[archimeech]

Originally Posted by rzrbks

Dude

you've got to learn to "Feel" where you are and pay attention to anything that is abnormal.

When the abnormalities appear, check your B/G and take appropriate actions. It's much better to over-use your meter and always be in the safe range.

Unfortunately, later on in life the "feelings" of low blood sugar go away. When I was first diagnosed, I knew when my sugar got down to 70 or 80 without question. Last night, around 9pm I was feeling just fine. I had a little bit of a headache so I checked my sugar. It was 48.

It is good to pay attention to how you feel, but don't and I repeat, DON"T, rely on feelings only. You gotta check, brother! Plain and simple.

[mark-TN]

Orion-

Low sugars can be a very scary experience and I know I have been through to many to count over the years. The important thing in order to obtain the best control possible is to correct the problem(s) that are causing the low first. This can only be done by looking at patterns on an accurate and complete glucose chart. Our insulin requirements are changing all the time. With you having this dx for less than two years your insulin doses will change a good bit. Another problem is that NPH can be very unpredictable. If you are taking injections of NPH greater than 7 units its absorption can vary a great deal from day to day. For those with NPH doses (or any long acting insulin, ie Lantus, Lente or UltraLente) greater than 7 units at I time I have heard of people taking multiple injections of there insulin in increments of 7 units or less. Say your dose is 20 units NPH at night. They would take 3 different injections of 7,7, and 6 units at the same time using the same syringe in 3 different injection sites. This will make your absorption much more consistent and efficient and most likely will require less of an overall dose. I would highly recommend you doing this with the help of an endo or CDE. This is a little drastic, but it does make the absorption more consistent from day to day. That way you can see patterns in your blood glucose log that are more meaningful to use to adjust your insulin doses correctly. If it is an option I would talk to your Dr. about switching to a more peak less insulin such as UltraLente or Lantus. You will still have absorption problems with doses over 7 units so even for these insulin’s the best way to see consistent patterns is with splitting the dose as described above. By the way this absorption problem also holds true for injections of fast acting or Rapid acting insulin as well.

Mark