I have a confession. Diabetes never used to scare me. Never did I let it get in the way of things I did. But lately I have been scared.
When I first got my Dexcom back in December and I realized just how often I was going low without feeling it, especially when sleeping, I was dumbfounded. I was lucky then that my liver would kick in and would stabilize me a little bit.
In the quest for extremely tight control, by the recommendation by my health care team, I started to use metformin with my insulin regime. Metformin is usually used in type two diabetics, to put it loosely one of its functions is it slows the excretion of stored glucagon in the liver to prevent major spikes in bg. combining it with my insulin has really helped me. In fact since I started it my average blood sugar post prandial has dropped from 12.4-7.3.
But it has a negative effect: My liver just doesn't correct my lows as quickly as it used to. I guess? I am no doctor, nor do I work in the medical field so this is mostly based on Google. Ugh why did I google all of this?!
Anyway I misplaced my Dexcom receiver on Saturday and have yet to find it. I lived for 23 years without one, so surely you think it shouldn't be a big deal. I didn't think so. I thought I would find it quickly and so be it.
Anyway, on Saturday night I had a low. One of those night time lows that rattle you. I woke up at 3:21 drenched in sweat and feeling completely panicked: I was low. Really low. My mouth was numb, my face was cold, I was seeing spots. Stupidly, trying not to wake T, I ate 10 glucose tablets in two large mouthfuls and laid still in bed just smoothing the sugary paste into my gums with my tongue. Once I swallowed them I staggered out to the kitchen, and grabbed my meter to check and it rang back 1.8 mmol/l (32 mg/dcl). I knew I had 40g carbs in my system, but I needed more. I made a peanut butter sandwich and poured up a big glass of milk. I ate it all and went back to bed. When I woke up I was 7.2 with a massive headache, a mouth that tasted like something died in there and blurry eyes.
Look, I try not to let this stuff get to me. Shit happens and we move on. But I haven't quite been able to. For some reason I can't shake it. I have had trouble falling asleep the past few nights, and throughout the night I have woken up at least 3-4 times to check my blood. Each night if I am below 7, I will reduce my basal quite a bit. I don't like waking up around 8, 9 or 10 but I DO like waking up. So what's a girl to do?
I just really hope I find that Dexcom. It's a security blanket. I want to maintain tight control, but I also don't want to start caving to anxiety at night time. It's just even scarier because I don't have the option to buy a new one. Not even if I want to. Why Health Canada and Dexcom haven't worked this out yet is beyond me, but once I have had a taste of the control and comfort it provides me I can't understand it.
This isn't really posted to scare anyone. I just wanted to vent about the anxiety low blood sugars at night have caused me lately. Does anyone else get this? Any tips for combating it while I search high and low for my Dexcom receiver?