BG *Lower* After Eating?

REP wrote in message ...

Quoted message said:

I became diabetic in 2000, and just when I think I've figured it out, something odd happens - like
this evening.

I am on oral meds; Tolinase and Actos in the morning and another dose of Tolinase late at night.
Before dinner and my second round of meds, my BG was 74. I ate dinner of broiled sole with lemon
and butter. An hour and a half later, I felt a little odd (lightheaded) so I tested my BG, and it
was 60. I tested again on all three meters; all gave readings of from 59 to 64. This is a typical
dinner for me, and I would usually have a BG of 90 or so within 90 minutes to an hour of eating.
There's been no change in my meds, when I take them or any unusual physical activity.

Are there any general reasons that might happen? I am currently in severe pain from an abdominal
complaint, but I've found that severe pain usually makes my BGs slightly higher. I also awoke in
the middle of last night feeling odd, and my BG then was 40. I don't know if I should be
concerned or not.

Tolinase is a strong, long-lasting beta stimulator:

(Noticeable effect in 20 minutes, peak effect in 2-4 hours fasting, 4-6 hours "fed", duration
14-17 hours)

pfizer.comuspi tolinase.pdfOpen ↗

Two doses ~12 hours apart means your betas are supposedly being stimulated to release extra insulin
24 hours a day. This can cause hypos unless you "feed" the insulin with carb. T2 on beta stimulators
don't have to balance carb and med dose as closely as we T1 must do with carb and insulin but you
must do some balancing. Hypos mean: increase the carb or lower the Tolinase dose or both.

That "14-17 hours" report in the PI is interesting. If you are one of the patients with typical dose
responses, that means that you are getting "double effect" for some hours after each pill. Some
sites assert that we need our least-amount-of-the-day of insulin between midnight and 3 am. If you
are in "double effect" during those hours you could have some interesting nights.

Folks augmenting their self-generated insulin supplies are encouraged to spot check their 3 am blood
sugars to see how the augmentation is affecting bG during those minimum-insulin-need hours.
(Actually, our local medical folks use terms a bit too blunt to be described as "encouraged"😉

Remember that alcohol is extremely dangerous for folks prone to night-time hypos.

Prandin or Starlix tend to avoid this problem but you must take a pill before each meal and they are
substantially more expensive.

Regards
Old Al

"REP" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

I became diabetic in 2000, and just when I think I've figured it out, something odd happens - like
this evening.

I am on oral meds; Tolinase and Actos in the morning and another dose of Tolinase late at night.
Before dinner and my second round of meds, my BG was 74. I ate dinner of broiled sole with lemon
and butter. An hour and a half later, I felt a little odd (lightheaded) so I tested my BG, and it
was 60. I tested again on all three meters; all gave readings of from 59 to 64. This is a typical
dinner for me, and I would usually have a BG of 90 or so within 90 minutes to an hour of eating.
There's been no change in my meds, when I take them or any unusual physical activity.

Your numbers were low when you ate. And you ate no carbs. So it's not surprising that your numbers
went even lower. Why did you eat no carbs?

Quoted message said:

Are there any general reasons that might happen? I am currently in severe pain from an abdominal
complaint, but I've found that severe pain usually makes my BGs slightly higher. I also awoke in
the middle of last night feeling odd, and my BG then was 40. I don't know if I should be
concerned or not.

Sounds like you don't need all those meds.

--
Type 2 users.bestweb.net~jboveOpen ↗

In article <[email hidden]>,
"oldal4865" <[email hidden]> wrote:

[snip a whole bunch of good info - Thanks, OldAl!]

Quoted message said:

Remember that alcohol is extremely dangerous for folks prone to night-time hypos.

I very rarely drink alcohol, and when I do, it tends to be a glass of wine with a meal. I haven't
had any liquor for ... sheesh, five or six months. (I just want to assure you I'm not doing
anything dumb!)

Quoted message said:

Prandin or Starlix tend to avoid this problem but you must take a pill before each meal and they
are substantially more expensive.

When looking these two and Tolinase up, I realized there may be a specific non-general reason for my
sudden hypos; I have advanced non-diabetic kidney disease (FSGS, confirmed by biopsy) and I am due
for another round of tests. If the hypos continue and aren't kidney-related, I'll ask my doc if
either of those two (or reducing my Tolinase) is a good idea. I am one of the lucky few with Rx
coverage, so if there is a better option, I can take advantage of it.

Now that I think about it, even though I'm eating the same old same old, I may be eating less due to
the seriously painful abdominal condition I mentioned in my OP. I'll try having a couple of ginger
snaps with my tea before bed.

Many, many thanks for all the info and the time it took to put it together!

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

In article <[email hidden]>,

Julie Bove said:

"REP" <[email hidden]> wrote in message "]news:[email hidden]...

Quoted message said:

I became diabetic in 2000, and just when I think I've figured it out, something odd happens -
like this evening.

I am on oral meds; Tolinase and Actos in the morning and another dose of Tolinase late at night.
Before dinner and my second round of meds, my BG was 74. I ate dinner of broiled sole with lemon
and butter. An hour and a half later, I felt a little odd (lightheaded) so I tested my BG, and
it was 60. I tested again on all three meters; all gave readings of from 59 to 64. This is a
typical dinner for me, and I would usually have a BG of 90 or so within 90 minutes to an hour of
eating. There's been no change in my meds, when I take them or any unusual physical activity.

Your numbers were low when you ate.

I'm usually between 70 - 110. I do 'tight control.'

Quoted message said:

And you ate no carbs. So it's not surprising that your numbers went even lower. Why did you eat
no carbs?

I don't like most of them and I feel like hell warmed over. This is a typical meal for me, though,
even when I feel well enough to cook more stuff.

Quoted message said:

Quoted message said:

Are there any general reasons that might happen? I am currently in severe pain from an abdominal
complaint, but I've found that severe pain usually makes my BGs slightly higher. I also awoke in
the middle of last night feeling odd, and my BG then was 40. I don't know if I should be
concerned or not.

Sounds like you don't need all those meds.

It would be nice if I have become "less" diabetic (I put "less" in quotes as I realize 'a little
diabetic' is like 'a little pregnant'😉. These very low numbers are quite unusual for me, though, so
that's why I asked.

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

REP said:

I very rarely drink alcohol, and when I do, it tends to be a glass of wine with a meal. I haven't
had any liquor for ... sheesh, five or six months. (I just want to assure you I'm not doing
anything dumb!)

The amount of alcohol consumed in a 5oz. Glass of Wine, a 12oz American beer, or 1.25 oz.of 80 proof
liquor, are roughly equivalent.

Sleepy

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COWBOY UP! Magic Number=7
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