We tracked back from a hypo last night
Our six year old had an unpredicted low. He had gone up to 12mmol/l, so we corrected. But then he didn’t come down so I corrected again – apparently too much. In hindsight I gave him about .4u of insulin too much.
So after 1 hour and 35 minutes he had dropped to 1.9mmol/l. That has only happened once in 5 years, so we were pretty anxious. He was fast asleep as well.
We turned off his pump and gave him 4 teaspoons of honey, which is usually really fast. Plus we gave him about 5g carb of rice milk. 15 minutes later he was still in the low 2s, so we gave him 7g of carbs in grapes.
After that he started to climb
Obviously you have to do what’s comfortable for you in these situations and if ever in doubt make sure you contact your health team. But we can share what we did so you can, first, know you’re not alone and second, give some fuel for your diabetes sugar management fire to know that self-management is in your hands and you can do it.
Here’s what we learned:
1. We check often and that’s a good thing. We caught him super low but because we checked in 1h35 we were able to catch him before he was hypo for too long.*
2. We tested 15 min after the first hypo and then 15 minutes later when we finally saw him rising.
3. Then we bolused for part of all the free carbs we gave him so he didn’t shoot back up.
4. Then we tested until we were confident he was stable.
Decide for yourself how often you test, but we take the UK driving rules as a starting point: they say test every two hours to avoid hypos.
It’s a nuissance, but also it is incredibly empowering to manage sugars manually
The more we start to do this, the more we can learn about sugars and figure out better tools that work for people throughout every part of the day.