Last night, I got one of the most annoying lows you can get (I mean, they’re ALL annoying, but some are worse than others). This was the “I’m literally about to turn out the light and go to sleep” low. You’re tired, ready for bed, teeth are brushed and the last thing you want to do is get out of bed, eat a bunch of sugar, and then wait for your BG to come back up.
But this low had me freaked out enough to act quickly. The Dexcom showed a 65mg/dL with double arrows pointing down, and a finger stick confirmed it. I threw off the covers, headed to the fridge and then did exactly what you shouldn’t do right before bed: I over-treated the low.
The double arrows down made me nervous, and I knew I had bolused three units for dinner. Because we had eaten later than usual that evening, I knew my rapid-acting was still working and I was afraid it would continue to drive my numbers down. So I did what any not-thinking-rationally-because-she’s-low-and-scared gal would do: I shoveled double the amount of carbs needed to treat a low down my throat, waited until the arrow started going up on the Dexcom, and finally, shut off the bedside lamp to drift off to dreamland.
I woke up several times during the night to the buzz of the Dexcom telling me “High,” but now I was afraid to treat the high. I worried that because I’d been low before bed that even a small correction would drop me low again (by the way, this is also irrational thinking when it’s happening at 5am, a full seven hours after said low…being sleepy does not make for great judgement).
So I woke up to this:
You can see the low where the line turns red around 10pm the night before. And then a steady, consistent high blood sugar all night long, thanks to the nearly 40 carbs I ingested right before sleep. These are the tough lows to treat rationally though. The lows that make you feel like something is really, really wrong and you need to fix it NOW. It’s a hard feeling to explain to someone who’s never been through it but it’s a primal, raw feeling of survival. You feel like there’s nothing you wouldn’t barrel through to get to some sugar, and the instinct is to eat until you feel better. But I will continue to try and resist over-treating these lows because they are NOT worth spending 7 hours over 200 for. Yuck.