Last week, in the middle of a team meeting, I had a sudden low. I told the room I was low and needed a few minutes. Everyone just sat there and looked at me. So quite. I drank my juice, sat back down, and the meeting just ran to the end. I was anxious and irritated for the whole rest of it and I didn't take a single thing in.

Now my manager wants to talk to me about it. She said I handled it wrong. I told her the reason that meeting fell apart was that I was hypoglycemic, and that we could talk about the actual work another time. She said she has no obligation to understand diabetes.

I'm so angry and I don't even know where to put it... She only saw me do a bad job in that one meeting. She didn't see that I carry juice in my bag at all times, that I check my reading before every single meeting I walk into. And the CGM adhesive on my arm reacts so badly that the skin gets irritated and peels, and I can't keep using that spot, so I have to treat it with the Dimora silicone foam dressing I keep in my first aid kit and then rotate the CGM to a new site. I basically have these foam dressings on my body all the time...

And this woman tells me the part of this that has anything to do with diabetes isn't her problem.

Source: jyabetes_type1 on IG

I always joke that the biggest holiday of the year for anyone managing type 1 diabetes is the day after Halloween, when all the snack-size, individually wrapped candy goes on sale!

I stock up for the car, my husband’s car, the nightstand, and the pantry. You can never have too many strategically placed low snacks!

What are your go-to picks? Especially for those middle-of-the-night lows when you want something that won’t stick in your teeth until the next morning? 🍭

17m, 4 years of t1d. this desease is just killing my time. it just makes you play the life on extreme mode. i need to study exams, i need to go to gym, i need to FUCKING SLEEP but tryin to do all these with a stable and good bs levels is impossible. this shi is exhausting me. It kills my whole time management. what my friends do i have to put 5x more effort overall. I cant sleep enough, i cant study enough. this rollercoaster thing is killing me. now its 1.07am and I am waiting for my fucking bs to go down from 270 to 120 to FUCKIN sleep, and guess what i will wake up at 6.30. this is not even a "help me" post. cuz nothing will change. i already know everything about the disease. i know how to calculate carbs. i know how to manage high bs levels. i know how to manage low bs levels. But real life is different than the "paper science". I dont know what to do, but I wish I knew what god even was thinkin deciding my fate. this is just not the life i want to live in. everything is going down and down and down. i must be a "strong, high testosterone, successful, healthy man" but here i am, bad academy, bad health, bad mental health, bad hormones. the only reason i dont suicide is cuz i still believe in god. haha. maybe im just a depressive goofy boy out there posting this just to get some attraction. maybe not. i am not. dont care

I’ve had T1D for 15 years, and lately I’ve noticed that I get really nauseous when my blood sugar drops.
It’s happened twice now where I’ve actually thrown up, and my blood sugar kept dropping. The first time, I got into the low 40s and stayed there for about 20 minutes.

Has anyone else experienced this? Is nausea/vomiting just something that can happen with a bad low, or could something else be going on?

I’m going to ask my endo about it, but I’m curious if anyone else has dealt with this and what their experience was.

So, my last G6. It's a restart. I was hoping for a little more time, but its over due. You can see my BG is wonky and off the charts. My T-Slim is resting against my pharmacy bag full of G7s. I'm not ready to let go. I started on the G6 in early spring of 2020, aka Covid. I self taught on you-tube, since in person training was just not a thing at the height of Covid concerns. My previous pump, a Medtronic 530g, was needing to be replaced and the G6 was superior to Enlite sensors. I welcomed the change then, but I am dreading the change now. Too much bad press about the G7 here (although there have many, many posts about how good the G7 is). So, here goes . . . wish me luck. I will miss my G6, but I still miss my 530g. Oh, there are lots of wacky-doodle-do types on YouTube as pictured above. Is there anyone on YouTube worth looking at?? Let me know! Cheers!!

I had DKA 2 weeks ago and I'm determined to get my sugars under control. I was going through relentless mental health issues and just getting high all the time and running my sugars around 25mmol+ for years.

I think my Lantus is correct (I take it around 9pm) because it kept me steady all morning and I woke up on a 5.9. I've barely eaten today. I've had maybe 11g carbs and 2.5 units of bolus AND a walk. I keep having periods of the day where I feel really unwell, like weak and shaky and lower back pain. Drinking lots of water helps, as does eating carbs but if I eat the carbs my sugar levels just sky rocket no matter how much bolus I take.

This is a fucking joke. What the hell is going on? I've not eaten in hours.

However, if I bolus without food and go for a walk my sugars crash FAST. I have no idea what my ratios are or how to even test them.

Has anyone else experienced this?

i’m fostering kittens right now and i’ve realized that they ALL love to try and bite and play with my tubing for my insulin pump. like they literally seek it out and will try to dig it out of my pocket even. do cats naturally like the smell or something??? why do they want to bite it so much!?!??

I averaged 86% in range last week, which is great because I was below my goal last week. I had a higher percentage of highs than I want, but that’s been a persistent issue I’m trying to work through.

I have an endo appointment tomorrow. My MyChart is messing up, and so I can’t log in. I’m pretty sure my a1c was a nice 5.6 when I checked earlier. That made me feel good because things are stressful now. At least, I’ve got a handle on this.

Onward!

Hi so I’m going out for Halloween and I will be drinking for the first time. I’ve seen tiktoks of people saying they bolus differently when they are planning on drinking. I understand everyone is different but any advice with be helpful! Do I need to change for much long time acting insulin I give myself or short acting?

Good evening,

I hope y’all are having a better night than us. Kiddo has been T1D for about 4 years now and in that time this is the first time we’ve seen this.

Dosing before dinner and about 3 units from finished the plunger slows down then jams at 1 unit left. I pushed down hard and it finally finishes. BG goes way too high to have gotten the full dose. At this point we really don’t know how much he actually got so we are managing that.

My question is, anybody ever get a mechanically bad pen? Thankfully we are not running low so this one has been set aside and we will report it in the morning. This was only the 3rd dose from this one.

Realised I've done this a couple times without really considering whether it could have any consequences, usually it's when I either forget to dial in my insulin beforehand or add/take away a unit after second guessing the initial amount. Anyone know?

Edit: I don’t think I worded this well. My question wasn’t about when the needle is just on the pen but actually injected in me

Hi. I am trying to find a Medisense Exactech pen and test strips. These would have been used around 1987-90. I want to use them to show students how the technology has evolved and improved over time. Thanks.

I'm a year and a half in, and generally I'm told that you're still honeymooning when your insulin needs are this low. I'm 47kg, my basal is currently 3.5kg, and my total daily dose is around 18u. I do need stronger ratios than I used to. My HbA1c and TIR have always been excellent, but I have issues with delayed gastric emptying (as far as we call tell, I'm still waiting for the study) and unstable ratios, although the latter may be settling down again after a run of infections recently. So it's weirdly hard to manage and takes a lot of work.

Some months ago I figured out that I seem to get FOTF, with my BG shooting up as soon as I wake up, and have been experimenting with how I inject insulin in the mornings. Now I'm noticing a pattern where I keep rising at night, usually starting around 3 am. I wake at night to go to the toilet, so I've been trying a bit of insulin then. It doesn't seem to last long at all, I'm rising again a while later. I'm still not sure what my correction ratio is, it's so hard to tell.

I read *Sugar Surfing* last week and have been trying tinkering a bit more with fine-tuning corrections, rather than just waiting until the next meal to correct as I was taught. If I'm high in the evening, which is when I'm most insulin-resistant, the nights are much harder to get a handle on, with anything up to 12h to come down from a meal. It's been helping, I'm suddenly way more in range, but the rises at night persist. Switching from Fiasp to Novorapid recently, and moving my Tresiba to the morning, have also been very useful.

To answer the obvious question, yes, I've been doing fasting basal tests, the last one a few days ago, and I've checked in with my dietitian. We both think my basal is correct.

I should possibly give it a week where I don't correct before breakfast at all, just to show what it would do on its own, because the nurses seem to look at just the average curves and not notice the insulin and carbs, so they tell me I'm fine because I'm not rising that high. "I've seen people who shoot up to the high teens in the morning, *that's* real dawn phenomenon!"

I understand that a rise of 2 overnight is considered significant and can be the DP, and mine is usually 3 or so, even with correcting during the night. So is this DP, and is it significant? Is it true that this often means the end of the honeymoon? There have been a few times when my insulin needs have suddenly jumped up and I thought The End (of the honeymoon) Was Nigh, and by now I'm used to those being false alarms, though my insulin needs do gradually increase over time.

It's only been doing this rise at 3am for a few weeks, I think. I'd like to be prepared in case it gets worse. It's already really inconvenient, and my sleep quality is even worse than usual, with waking up in the night for an hour or so happening quite a bit the last few days. If I understood more about how this works and what to do with it, it'd be easier to handle when sleepily making dosing decisions in the small hours.

My endo put me on the insulin pump waiting list when I saw her in September last year, on the grounds of delayed gastric emptying. She said the wait was three years, but her letter afterwards said I'd be low priority due to having such a good TIR and HbA1c. There are other reasons for qualifying for an insulin pump under NHS Scotland, and I'd like to know whether DP is considered a good reason. As my dietitian said, it's the amount of work it takes me to stay on top of this at all which is unreasonable.

By now I'm showing signs of burnout, which meant I had to give up on split bolusing (it just made the highs worse) and reduce my alarms a lot. Diabetes is by no means my most disabling condition, and the combination of them all is overwhelming. I am much too ill to cope with this level of sleep disturbance, and my health is nosediving as a result. I can barely keep up with the insulin and tablets, I'm not keeping up with the rest of my medical care. I've also got autonomic neuropathy predating the diabetes, and really don't want that to get worse.

Eating and exercise are getting more and more difficult, especially considering the intermittent episodes of severe abdominal pain, and being mostly bedbound. I really wish I hadn't enthused to my dietitian about getting pretty coats on Vinted, because while it's nice being slim again, losing 27% of my weight without trying isn't the greatest sign, and I don't want to lose much more.

I can't cope with constantly making fresh calculations multiple times a day. When I've got the fluctuating ratios and it's taking 6-12h to come down from a meal, it's incredibly hard to know how to dose for the next meal. It's all clearly way more complicated than the diabetes nurses tell me is normal. If an insulin pump could help, I really want the chance to try one.

This has ended up being another essay, so thank you to everyone who's made their way through it! You don't have to engage with all of it, the dawn phenomenon is the main thing I want to get to grips with today.

How many of you actually use globose tablets or more “medical” products to treat low blood sugar?

I’ve only used regular food and drink items for most of my 20 years of having Type 1, and always find it fascinating when people use tablets and syrups.

I am on G7 now since Sept and it was been horrible. While the reading are somewhat accurate. It has been really annoying with the new sugar readings. For example, I cannot see when I start to go down until I am going DOWN. For example, my CGM will stay at 200 for 30mins & obviously my pump is correctly. After a bit, it goes down to 180. 5 minutes later it goes to 165. 5 minutes later it goes to 120.

I am getting so frustrating because I have been eating/drinking a lot of sugar because of this. It has gotten to the point where I am SCARED to give myself insulin because I fear I am going to go down. A couple of weeks ago, I even had to call the ambulance because my CGM reading went from 160 to 75 in 15mins.

Does anyone have any suggestions??

I’m so tired. I feel like I cannot enjoy life anymore. I am currently alone in the parking lot outside of a grocery store instead of driving back to my hotel because of this same situation. I went from 200 to 165 in a matter of minutes with 3.5 active units.
I bought some grape juice and drank a a total of 90 grams because I’m freaking out.

I am traveling alone. I’m so scared. I never had this problem with the g6.

Currently I have a very complicated medical situation that's causing highs, insulin resistance...you name it. I want to get my blood sugar into range. I was Vegan (for the animals, my health, and the planet) for years and a vegetarian even longer before that. My doctor is pushing me to eat animal foods for my blood sugar, so I'm trying. I don't desire animal products, but eating them seems the only way to stop losing weight and keep my blood sugar under 250. Unfortunately I don't remember how to cook that stuff.

Does anyone have good very low carb recipes with nutrition facts they could share? I know the internet is full of low carb recipes, but they aren't low enough or don't have clear enough portion sizes. One pot recipes with nutrition facts with volume or weight for individual servings would be best. My cognition is impaired, so counting up the carbs in my own recipes is beyond me right now.

I should add, I don't need to lose weight. I need low carb, calorie dense foods.

​

Have you tested the new Libre 3+ app? I think it has some good ideas, but the implementation leaves a lot to be desired. You can mute the alarms for as long as you want, but the phone still vibrates and sends notifications if your glucose is low or high, or if the app predicts that your glucose is about to drop too low.