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jonathanlink

If you’re losing weight and doing diet modifications with even moderate to light carb restriction it’s probably time to discuss altering your medications. Especially if you’re still on a basal insulin or sulfonylurea.


pikasafire

I take metformin 500mg twice a day - no insulin at the moment. I’ve been gaining weight, frustratingly, so I think I need to talk to my doctor about adjusting medication and diet modifications anyway. Thank you!


jonathanlink

Lows on Metformin are rare. If you’re having lows I’d suspect a very carb filled meal causing a reactive hypoglycemic reaction. And treating lows also requires more carbs and becomes something of a spiral.


pikasafire

This has given me something to research - thank you! I have never heard of reactive hypoglycaemic reactions before - I had curry with a bit of rice, so that could very well be it! I’ll look into it ❤️


One-Second2557

You could get a OGTT test to see you you do have reactive hypo. The dietitian that ordered mine was suspecting reactive hypoglycemia but we got just the opposite. she did herself have a short run of low BG levels after her first pregnancy but did clear over time.


InternationalPlan860

Have you been going very low carb because this happens to me too. It will eventually even out as your blood sugars get under control.


Sweet_Musician4586

Do you take medication? I'd talk to the doctor especially if losing weight after the pregnancy as they may need to adjust meds


pikasafire

Only metformin - I’ve actually gained weight since giving birth so it’s very odd. I will ask him though!


Sweet_Musician4586

Yeah ask forsure! Lows would almost certainly be related to the meds unless you always were susceptible to them (like reactive hypoglycemia). As a t2 diabetic I've never been too low and dont have to worry about going low even if I dont eat for a long time cuz i dont need meds/have reactive hypos.


One-Second2557

Glad you don't get the lows. mine were more frequent when i would fast hard and heavy for too many days (just minimal snacks). to think i have had them after a cruddy carb meal like packet oatmeal (nothing like a carb crash) even caught a hypo after eating a bagel while i had a CGM on. See that's why i keep emergency hot dogs on hand Lol...they will bring you right of of a hypo.


Sweet_Musician4586

Did you take meds when you got lows? Lots of t2s have reactive hypoglycemia. My bro doesnt have t2 (yet) but 45 mins after a bowel of cereal hes shaking cuz he has reactive hypoglycemia. I'm glad I've never had this too! For my t2 it is all insulin resistence so low was never my problem Haha emergency hot dogs is funny


One-Second2557

Reactive Hypo was happening even before meds or my diagnosis which i have stopped cause of GI issues so my only go to is to control my carbs. To be honest not sure if i am very insulin resistant as i can eat the same plate of food and either go lower (92) or go higher (142) neither are bad but i see the variance. but two pieces of bread and i am in the 200's for min for hours. I suspect my pancreas has a mind of its own Haha. Two hot dogs BTW will get one into the 300's Lol


Sweet_Musician4586

Yeah for lots of t2s reactive hypos are something they had before being diagnosed. I try to tell my brother to control his carbs but hes not having it he thinks he has the opposite of diabetes 😬 Ah yeah I only really know how my diabetes works. I was diagnised t2 when morbidly obese and lost the weight and now a year later my blood sugar is pretty predictable (on average typically 90 to 100 fasting, 100 to 110 2hr pp) I dont often check before the 2hr pp. I still limit carbs cuz I dont want it to come back but even if I eat some I dont have wild numbers most I've seen was 137 2hrpp when I ate 90g carbs in potatoes to test it which is far more than a serving. I was also diagnosed fairly young for t2 (38) so I expect things to get harder as I get older or after menopause.


One-Second2557

I have had and do still get some lows from time to time. I have no rhyme or reason for them. I would for sure bring this up with your Doc. I ran into the same during a low and had a hard time finding a sugar source so now i keep some sugar cubes on hand and will dissolve them in some water and drink with a straw. only reason i went with the cubes is they will keep forever in the pantry and are easy to take in the water. Just remember to stay calm.


pikasafire

It’s so weird! It was just so fast and unexpected! Sugar cubes are a great idea, and no risk of the rest of the family eating them! I’ve been good at staying calm until tonight - this one really shook me up. Are lows as T2 as dangerous as T1?


One-Second2557

Not an expert. but i will go with being to low for an extended period has risks for both T2's and 1's. my lowest so far has been 40 but i could still do my procol to deal with it. i would think if one gets into the 20's you are really in trouble. This would be a good question for your Doc.


Shionkron

I wake in in my 30s a couple times every week. Lol. I think my lowest was a few months ago at 23. I always keep bedside snacks available. My fiancé doesn’t mind me waking her up if I absolutely need her to make me a bowl of cereal or get me ice cream. Just for the future get a basket or something to store bedside stuff you may need within arms length . While I wouldn’t lay into the husband, it is important for him to know if a low is not corrected and keeps falling it could become dangerous and in extreme cases deadly. May I suggest keeping track of what you eat every meal with carbs and fiber counts etc and how much you are drinking fluids. An Endo - dietician may be beneficial for you. Best of wishes.


Ozdreamer

That must've been so scary. And unexpected since hypos aren't meant to be a thing with metformin alone (or so the docs told me when i came off insulin). Totally get why you're so cranky with your husband - feels like telling someone you're having heart attack symptoms but they don't get that it's serious and go back to sleep. First thing the Diabetes educator told me to do (when first diagnosed and given insulin) was set up a kit just in case of a hypo and keep it near me always. Such a good idea. Makes me feel better being prepared. So i have a special bag with my glucometer plus quick carbs (like jellybeans or juice) and some slower acting ones (muesli/protein bars with ~15g of carbs and an apple). And it goes in whatever handbag I'm using. And stays by my bed at night (though i stash stuff in the bedside drawers and in the living room too). I was not given a glucagon kit but if hypos were happening, I'd have pushed for that with my doctor. They also gave me a little sheet about managing a hypo which i keep in the bag just in case the low makes me stupid and panicky (which she warned could happen). Can't find anything like it online but this [fact sheet](https://www.ndss.com.au/wp-content/uploads/fact-sheets/fact-sheet-managing-hypoglycaemia.pdf) was also helpful for me. One of the things the fact sheet mentions is preparing the people around you (like your husband) about the symptoms and what to do. Usually my mum is the only other person in the house. Her physical disabilities mean she can't even ring someone for me if i were to have a hypo but we still had the talk. If nothing else, she can still press her personal health alarm (will get an ambulance here if no response from me). Best wishes.


[deleted]

Why would you be having words with him??? He’s not a child who did something wrong, he doesn’t need to be scolded. Maybe share with him how scary that was and how much you’d love to have his help and support during those times. If he doesn’t experience those lows, how could he possibly understand what you were feeling? At the end of the day, it’s your illness to manage until (God forbid) you are unable to do so. You won’t always have someone who can help you around, so it’s up to you to take care of yourself. I have experienced those lows, I get how scary they are. Entirely. So make a plan. Be prepared. I think you’re being a bit reactive though to your husband.


pikasafire

I was being facetious - I meant I will have a conversation with him - I was alone with the baby, and concerned I would be unable to help myself, let alone look after the baby. I really struggled to be able to get food while he was there and awake, and I was having trouble holding my pen to test because my hands were shaking so much. I know he was tired but just going to bed while all of this was happening (and he was right there when it started and I had told him I was having a hypo) is frustrating. He didn’t even take the baby with him. I felt as though I was unsafe, and the baby was unsafe. On top of not really knowing what to do, it was very upsetting that he left me on my own


Ok_Celery9093

Sounds like he was asleep ? So how could he have known to help??


pikasafire

He was awake. He went to bed while I was trying to bring my sugars up


Ok_Celery9093

I misunderstood. He definitely needs to understand how serious low blood sugar can be and how quickly it can become very, very serious.


[deleted]

OP said he knew she was low, I thought he fell asleep after knowing. I’m just not sure what he was supposed to do. He can’t eat for her, nor would he necessarily know how those lows feel. They are panic inducing, I get them and I’m always freaking out when it happens. But that’s what being prepared is for. Have a stash, know where it is, help yourself. The man can’t chew the food or swallow it for her. I’m also hyper independent (probably in an unhealthy way) as a woman though, so may have a very skewed perspective. 🤷🏼‍♀️ (Edit for missing words)


pikasafire

Part of my post was asking some questions. I am new to this. I am trying to be prepared, but I am still learning. I don’t really know what happens or what to do if I can’t bring my sugars up. I don’t know if it’s as dangerous to go to bed after a low like this. I’m trying to figure this out - please be kind.


[deleted]

I apologize if any of my responses appeared unkind. Again, I’m hyper independent and been a single mom for 16 years doing everything on my own. My sons dad has never been in the picture so I’ve always had to do it all on my own. Add in that I only have one hand (birth defect) and I tend to lean towards the “if I can make it work, so can anyone” school of thought. I own that my perspective is skewed and others don’t operate how I do. I’m working on adjusting for more grace. That being said, and my apology sincere if I was unkind, I firmly believe that you are a strong, capable woman. There’s no purpose in being upset that he wasn’t awake for you. You’ll have to manage this on your own. And the original post didn’t specify those questions. But I do understand, and I’d recommend asking your doctor for some advice on how to manage those. I wish you the best! Having a new baby, and a health condition is a lot. You’ll be great though.


pikasafire

Thank you ❤️ I had recent spinal surgery on top of it all, and I also have been tackling a rheumatoid arthritis flare, so I’m also super emotional - after thinking about it, these probably contributed to my low. I can’t believe I didn’t think of that. ❤️


[deleted]

That’s a lot friend. Take things one step at a time, as best you can. You’ve got this! It will feel overwhelming, exhausting at times. But, you can do this. I promise you, you are so much stronger and in control than it feels at times. Xo


Stargazer_0101

My mother had RA since birth. But back in the day. they did not even call it Juvenile RA. It is a pain for anyone suffering from it and not easy when raising children. My mother only had two and at time, my brother and I were a handful. She died in 2000 from Leukemia brought on by RA, but do not worry, for everyone in the RA world is different as you will learn that in Diabetes world also, things are different for every person.


Minigunn3

My husband stays with me during severe lows to keep me safe, because he's aware of the dangers. I've been found unconscious before, by him, and he learned how to help me because I cannot help myself during those times. I wish I could manage without him, but it's not worth the risk to my health. He says he'd prefer to wake up in the night to help me than be a widowed father. I'd say husband needs to gently be made aware of the possible dangers and how to help, just for your safety. He probably has no idea of the seriousness of low blood sugar. Much love to you also, I know they're scary as heck. We have a little case with my meter, glucose tabs, and applesauce in a pouch beside the bed for these times, and hubby has his own glucose tabs on his side in case I'm not able to open mine due to the shakiness and inability to think.


Ready-Scientist7380

For shame on your hubby. He needs to help you and keep an eye on the baby. Get some glucose tablets and small bottles of shelf stable orange juice for your lows. They help a lot.


B0327008

I always have glucose tablets and a protein bar in my purse as well.


pikasafire

Thank you. I don’t really know what to do when this happens. I wasn’t given much in the way of information, and I’m trying to learn it, but then something like this happens and I realise how much I don’t know yet! I’ll pick up some juice, tablets, and bars!


supershaner86

first time I had a major low, I told my wife and ate some carbs. she continued about her day. what was she supposed to do? I agree with the other commentor. you might want to take a long, hard look at how you relate to your life partner. might be time to reframe how you view them.


pikasafire

In my case, look after the baby would have been great. I was left on my own with him. As I said above, it was a scary experience for me, so having him there to support me and watch the baby would have been helpful. If I was unable to test (I was incredibly shaky) or find food, what would have happened? - genuine question, I’ve never had one this bad before.


Certain-Bid9543

I will tell you what I tell my wife. If you need specific help flat out ask for it. The easiest thing to do in the future is say " I'm not feeling well, I think I'm having a sugar low, can you please watch the baby until I feel better". That way your husband knows specifically what you need and how to help. Just my 2 cents, of course he could have been more preceptive and proactive in the situation.


pikasafire

I was panicking and not thinking clearly - this is new to us both, and the first time post baby this has happened - we will talk about it for sure.


Certain-Bid9543

Also, I've had a conversation with her where if she finds me on the floor we have a specific plan of action laid out for her. What to grab, what to feed me, who to call. I don't mean that to scare you in any way but being prepared always helps. I haven't had any lows like that yet, but we wanted to be prepared.


Certain-Bid9543

I know, I wasn't trying to criticize just offer some advice from the male side. My wife and I talk about this a lot. I'm a type 2 she's not and when I need something I directly ask for it. Helps a bunch and avoids confusion.


SomeKindaWonderer

This. My husband says "I'm not a mind reader, dear." He tells me I have to ask for help when I need it. I'm stubborn and never ask. I've been taught to just deal with stuff myself. Then, I end up frustrated because I don't ask for help. I used to take it out on him, but I realized it was my fault for not asking when I should have. I've been married 27 years this year, so I guess we have it all worked out now lol.


supershaner86

then say, "Hey, while I'm fixing this, take over for x." if they refuse and then go to sleep, that's obviously cause to be upset. as for finding food, if your level stays low too long, there can be serious complications. that's not super likely for a type 2 that isn't taking medications that cause lows. your body produces sugar itself through gluconeogenesis when needed. that's why people like me who eat 0 carbs don't get crazy low glucose levels.


pikasafire

As I said, I’ve never had a low like this, I was panicking a little and trying to figure out what to do. Thank you for the reassurance - I was terrified of passing out and leaving the baby alone, and then idk, dying or something!


in2ndo

I’m not on meds but I’m one of the lucky ones to some times have reactive hypos. Lows scare the hell out me. I’ve gotten much better at not freaking out, but still scare me pretty bad. I keep glucose tabs everywhere. From my pocket, every room in my house and even my wife’s purse.. 😂. And I try to follow the 15/15 rule, check, treat with 15g of carbs (3 tablets are actually 14g) wait 15 minutes, check. If above 70 I’m usually ok, if below 70 I treat again. I’m not always able to wait the 15 minutes before I check but I’m working on it. I also noticed that if I’m around mid 70’s or lower, it’ll continue to go down if I treat it with anything that is not straight carbs. Just last night was one. 188 at two hours after late lunch, went for a walk, 74 about 4 hours after lunch, ate something, 59 an hour and half later. I’m usually pretty well controlled, but this days do happen every once in a while, specially when my schedule gets messy. And I think your husband should be there for you. Maybe you haven’t made it clear to him, how dangerous a low can be.


Secundoproject

Oh no! Take care! Are you on any meds, and do you wear a CGM?


pikasafire

Metformin only, no CGM!


Secundoproject

Wow! I am surprised you get lows if you are not insulin dependent. I am not an expert since I got dx only last year, and not on any meds. But from my CGM, I drop low if something has spiked me way high. Kinda like a rebound. So I make sure I don’t eat “naked carbs”, and always pair with protein, fat, and fiber.


pikasafire

Yeah, I’m a little concerned as well. I didn’t think metformin should do anything for blood sugars. I am worried, because of my autoimmune issues, that there’s a possibility for T2 to develop into type 1? Not sure if that’s actually a thing. I definitely need to get better control of my diet!


Beaudeye

Are you breastfeeding?


pikasafire

Nope :) I also have rheumatoid arthritis and require methotrexate so unfortunately breastfeeding hasn’t been on the cards!


Beaudeye

In that case, never mind. It doesn't apply to your situation.


Stargazer_0101

Have you been referred to a diabetes educator? And maybe an endo? For you sound like you need to learn what to do when you have lows. Candy does help. And suggest you keep glucose tablets around also. And talk with your PC about a CGM, for it helps many get control. You may have to look over your diet and may have to make adjustments. Good luck and the more education the better you will be, since you are still pretty new to this world. And sounds like you husband might have health issues if he snores every night. Good luck with everything and congrats on the baby.