That Mysterious low

It finally happened! I’d heard about it, read about it, feared it, even dreaded it. But one can’t stave off the inevitable. At some point, if you live with diabetes and take insulin you’re going to have a mysterious low. Today it was my turn.

It would have made sense if I’d had lower levels when I woke up or hadn’t thought I’d seen the number 8 mmol just 20 minutes before. I’m not someone who ever crashes fast. In fact most of the time I’m a big flat line. Being a LADA ( Someone who lives with Latent Autoimmune Diabetes in Adults) I still produce some insulin and use a low carb diet with moderate protein and fats to keep things balanced. I take a small dose of long acting insulin and time my walks and yoga practice around the time my insulin begins to wear off. Usually, if I am heading towards a low, I feel hungry. So I’ll grab a high protein, hi fat snack to keep things in check. Plus I check my blood sugar all the time. I mean, I use test strips like Candy!

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So what the heck happened?

I have no idea! I noticed my hands were shaking when I sat down at my computer around 6.45 am. I checked my blood sugar levels, had my morning injection, (which had burst a small capillary, but I’d made sure there was no bubble or bruising under the skin) and decided that I should eat something to get grounded. I chose a small avocado which had a bit of a bitter taste, didn’t think much of it until I started feeling like I was itchy under my skin.  I never feel like that… usually, if I’m itchy it’s on my skin and I can see hives or something… but this was like a slow skin crawl… and I was shaking… I cooked an egg to have with the avocado and sat down to eat it and offhandedly remarked to my husband that I was shaking while I was eating which was weird. I didn’t think to check my blood sugar. Instead, I went to the bathroom ( probably too much information here but anyway…) and had a panic attack. Heart racing out of my chest, feeling even weirder I called out to my husband… “I’m feeling weird and now I’m having a panic attack.!”

My husband says, “Let’s go outside and sit in the sun.” So we sit down and he asks me what I’m worried about? I say, “I don’t feel worried it feels physical”…then I lift up my shirt to examine my imaginary hives…the skin keep crawling and I keep feeling weird. But the panic has subsided…we sit in the sun for about 10 minutes and then I think about checking my blood sugar.

My husband is standing right there when we get the results 4.1 mmol…I panic. My husband says, “Check again.” I pull out my other meter, it says 3.8 mmol…I panic more… my husband says, “Check one more time just to be sure.” I check again on my first meter…3.9 mmol.

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I RUN TO THE FRIDGE

My husband is trailing behind saying, “Stay calm don’t panic.”

I don’t listen, I open the fridge find my juice popper ( we have our juice in small bags here in Australia) The straw is missing! URGH!!! I get the scissors and cut the bag open and drink a big gulp. My husband says, “Okay stop there, it will be enough.” I’m like, ” NO! I can drink the whole thing.” I guzzle down the entire 200 gms of juice in about 1 minute. Then I lean against the counter, wild eyed.

I’m thinking to myself… and how long do I have to wait for my blood sugar level to come up?

I carry another juice bag and my meter back to the living room and sit on the couch… trying to figure out what happened. I was sure that the last time I’d checked my level was right before I ate. So I went through the log on my meter. I was shocked! I checked at 6.45 am… and then checked at 8.07 which was when I saw the low.

I’d started having breakfast at 7.30 am… so couldn’t have checked just before I ate. Had I imagined the whole thing?

I’ve heard people say that when you’re low you don’t think like you normally do. But I had no idea what that meant. I remember feeling completely aware of everything that was going on. So it seemed super weird that I didn’t do the one thing I was supposed to do…

CHECK MY BLOOD SUGAR!

And my husband used to me reacting to foods or having panic attacks in the loo didn’t think to ask me to check either.

Once my levels had returned to normal… (well not quite I did overshoot with the 200 gms of juice and am now running at about 9 mmol)  I’ve had a chance to reflect on what worked for me during the mystery low.

  1. I didn’t freak about the skin crawling sensation. I stayed calm and tried to figure out what it was
  2. When I started having the panic attack the first thing I did was calm down and breathe deeply, Then I called my husband
  3. I went outside into nature and put my bare feet on the earth
  4. When I finally did check my blood sugar level, I checked a few times just to make sure it wasn’t a mistake on the meter
  5. I knew exactly where to go to get what I needed, took the remedy and managed not to eat everything in site
  6.  I waited calmly for my levels to return to normal, watched my breath and trusted my body
  7. I decided to do a yoga practice to support my adrenals and to bring more circulation and blood to my brain to help stabilize my levels after the low
  8. I drank quite a bit of water knowing that I would go a bit higher than I liked from the juice to flush excess sugar out of my system
  9.  Lastly, I hugged my husband and counted my blessings for all of the above!