I can remember having a conversation with my doctor early on about my condition. I kept telling him I was afraid of going low because I’d read about it online. He kept telling me not to worry. “You can’t go low because your problem is high blood sugar. You’re not on insulin so we don’t need to even go there.”
Now that I’ve been properly diagnosed as a Type 1 LADA and on insulin things are different. I’ve learned that balancing your blood sugar is like playing Russian roulette and that a low blood sugar happens because I’ve either miscalculated the amount of insulin I need to match the number of carbs in a meal, or I’ve exercised and injected too much insulin, or my basal insulin ( long-acting insulin) is set too high.
Luckily I’m not hypo unaware (a condition that occurs when your body can no longer sense a low blood sugar due to repeated hypoglycemic events) but that doesn’t mean I don’t have anxiety around a low.
Being hypo unaware is probably the single biggest issue anyone has living with type 1. To remedy this we prick our fingers and check our meter’s incessantly, use CGM’s, have something called Glucagon (a shot which has to be mixed and prepared on the spot by someone else to get glucose into the blood stream fast) or have special diabetes alert dogs who can smell the change in our blood sugar levels, to remind us through barks and nudges to check that we are going low.Parents of young kids who live with diabetes set their alarms throughout the night to finger prick their kids, or check their CGM’s making sure they are in range. Imagine a young mum waking through the night year after year hoping their little one is still alive.
I don’t want to paint a horrific picture but it IS horrific.
So what happens when we are conscious enough to treat a low? Well often the fear and impatience of having to wait 20 minutes to see if your levels rise means 2 sips of juice turn into eating the entire contents of the fridge (no joke) By then, your blood sugar is screaming high and you have to inject again to bring it back down.Because I still produce that little bit of insulin and because I eat such a low carb diet my levels are very stable.
I’ve only gone below 3.9 a few times and have experimented enough to know exactly what will raise my levels. But I have had a few fridge binge moments that I’m not proud of. Like the time my meter said I was below 3.9 and I actually wasn’t and by the time I checked again it was too late!
For me having a steady yoga practice to help me deal with the stresses associated with the complexity of this disease has absolutely saved me.
It’s the number one reason why I jump on my mat, work with my breath and explore all aspects of this beautiful and ancient discipline. When I go low I reach higher inside myself to be grateful and accepting of whatever comes along. And sometimes a little thing like a flower on my afternoon walks makes all the difference.