Re: type I and II definitions and weaning off sulfonureas

[Guest guest]

We're pretty new to this; what's a hypo?

Thanks,

Deb

Re: type I and II definitions and weaning off

sulfonureas

.. Ordinarily, an 86 shouldn't produce a hypo

>unless you are ordinarily reading very high.

>

>Susie

>

>

>------------------------------------------------------------------------

>

[Guest guest]

,

Hey, at least when we have these " hypos " they can't blame it on PMS cuz

we're cranky, hehehehehehe. (Sorry, couldn't resist.)

Margie

ljws@... wrote:

> From: ljws@...

>

> Hi and welcome also to this list. I am a type 1 for the past 7 years and

> have experienced many a " hypo " . What they are refering to is when the

> bloodsugar drops too low ( usuallly called an insulin reaction in type

> 1's) generally, this will occur when your levels drop below 80, but it

> does depend how your own disease is going. For instance, I do not start

> to " feel " lows until I am below 50, but I have also heard of people

> feeling syptoms when there sugar is droping rapidly from a high. As far

> as type 2's go, I do not have any experience with this version of the

> disease so i can not say if it possible for you to have a insulin

> reaction if you do not take insulin. Some of early earning signs at

> least fo me are confusion, shakeness, sweats and my husband says I get

> moody. Some people experience other reactions. WHta I suggest is to

> montor your sugar constinly thoughout the day so you do not exoerience a

> " hypo "

> linda type 1 7 years

>

> ------------------------------------------------------------------------

>

[Guest guest]

" By the book " hypoglycaemia is defined as BG of 50 mg/dl (~2,75 mmol/l) or less.

If your system is used to high values - and BG gets down to normal range, like

fasting values of let's say 80 mg/dl, you may feel this like going hypo with the

symptoms , you mentioned. These sensations will disappear with time, as your

system adjusts to normal range BG.

Especially in the early period of treatment, you may have the same sensations,

when BG is dropping steaply. I had. This may be a bit tricky in Type-1, as

Type-1 don't seem to be able counteregulate low BG properly via

glucagon-glykogenolysis.

If it is so, that Type-2s don't experience hypos as severe as Type-1s, an

explanation for might be that their counterregulation is not as damaged. On the

other hand, a Type-2 on tabs with long elimination-halflives (those taken once

daily) may be more complicated to get out of a hypo, when " overdosed " . A hypo

due to medication of this sort is proned to last substantially longer.

I was taught not to go to sleep with BG-readings lower than 120 mg/dl (~ 6,6

mmol/l). When your are stable with only minor variations, you may try to

reduce this value to 100 mg/dl (~ 5,5 mmol/l), if your doc says, its OK. This

is to avoid nightly hypos, where your BG is at its lowest, usually around 2-3

am, when insulin sensitivity is at its maximum over a 24-hour period. This is

very important in Type-1, as you may " oversleep " a severe hypo, where your

glucose depots are used up. This is dangerous. Well, you may even " wake up and

find out, you're dead " . No, seriously!

Oluf

DM Type-1,Dxd X-98