I'd like to mention an observation I have had about treating hypoglycemia -- Treating with insulin as well as food! That's against the rules:
The Humalog USPI states:
Humalog is contraindicated during episodes of hypoglycemia...
Novolog USPI ditto:
NovoLog is contraindicated during episodes of hypoglycemia...
Apidra USPI ditto:
APIDRA is contraindicated during episodes of hypoglycemia...
Giving insulin while hypoglycemic had never crossed my mind
until after several episodes of treating a hypo with a big bagel (which
usually needs about 6 units of insulin to cover) was always too much carb and always kicked
my BG to the 200's. But I love bagels and at my workplace, for some reason or
other, they seem to be everywhere every time food is around.
Anyway, when hypoglycemic, I'm frequently ravenously hungry, and one bagel
resolves the hunger. But the subsequent hyperglycemia was annoying. So, why not
cover the hypo with a lesser dose of insulin? Well, it works. If I'm somewhere
in the 50's or 60's and feeling hypo, one bagel plus 3 units of insulin fixes
everything and the BGL ends up in the expected near-normal range.
Well, almost everything. If I do it too often, I'll inevitably gain weight...
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