Inscontrol DM1 with recurring hypoglycemia one after another

Hello everyone, my name is Carlos and I am a diabetic for 27 years, I am 48 years old.During this diabetic time I have had a quite good glycosylated hemoglobin control, below 7, I have always tried to have the controls close to middle-low values ​​and that has made that for a long time I have had hypoglycemia above morning, butthat quickly went back.
For a month and a half, I have had hypoglycemia episodes where I had to consume more sugars to overcome and then when I thought I had overcome it, I returned another hypoglycemia, in a row.This has caused me a totally different picture than the known so far.Without apparent reasons, it is as if insulin (threeiba + humalog) had a different body effect.My endocrine has changed my humalog for Fiasp, of shorter effect over time, they are valuing the results.I am currently injecting less units than ever both from Tresiba and Fiasp.
Reviewing changes in recent months, I included stress for an operation of my mother and at Christmas I had Covid.
The question I would like to ask you, did you suffer from a similar situation, where the guidelines and types of insulin that you injected have stopped working, and if you occur episodes of hypoglycemia where you seem to go back but you must returnto contribute carbohydrates to not suffer a second or third hip?.

Thanks infinite
Carlos Leiguarda

Well, friend @cleiguarda, because I have almost 4 decades as a diabetic and I think that happened to me every time I change from one insulin to another.In those cases x units of a type of insulin do not cause the same effect as x units of another different type.Every time I have changed them, the units had to change and almost to meal guidelines to find stable values.
If I were the same thing: I would reduce insulin 2 units a day until I reached the point where those hypoglycemia did not give me.

Greetings.

I do not need to change insulin so that these things happen to me.There are days that it seems that I am almost no diabetic and another goes up a lot.
What most influences me is any small change of weight ... More weight, more insulin I need and when weight loses the opposite.I am talking about a kilo of difference.

Something similar happens to me and curiously also 27 years ago that I am diabetic and I am 50 years old.And also with glycos below 7.

But for more than a year I have hypoglycemia without much sense and quite difficult to overcome.However, they spend above all before, during and just after meals.

I can be flat all day with the basal or whatever.I start cooking and seeing in the sensor that glycemia drops and have to be taking sugary drinks continuously so as not to enter hiccups and still almost always ended up eating 75 or out there.Having a bad time for fear of hypo or excess drinks in food.

sherpa41 said:
something similar happens to me and curiously also 27 years ago that I am diabetic and I am 50 years old.And also with glycos below 7.

But for more than a year I have hypoglycemia without much sense and quite difficult to overcome.However, they spend above all before, during and just after meals.

I can be flat all day with the basal or whatever.I start cooking and seeing in the sensor that glycemia drops and have to be taking sugary drinks continuously so as not to enter hiccups and still almost always ended up eating 75 or out there.Having a bad time for fear of hypo or excess drinks in food.

Thank you all for your answers! Your Sherpa41 case has caught my attention for some similarity, have you consulted with any endocrine, or any other specialist? Do you have a cause or possible cause that justifies the changes?Because I suppose you are conditioning your daily life.
In my case, it also conditions me to add the anxiety that does not know why that is happening in your body, and hypoglycemia.I have been this month and a half, I even made an abdomen tac to rule out something serious.The change of insulin diagnosed by the endocrine, is after this lack of control, moving from Humalog to Fiasp, justified by him, by the time of operation of the insulin Fiasp, less than Humalog.I am aware that social security approves an insulin bomb, which I hope helps me control.
But this change has me bewildered, especially when the relationship with type 1 diabetes has been so flat during all years of diabetes.
Thank you very much for your comments, if I do not thank you one by one, it is because I have debuted in the forum with this first message and I do not know if it is redundant to thank each message.

Greetings

Cleiguarda said:

sherpa41 said:
something similar happens to me and curiously also 27 years ago that I am diabetic and I am 50 years old.And also with glycos below 7.

But for more than a year I have hypoglycemia without much sense and quite difficult to overcome.However, they spend above all before, during and just after meals.

I can be flat all day with the basal or whatever.I start cooking and seeing in the sensor that glycemia drops and have to be taking sugary drinks continuously so as not to enter hiccups and still almost always ended up eating 75 or out there.Having a bad time for fear of hypo or excess drinks in food.

Thank you all for your answers! Your Sherpa41 case has caught my attention for some similarity, have you consulted with any endocrine, or any other specialist? Do you have a cause or possible cause that justifies the changes?Because I suppose you are conditioning your daily life.
In my case, it also conditions me to add the anxiety that does not know why that is happening in your body, and hypoglycemia.I have been this month and a half, I even made an abdomen tac to rule out something serious.The change of insulin diagnosed by the endocrine, is after this lack of control, moving from Humalog to Fiasp, justified by him, by the time of operation of the insulin Fiasp, less than Humalog.I am aware that social security approves an insulin bomb, which I hope helps me control.
But this change has me bewildered, especially when the relationship with type 1 diabetes has been so flat during all years of diabetes.

A few months ago I started using sensors and that is when I began to realize that there were some strange things.Before I was not so aware although I think that one or two years ago it happens to me.That's why I decided to put them on.

And I am not much to go to doctors, and when I went a few months ago if I told him but he did not pay much attention to me, and then that effect was not yet so strong.I still didn't affect me so much.

I had also had quite relaxed and stable diabetes during these 27 years.

Today talking with my sister, she told me that at 50 or nearby, the whole body changes a lot.Metabolism, hormones, etc.It could be an explanation, I don't know.

That was going to tell you, there are hormonal changes with age;In women it is clear, menopause is the most important together with menstruation, but in men there are also and are not so evident.Around 50 there is usually one, the tetosterone goes down with all that that entails.
Any hormonal alteration causes blood glucose to vary and much.

Maybe you have to go down the slow one .., or it may happen in the most relaxed moments because you are more stressed in others.
Anyway, if you find something sugary that keeps you.Rice with milk may be ..

juansolo said:
I do not need to change insulin so that these things happen to me.There are days that it seems that I am almost no diabetic and another goes up a lot.
What most influences me is any small change of weight ... More weight, more insulin I need and when weight loses the opposite.I'm talking about a kilo of difference.

Hi JuanSolo, because something similar and

juasolo said:
I do not need to change insulin so that these things happen to me.There are days that it seems that I am almost no diabetic and another goes up a lot.
What most influences me is any small change of weight ... More weight, more insulin I need and when weight loses the opposite.I'm talking about a kilo of difference.

Hi JuanSolo, that situation you describe, is it since you were diagnosed with diabetes or goes for seasons?
The weight also influences me, these times have lost weight and the insulin that I put is 30-40% less.

ruthbia said:
that was going to tell you, there are hormonal changes with age;In women it is clear, menopause is the most important together with menstruation, but in men there are also and are not so evident.Around 50 there is usually one, the tetosterone goes down with all that that entails.
Any hormonal alteration causes blood glucose to vary and much.

Hello Ruthbia, do you know if testosterone affects glucose values?, I perform tests of other hormones, thyroid, cortisol, renal function.
There is a lot of talk about the crisis of the 40, but in the 50 there is also.
Greetings

Cleiguarda said:

juane said:
I do not need to change insulin so that these things happen to me.There are days that it seems that I am almost no diabetic and another goes up a lot.
What most influences me is any small change of weight ... More weight, more insulin I need and when weight loses the opposite.I'm talking about a kilo of difference.

Hi JuanSolo, because something similar and

juasolo said:
I do not need to change insulin so that these things happen to me.There are days that it seems that I am almost no diabetic and another goes up a lot.
What most influences me is any small change of weight ... More weight, more insulin I need and when weight loses the opposite.I'm talking about a kilo of difference.

Hi JuanSolo, that situation you describe, is it since you were diagnosed with diabetes or goes for seasons?
The weight also influences me, these times have lost weight and the insulin that I put is 30-40% less.

It happens to all diabetics I am a type I of book since 85. Type II diabetics or those that the pancreas produces more insulin, even if it is of lower quality, compensate for more errors and weight changes.

@Cleiguarda over the years our reproductive capacity falls, in women it is clear but in men too.The terosterone levels, sexual desire, etc.
Progesterone and tetosterone affect blood glucose, as soon as they vary, there is imbalance.

In my honeymoon, I don't notice anything, but as soon as my reservation is over, every small progesterone variation increases me insulin resistance or suddenly give me hypoglycemia as soon as it goes down to a normal level.

The endocrine always asks me thyroid profile in the analytical, and when I took corticosteroids I suffered a brutal resistance to insulin.With fertility treatments, the same, the progesterone ovum was a dynamit glycemia pump.

@Ruthbia the honeymoon, you mean that you spent with your boy or that of diabetes, 🤔😜😜

@Andrespmat both 😉🤪

🤣🤣🤣🤣🤣

ruthbia said:
@cleiga over our reproductive capacity falls, in women it is clear but in men too.The terosterone levels, sexual desire, etc.
Progesterone and tetosterone affect blood glucose, as soon as they vary, there is imbalance.

In my honeymoon, I don't notice anything, but as soon as my reservation is over, every small progesterone variation increases me insulin resistance or suddenly give me hypoglycemia as soon as it goes down to a normal level.

The endocrine always asks me thyroid profile in the analytical, and when I took corticosteroids I suffered a brutal resistance to insulin.With fertility treatments, the same, the progesterone ovum was a dynamit glycemia pump.

Thank you for your information Ruthbia, I have been performed analysis of some hormones (cortisol, thyroid, renal function), but not of tetosterone.Some change must have passed in my body, to need 40% less fast insulin.It is a question that comes to me, if it has ever needed you much less insulin for no apparent reason.Apart from what is commented by Juansolo (with weight variation) and Sherpa41.
Greetings

Good morning Carlos.

In my case I have seasons that my insulin needs vary from one day to another.I call it "Wave Diabetes."

I am noticing that I make fewer spikes, that I am generally somewhat lower, and suddenly I enter a moving pit of several days when I am 6-70, a goals, after a while again.For the day you are taking glucose, eating without insulin, but the nights are complicated.

If I see that the wave lengthens, under some slow unit, but as it comes it goes, so I try to adjust with the rapid and more hydrates.

The endocrine does not give me any solution, beyond what I already do.He says that in diabetes there are no two days.As I am 50 years old and I am with hormonal disorders, irregular rules, blames it to this situation.

It is not easy because as with fear, I punish me with fear, I feel physically exhausted and mentally even I tell you.

I hope that one day my period is definitively withdrawn and these episodes end.

Could it be diabetic gastroparesia? I say it as an assumption.
After many years of dB it is quite frequent that the vagus nerve that helps to empty the content of the stomach, can be altered, with which gastric emptying is quite retained, that makes it just eating or just finishing eating, you can have hiccup pq theFast insulin is already acting but the food has not yet been emptied, and then vice versa, CDO has already finished the action of insulin, if the stomach is still emptying, you can have hyper.
I tell you this because it is quite common that in long evolution there is some degree of this problem, which is solved after years of good control with gycy in 6 or less.
I have been with DB 1 for more than 40 years and it once happens to me, it is true that there can also be hormonal theme because I am in premenopause but sometimes it is a bit meaningless.The problem of gastroparesis is that it is unpredictable, sometimes it can happen to you but not in all meals or every time because of what is a bit roll.
If this disorder is very strong, medicines are usually taken to accelerate emptying, sometimes even put the quick insulin for a long time after eating instead of before.Cdo is also mild, helps chew after food.
But to know if this is, you have to diagnose it, of course.

vicky bu said:
good morning Carlos.

In my case I have seasons that my insulin needs vary from one day to another.I call it "Wave Diabetes."

I am noticing that I make fewer spikes, that I am generally somewhat lower, and suddenly I enter a moving pit of several days when I am 6-70, a goals, after a while again.For the day you are taking glucose, eating without insulin, but the nights are complicated.

If I see that the wave lengthens, under some slow unit, but as it comes it goes, so I try to adjust with the rapid and more hydrates.

The endocrine does not give me any solution, beyond what I already do.He says that in diabetes there are no two days.As I am 50 years old and I am with hormonal disorders, irregular rules, blames it to this situation.

It is not easy because as with fear, I punish me with fear, I feel physically exhausted and mentally even I tell you.

I hope that one day my period is definitively withdrawn and these episodes end.

Good morning Vicky Back, the name of "Olas Diabetes" is perfect.
The situation you describe has caught my attention.You are type 1 diabetic and in those days of constant declines, you do not inject quick insulin in the meals! I imagine that it must be very disconcerting and stressful.
How often does the situation you describe usually happen? And how many days does it usually last?
On the other hand, I seemed very interesting what Meginer answers in the last email, maybe you may also be interested in what she says.In addition, Ruthbia has sent a very clear email about her experience in the diabetes-hormone relationship.I'm going to keep trying to find an explanation, maybe not have it or multifactorial.The response of the doctors, which in diabetes 2+2 is not 4, I understand it, but it can also be used as a wild card.If I find an explanation to my case, of course, I will share it with the forum.
Thank you very much for your answer.

meginer said:
could be diabetic gastroparesia? I say it as an assumption.
After many years of dB it is quite frequent that the vagus nerve that helps to empty the content of the stomach, can be altered, with which gastric emptying is quite retained, that makes it just eating or just finishing eating, you can have hiccup pq theFast insulin is already acting but the food has not yet been emptied, and then vice versa, CDO has already finished the action of insulin, if the stomach is still emptying, you can have hyper.
I tell you this because it is quite common that in long evolution there is some degree of this problem, which is solved after years of good control with gycy in 6 or less.
I have been with DB 1 for more than 40 years and it once happens to me, it is true that there can also be hormonal theme because I am in premenopause but sometimes it is a bit meaningless.The problem of gastroparesis is that it is unpredictable, sometimes it can happen to you but not in all meals or every time because of what is a bit roll.
If this disorder is very strong, medicines are usually taken to accelerate emptying, sometimes even put the quick insulin for a long time after eating instead of before.Cdo is also mild, helps chew after food.
But to know if this is, you have to diagnose it, of course.

Very interesting your response Meginer, I had never heard anything about that pathology.In three weeks I go to a doctor of the digestive system, and I will have your present response.
I have not understood what you say ".., which is solved after years of good control with gly in 6 or less.", What do you mean, which arises with the years of diabetes even with good control of glyd 6 or less?
Thank you very much for your answer.