Tag: children with diabetes

May

22

Diabetes, Hypoglycemia Unawareness & Low Blood Sugar. Know The Signs

HypoglycemiaSo we’ve all dealt with the symptoms, shaky, lethargic, confused, sweaty and the list goes on and on but what happens when we don’t realize or notice these symptoms? People who don’t have diabetes start to feel hypoglycemic when their blood glucose reaches 50- 55 mg/dl.  In people who have diabetes, hypoglycemia can’t really be defined as a specific blood glucose level, because the point at which they feel “low” changes, depending on their usual BG level.

So, individuals who are not properly controlled can “feel low” at normal or high BG levels, and individuals whose blood glucose runs consistently in the low-normal range and have frequent hypoglycemia may not “feel low” until their BG falls to a dangerously low level.  This has happened to me once and it was not fun.  So lets take a look at what hypoglycemia unawareness is and what we can do prevent it!

Hypoglycemia Unawareness Causes:

Hypoglycemia unawareness is actually quite common. It happens to me and that’s why I am so grateful for my dexcom. Studies show that 17 percent of us with Type 1 diabetes suffer from some sort of hypoglycemia unawareness.  Symptoms of a low blood sugar become less obvious after having diabetes for several years because repeated lows tend to impair the body’s release of stress hormones.  As we are probably aware at this point, or maybe not if your newly diagnosed, the major counter-regulatory hormone that causes glucose to be released by the liver to raise the blood sugar is glucagon, but is reduced in most people who have Type 1 diabetes within the first two to ten years after diagnosis.

Drinking alcohol increases the risk of an unacknowledged low because the mind becomes less capable of recognizing what’s happening, the liver is blocked from creating glucose needed to raise the blood sugar, and free fatty acid (the backup to glucose for fuel) release is also blocked. These factors make symptoms milder and harder to recognize and personally after a couple trips to the ER due to severe low blood sugars…lets just say I’m not a fan of alcohol any longer.

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