Ask the Diabetes Team	Jump to a new section --[ Getting Around ]-- Home Page What's New About CWD Our Board Donate to CWD Privacy Policy --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Our Board Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Question: From Philadelphia, Pennsylvania, USA: My daughter, who has type 1, uses Lantus and NovoLog for meals. This morning, she woke up to her alarm, tested her sugar and it was 36 mg/dl [2.0 mmol/L]. She ate a bowl of cereal, took no insulin went to work and started to feel sick. She tested again and her sugar was 411 mg/dl [28.8 mmol/L]. This was only one and a half hours later. What causes this to happen? This has happened before, too. Is it the liver releasing sugar because of the low? Answer: It is impossible to know exactly what caused the marked swings in blood glucose (sugar). Several possibilities come to mind immediately. The meter reading of 36 mg/dl [2.0 mmol/L] may not have been correct. The carbohydrate load from the cereal, milk, etc. may have been greater than required. The liver's glucose response to a low blood sugar is another possibility. There may have been a combination of these and other factors. We generally make the following recommendations to patients who require multiple doses of insulin. If the blood glucose meter requires coding, ensure that the meter code matches that of the strips. Ensure that strips have been stored properly, i.e., in the original container. Use calibration solution frequently (at least once for each container of strips). Ensure that strips and calibration solution have an unexpired date. Recheck any blood sugar value that is out of the ordinary. Do not use food to correct a blood glucose, rather use the 15,15,15 rule: If blood glucose is less than 80 mg/dl (DO NOT DRIVE!), take three glucose tablets (15 gm carbohydrates). Wait 15 minutes. Check blood glucose. If less than 110 mg/dl [6.1 mmol/L], take three more glucose tablets. Wait 15 minutes. Check blood glucose. Repeat this cycle until blood glucose is greater than 110 mg/dl [6.1 mmol/L]. ChR DTQ-20071207085453 Original posting 16 Dec 2007 Posted to Hyperglycemia and DKA and Daily Care

advertisement

			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Our Board Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:10:16
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2017. Comments and Feedback.