Inscontrol DM1 with recurring hypoglycemia one after another

Cleiguarda said:

meginer said:
could be diabetic gastroparesia? I say it as an assumption.
After many years of dB it is quite frequent that the vagus nerve that helps to empty the content of the stomach, can be altered, with which gastric emptying is quite retained, that makes it just eating or just finishing eating, you can have hiccup pq theFast insulin is already acting but the food has not yet been emptied, and then vice versa, CDO has already finished the action of insulin, if the stomach is still emptying, you can have hyper.
I tell you this because it is quite common that in long evolution there is some degree of this problem, which is solved after years of good control with gycy in 6 or less.
I have been with DB 1 for more than 40 years and it once happens to me, it is true that there can also be hormonal theme because I am in premenopause but sometimes it is a bit meaningless.The problem of gastroparesis is that it is unpredictable, sometimes it can happen to you but not in all meals or every time because of what is a bit roll.
If this disorder is very strong, medicines are usually taken to accelerate emptying, sometimes even put the quick insulin for a long time after eating instead of before.Cdo is also mild, helps chew after food.
But to know if this is, you have to diagnose it, of course.

Very interesting your response Meginer, I had never heard anything about that pathology.In three weeks I go to a doctor of the digestive system, and I will have your present response.
I have not understood what you say ".., which is solved after years of good control with gly in 6 or less.", What do you mean, which arises with the years of diabetes even with good control of glyd 6 or less?
Thank you very much for your answer.

It is a complication of a DB 1 normally of long evolution and with an irregular control.Already for TPO, it is considered to get rid of important complications, glyd must be 6 more than 7 and to be possible, with little glymatical variability.Like that, those who have TPO with DB, has been almost impossible with the media that had before, the theme of gastroparesis is quite frequent in long evolution DB.I say that once diagnosed, it can be reversed with good glycated control of 6 or less and with little glycemic variability) for several years.

Thanks Meginer, it has been very clear to me.

.

Hello everyone, I am new here and looking for someone to have something similar to what I experienced lately I have found Carlos's consultation.
I have been in that same situation for a couple of months and with meaningless declines when starting to eat and that only go back with 1 or 2 gluc up, and hardly.I am aware of the results of hormone tests and, really, I am a bit overwhelmed because in the 16 years that I have been in DM1.I would like to know how Cleiguarda has evolved and if they have given on the nail, and if you have finally opted for the bomb because I have put me on a list to put it on.
Thank you very much for your advice and comments that help a lot when one is overwhelmed with certain changes and experiences that has never happened and does not know very well who to consult.

Jorgeh said:
hello to all, I am new here and looking for someone to happen to him something similar to what I experienced lately I have found Carlos's consultation.
I have been in that same situation for a couple of months and with non -meaning drops that almost always begin to start eating and that only go back with 1 or 2 gluc up, and hardly.I am aware of the results of hormone tests and, really, I am a bit overwhelmed because in the 16 years that I have been in DM1.I would like to know how Cleiguarda has evolved and if they have given in the nail, and if you have finally opted for the bomb because I have put me on a list to start with it.
Thank you all for your advice and comments that help a lot when one is overwhelmed with certain changes and experiences that has never happened and does not know very well who to consult.

@Jorgeh And the basal?I uploaded it because I got up with high values ​​and then for the day they gave me hypoglycemia.
It influences everything.It can be anything

Well, I don't think it's a matter of the basal because already in view of what is happening I went down 1 you and I go with higher values ​​than I should but, really, I almost prefer to be so for the moment to not go so fair toThe meal time.
It seems to me that it is rather a problem of slow digestion for some reason than something else, and I make the fast effect quite before assimilating meals ...
I don't know, I don't know what to think ...

@Jorgeh: What fast insulin do you put on?

I use Apidra Junior for years and has always led me to good control after meals and being quite stable.In fact, now for corrections I keep the same guidelines without problems.I only get off excess after meals, and not always

Hi Jorgeh, next Tuesday I have an endocrine consultation and I will know your assessment about what has happened to me.I have granted the insulin bomb and I trust that it will be useful.For months I have stabilized, with good time values ​​in rank.As I mentioned in previous messages, I have performed several tests and I have visited different specialists, always on my own, despite this I do not have an answer to what has happened to me.
I will answer you with my personal opinion based on what I lived, I hope I can help you.On Tuesday when I speak with my endocrine, if you have any different assessment, I will send you another message.
The conclusion I have reached is that sometimes variations occur in how the disease is manifested, these changes do not have to be due to a serious pathology produced by the disease, not even to any pathology.
I would analyze if I have been with a certain glycemic uncontrol and with some stress or worries for a season.I have been aware of my mismanagement in certain aspects of my personal and work life.
I would also analyze whether I have been doing things correctly for a season and if I can do something to change them.
In my case, I have convinced myself and applied in trying to update myself in relation to knowledge about the disease and in the improvement of life habits (hydration, food, sport, sleep and relaxation).

I hope I can help you
Greetings

Thank you very much @Cleiguarda for commenting your experience and for the advice, which are always appreciated.I am also tried to mentally review all those things to improve and many others that are assumed that they are well can do better.I hope you change the trend and soon be able to say that the "bad weather has already passed.

Thanks again to everyone

@Jorgeh: I hope that the theme of your recurring hypoglycemia is soon because it is a very difficult situation to endure.
Maybe you should consult with your endocrine if a quick insulin change could be better

Thank you very much @ricki21, hopefully yes.At the moment I have changed my ratio but keeping Apidra.I will tell you according to progress

GOODSSS ... How long without going through here ... @Cleiguarda, your case reminds me of mine ... like you, I also had recurrent dances, the mornings were hell.In my case, it was a matter of needles ... I used 0.8 ... I changed them to 0.5 ... the quick and slow ... and everything worked again.I will tell you that at that time it changes diets, dose ... and as distrustful we tend to put ourselves less than we need ... in my case with the needles of 0.8 I lost that margin of the time of the action of action,which was much faster and more powerful when it reached the deepest layers of the skin.I will tell you that I am type1 for 25 years, I use threeiba and fiasp.
I hope that my case serves you something since it had me in check for a long time and I know it happens, since you modify your life totally and adapt it to the situation, especially the mornings.

A hug.

To my 8 -year -old son who has been diabetic 1 for 2 years, it is spending every 2 months.
If it is not for any infection (cold, bronchitis, diarrhea) it is because of the agitation of Christmas, the kings, their birthday, the return to school, etc.Also cold and heat disassembles all insulin guidelines ... I repeat that every 2 weeks we have to make changes.

However, I get the impression that you mean a more significant change and that is maintained longer than normal.It is as if you had become more sensitive to insulin, when normal is the opposite;become more resistant to this.
It does not occur to me to tell you, only obvious, lower insulin.I'm sorry.

cleiguarda said:
hello to all, my name is Carlos and I am diabetic for 27 years, I am 48 years old.During this diabetic time I have had a quite good glycosylated hemoglobin control, below 7, I have always tried to have the controls close to middle-low values ​​and that has made that for a long time I have had hypoglycemia above morning, butthat quickly went back.
For a month and a half, I have had hypoglycemia episodes where I had to consume more sugars to overcome and then when I thought I had overcome it, I returned another hypoglycemia, in a row.This has caused me a totally different picture than the known so far.Without apparent reasons, it is as if insulin (threeiba + humalog) had a different body effect.My endocrine has changed my humalog for Fiasp, of shorter effect over time, they are valuing the results.I am currently injecting less units than ever both from Tresiba and Fiasp.
Reviewing changes in recent months, I included stress for an operation of my mother and at Christmas I had Covid.
The question I would like to ask you, did you suffer from a similar situation, where the guidelines and types of insulin that you injected have stopped working, and if you occur episodes of hypoglycemia where you seem to go back but you must returnto contribute carbohydrates to not suffer a second or third hip?.

Thanks infinite
Carlos Leiguarda

Hi Cleiguarda, you remind me a lot of my situation a few months ago.The problem presented by basal insulins is that their effect can vary greatly depending on many sport parameters, weight, sleep, stress, place of injection, etc. However, each insulin has some things in common, in the case of Tresiba it is very frequentWhat you say, at noon can glycemia fall two or three times below 70, having ingested 15 gr of glucose in each descent, which forces you to consume between 45 to 60 gr of glucose daily which eventually you in the long runIt leads to catch more kilos than an elephant.In order not to lengthen, in my case I went to bomb, now the basal is controlled by an algorithm, the hypos have practically disappeared, my weight goes down (eating the same and doing the same sport) at the rate of one kilo every 12:15days.Fast action insulin, used as basal is between 20 and 30 more efficient than retarded insulins.Summarizing if you do not mind becoming firefighter and recurring and disabling hypoglycemia are more than enough reason for your endocrine to put you in the selection of suitable patients for pump.Good luck and think about it well, find out the different models and make a decision, I encourage you to change.