“Ninety-five percent of the time, I’m fine. The lows are ones I can treat myself, even if the number is really low. Usually my symptoms are shakiness or like this brain fog. When the lows are really gross, I usually cry at random. Or I throw things. No real in between. But the majority of the time, I can take care of things myself, and then it’s over. Like nothing happened.”
I tried to explain this to a friend who was asking when it’s necessary to intervene during a low blood sugar, but explaining the slide from “fine” to “holy effing low blood sugar” sounds confusing when I say it out loud.
That’s the weirdest part, for me, that whole panic-then-peace part of severe hypoglycemic events. My lows have historically come crashing in at a breakneck speed, which is part of why using a CGM has been a pivotal change for me. Getting a head’s up on when a low is happening, or being able to treat it even before it becomes a problem, has helped me feel safer in the face of hypo unawareness (a lack of low blood sugar symptoms) and fast-dropping numbers.
My endo suggested that I raise my low alarm on my Dexcom from 65 mg/dL to 80 mg/dL in efforts to catch lows earlier, and in the last month or so, I’ve had far fewer chaotic hypos. Instead, I’m grabbing the lows before they even become low, snagging a 70 while it slides versus waking up in the trenches of a 40.
Small little tweaks here and there make differences I couldn’t have imagined. … that, and I’m burning through my supply of glucose tabs with a little less vigor.