Yesterday I told Jessica that I felt a little like someone with type 2 diabetes. My numbers rarely go over 200 and I haven’t had any episodes of severe hypoglycemia for months. My blood sugar levels are usually between 100-200, and even after my surgery I didn’t spend much time over 200. I attribute this to my low carb diet, which allows me to take small amounts of insulin, exercise, my insulin pump and frequent testing.
I usually check my blood sugar before going to sleep. But last night, after eating what seemed to me like a large dinner, which I started a little high, I decided to check my blood sugar a little earlier than usual, right after I got out of the shower. I was expecting my blood sugar level to be a little high and I didn’t want to take a correction bolus as my eyes were closing (often when I do that I go low while sleeping).
I sat down, took out my glucose meter and tested my blood sugar. The result was totally unexpected – 45! I felt nothing at all and because it’s been months since I’ve seen such a low result I was convinced it was a mistake. Maybe my finger was wet, I thought. I switched fingers and tested again. The result was the same – 46 – hypoglycemia.
I couldn’t believe it. Not only did I have to deal with the fact that I’d just had a serious case of hypoglycemia unawareness, the last thing I wanted to do after my big dinner was to eat more. I went to the kitchen opened the refrigerator and stared at my options. I worked my way down until I got to the fruit drawer. I looked inside and decided to go with a persimmon (31g of carb).
I tested again 15 minutes later. I was up to 53. Good. I don’t need to eat more. I watched some TV and an hour later before going to sleep I checked my blood sugar again. It was 102.
I went to sleep feeling wiped out, a feeling that still remains with me now. I’m also disturbed. This was classic hypoglycemia unawareness, caught only by chance. What if I waited another hour? What if I’d gone to bed without testing at all? Have I graduated into a new phase of diabetes?