I have to contact my endo about a few things including this but wanted to see what others are doing first to get an idea of what might work. My first impression was to add Levemir so my body could store insulin for meals and maybe this wouldn't happen. I was on a VERY small amount of Met and that did help a little but it was happening then too (about 25% of what is going on now). I discontinued taking the Met 2 months ago - I feel somewhat better off of it except for these lows.
I am insulin sensitive FBS typically 90 BMI 22, have the high risk genes for T1 (DQ8), have Celiac + the start of thyroid issues. I need to start iron replacement since my ferritin 9. I am neg. for antibodies for diabetes. However, I still think posting under LADA was where this needed to be posted. Last c-peptide was 1.7 with a 90 something as a FBS (this was two years ago. I am missing first phase but at that time had good insulin levels - not high, not low - correct?).
Ok...that's me...and this is what is currently going on. At night around 2 - 3 am I feel like my heart is being crushed. Very uncomfortable to say the least. I've tested and got BG at 90 but from what I learned yesterday the symptoms only come after the real low. So I suspect it's from a low. I didn't eat while on a job the other day and it started again. I had to run for a piece of candy & that helped (the only thing available - it was a children's event).
Here is what is happening when I eat - if I'm stricter on carbs of course it doen't happen. But I've had to be very strict and I'm dropping weight (slowly but it's not sustainable).
pre-meal of 35 carbs (10 of which were from walnuts the rest from a lower carb sugar free pudding - ok, not the wisest choice...but who is always wise?)
95 pre-meal (ok, didn't record this but that's most likely what it was)
15 min 83
30 min 67
1 hour 108
1 1/2 hour 106
2 hour 99
Ok, not horrible, horrible...but the symptoms I am getting now are really frustrating!! I get tight in the chest (that's the worst one by far), cold, sweaty palms, odd breathing (guess you would call that shallow) irritated and on this one I felt like throwing up but wasn't close to doing so - I was only heaving a little.
Cut carbs to a Bernstein diet? add the met back on? - even with it not working completely and apparently it lowers ferritin - high ferrritin and inflammation are associated with T2 and Met does work on that (I have a normal Cardio-CRP at .8 and ferritin is horrible) . Add on a basal insulin like Levemir to try to store insulin for meals? Or as my GP stated...if you don't want to go on another T2 drug...then deal with it. I don't care for that either!! I can't get my work done and I work for myself...no work=
Thanks!!! I'm only looking for what others have done or any insight to get my brain thinking of what is best. I'm not bad off but I'm sick of feeling sick.