep my BG up. generally I also need more carbs. honey on toast is my fav (",)

but I like the 15/15 rule - helps to stop those times where you overeat simply because the hypo has made you ravenous - especially with hypos caused by a basal insulin it's way too easy to overcompensate with those, and find yourself staring at an 18mmol (330) wondering what the **** went wrong.

on a separate note and re-reading the hypo question again - I've been getting a similar but not so extreme problem in the morning - my basal has been sending me low late night and early mornings - so I've been taking my carb ratio back and popped a splash of honey on the toast to make sure I don't hypo driving to work. I then get a rebound 11 to 12 noon - I suspect that the rebound is caused by my liver dumping glucose in response to the early morning low.

REDLAN, do you take one basal shot a day? or split it? I split mine, and that allows me to control my wake up numbers, if i wake up low i simply use less "night" basal and if i start waking up high i use a little more "night" basal.

[REDLAN]

no I'm on one shot, and to be honest after reading how everyone else manages with a split dose, I'm thinking of doing the same.

I've got 2 problems at the mo with the basal - my blood sugar drops too low at night and early morning, and it seems to run out in the afternoon, and I tend to go high early evening before dinner - don't know why but it seems to take a couple of hours before my basal dose builds back up again.

[Starlight]

Twice a day or MDI? MDI is considered 4 or more injections a day, bolus and basal as seperate injections.

If you are on Mixed insulin then you will find it very hard to control the rebound effect of a hypo. I was having the same problems on mixed so i changed to Basal Bolus regime. Worked wonders.
Oh I see..I just assumed I fell under the multiple daily injections category. But anyway, yes I'm on mixed insulin..Protophane, which I think is known as NPH? and humalog as my short acting. Its hard to get it right with this regime. Im seriously considering a change. :dontknow:

Regarding the BG spikes after hypos, I sincerely believe I'm not over correcting. I've even stopped administering the carbohydrate because I'm so high afterwards. I've got a funny feeling it may be the lollies themselves..I've been consuming starburst lately, and I've noticed they taste a heck of alot sweeter than other lollies, even trhough I'm still consuming a very small amount of them.. Interestingly enough though, I was low the other night and ate icecream and was fine afaterwards..So..Its abit of a 'maybe I'm just stupid' situation. :stupid:

I think I'll do a small test. Next time I'm low- 6 jelly beans NO starburst or other lollies and then follow up with a carb. If I'm high after that, then I'll know it wasnt the **** starbursts. :argh:

[sugarfree76]

Starlight, I think I speak for MANY when I say 'I feel your pain'.
I have been married to the big D for 18 yrs now. I've rebounded ALOT. (I call it eating myself out of low bs)
Have you ever tried just having a medium glass of orange juice and then just relaxed for 15 minutes?