First of all let me say this, IF I am using insulin, I am wearing a CGN. That said, I think what your guest said may be of help to some, but it is WAY too involved. When I learned my A1c was way too high, I made drastic changes to my diet. Read this as cutting out stuff that actually tasted good, like real soda, and candy bars. I view a low alarm from the CGN as an excuse to drink a soda or eat something sweet, not as something to fear. I always have candy on my person and a couple of cans of real soda in my fridge. I was friends with a local fellow who had been a paramedic. His name was Patrick Ramsey, and he wrote a book called "Life, Death, or Somewhere In-between: True Paramedic Stories." In his book and many times in person he told me of how miraculous it was to bring someone out of a low sugar situation. "Like raising the dead," he would say. So I figure I can detour the situation with a shot of sugar. I love your videos and your commitment to others. U R the BEST!!!
I think using Marks 3 steps could be a good first start. And with endurance sports I also think you have to increase how often you measure your blood sugars/check your CGM to stay safe
For me there are two types of lows: gradually going down over a long period of time and crashing suddenly. The crashing is what scares me and it feels different too. In addition to the symptoms of low bg, there’s also separate symptoms I get when blood sugar is dropping very rapidly. I was diagnosed with LADA almost 20 years ago, and for the first 15 years lows didn’t scare me and my A1cs were in the 5s all that time. In the last few years, I’ve become very fearful of lows and my A1cs are now in the 6s (6.2-6.5 range). I manage mostly through diet and lantus (rarely use rapid acting insulin unless a lot of carbs or a reading over 220). When I do use rapid insulin I dose small in 0.5 unit increments. Even lantus can make me go low if I don’t eat enough or exercise vigorously. This disease is a pain in the a**, and some days it feels like I have it aced then suddenly it feels mine I’ve just been diagnosed.
It’s just nice to know this is a real thing and it’s not just me! I’m trying to curb my fears and have gotten a little better, but I can still use some work. Thanks for brining this under-discussed topic forward !!
I'm using GLP-1 RA for T2D. My A1C is 5.7 and Dexcom's AGP report says I'm meeting all my % targets. However, my PPG spikes to 320 after eating. Any suggestions on what medicine to take? Endo and PCP are clueless.
One thought is to switch to a lower carb diet, avoiding or reducing foods and drinks that have high carbohydrate amounts. Avoiding and substitute for bread, pasta and rice. Also no drinks with 33 grams of carbohydrates per 8 ounces. Another thought is to try to get some AFREZZA inhaled insulin because it has a half hour onset and lasts for 1.5 hours. So it is quick in and quick out. It may not be available for Type II diabetes, but would work well for your situation. It is hard to get approved by your insurance. On appeals, it needs to be labeled as "medically necessary". If insurance covers it the lowest price per month is $35 with a coupon. If insurance doesn't cover it "Afrezza Direct" and Afrezza Assist can get it to you for $100 a prescription and one prescription can last for a couple months. @DiabetesStrong has several videos about it. I've been Type 1 for 33 years. My HbA1C was 5.5% this past week. Last year, three measurements were 5.4%, 5.5% and 5.7%. As a rule I eat a low carb diet and I don't mind it, I enjoy it.
Try taking notes on what you eat, how much, and how much of an increase you see. That might help you identify what food and portion sizes are the most challenging for your body to handle. If you can't solve it through meal adjustments your doctor might have to consider a mealtime insulin
Great topic I never see anybody talking about! I love that the action steps are right in line with Buddhist mindfulness.
Thank you so much. I needed this so much to remind me why we need to be in good range and that it can be ok
First of all let me say this, IF I am using insulin, I am wearing a CGN.
That said, I think what your guest said may be of help to some, but it is WAY too involved.
When I learned my A1c was way too high, I made drastic changes to my diet. Read this as cutting out stuff that actually tasted good, like real soda, and candy bars. I view a low alarm from the CGN as an excuse to drink a soda or eat something sweet, not as something to fear. I always have candy on my person and a couple of cans of real soda in my fridge.
I was friends with a local fellow who had been a paramedic. His name was Patrick Ramsey, and he wrote a book called "Life, Death, or Somewhere In-between: True Paramedic Stories." In his book and many times in person he told me of how miraculous it was to bring someone out of a low sugar situation. "Like raising the dead," he would say. So I figure I can detour the situation with a shot of sugar.
I love your videos and your commitment to others. U R the BEST!!!
How does one overcome anxiety of hypoglycemia with endurance activities such as biking 350 miles or hiking 10-15 miles on the Camino as a T1D?
I think using Marks 3 steps could be a good first start. And with endurance sports I also think you have to increase how often you measure your blood sugars/check your CGM to stay safe
Thank you for this video, I needed it.
For me there are two types of lows: gradually going down over a long period of time and crashing suddenly.
The crashing is what scares me and it feels different too. In addition to the symptoms of low bg, there’s also separate symptoms I get when blood sugar is dropping very rapidly.
I was diagnosed with LADA almost 20 years ago, and for the first 15 years lows didn’t scare me and my A1cs were in the 5s all that time.
In the last few years, I’ve become very fearful of lows and my A1cs are now in the 6s (6.2-6.5 range). I manage mostly through diet and lantus (rarely use rapid acting insulin unless a lot of carbs or a reading over 220). When I do use rapid insulin I dose small in 0.5 unit increments. Even lantus can make me go low if I don’t eat enough or exercise vigorously. This disease is a pain in the a**, and some days it feels like I have it aced then suddenly it feels mine I’ve just been diagnosed.
When I go low it feels like I’m drowning and trying to swim to the surface and panicked I won’t be able to make it. It’s a horrible feeling 😫
That does sound uncomfortable. I hope some of the methods Mark mentions can help you
It’s just nice to know this is a real thing and it’s not just me! I’m trying to curb my fears and have gotten a little better, but I can still use some work. Thanks for brining this under-discussed topic forward !!
I'm using GLP-1 RA for T2D. My A1C is 5.7 and Dexcom's AGP report says I'm meeting all my % targets. However, my PPG spikes to 320 after eating. Any suggestions on what medicine to take? Endo and PCP are clueless.
I'm very grateful for your Dexcom G7 videos. Without that I would've had no clue about my PPG spikes.
One thought is to switch to a lower carb diet, avoiding or reducing foods and drinks that have high carbohydrate amounts. Avoiding and substitute for bread, pasta and rice. Also no drinks with 33 grams of carbohydrates per 8 ounces.
Another thought is to try to get some AFREZZA inhaled insulin because it has a half hour onset and lasts for 1.5 hours. So it is quick in and quick out. It may not be available for Type II diabetes, but would work well for your situation. It is hard to get approved by your insurance. On appeals, it needs to be labeled as "medically necessary".
If insurance covers it the lowest price per month is $35 with a coupon. If insurance doesn't cover it "Afrezza Direct" and Afrezza Assist can get it to you for $100 a prescription and one prescription can last for a couple months.
@DiabetesStrong has several videos about it.
I've been Type 1 for 33 years. My HbA1C was 5.5% this past week. Last year, three measurements were 5.4%, 5.5% and 5.7%.
As a rule I eat a low carb diet and I don't mind it, I enjoy it.
Which diet are you following.? Keto Diet with Intermittent Fasting may solve your problem.Even GLP -1 RA may not be needed.
@@mithidas4295 I don't eat.
Try taking notes on what you eat, how much, and how much of an increase you see. That might help you identify what food and portion sizes are the most challenging for your body to handle. If you can't solve it through meal adjustments your doctor might have to consider a mealtime insulin
I didn't understand a thing he said.