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    • 21 hours, 35 minutes ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Try the "Atkins" diet or some other no-carb diet (e.g., Paleo minus fruits and staches) for a few days. This will allow you to measure your insulin demands based solely on non-carbohydrates (fats and proteins). Ultimately, your glucose can be affected by all three*, but eliminating one macro group at a time will let you assess how much each affects your bg levels.
    • 21 hours, 36 minutes ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Patricia, if you're willing to isolate your diet to a single protein for a few days you'll most likely know. It doesn't work for everyone. It did for me.
    • 21 hours, 38 minutes ago
      Patricia Dalrymple likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 1 hour ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 1 hour ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 1 day, 10 hours ago
      Sandra Rosborough likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 1 day, 21 hours ago
      Bob Durstenfeld likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 1 day, 23 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      My absolutely favorite meeting with a dietician is when a guy came up from Miami to lecture our local diabetic group. His advice? He said, to wit, "You probably shouldn't drink alcohol, but if you must, then try and make it dry champagne."
    • 1 day, 23 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was diagnosed, I was simply given a diet to follow. Period. I followed it for awhile, but then I moved to the UK, and the recommended diet was different, so I used that. When I finally went onto separate injections for each meal, I made my own diet. I have been eating whole grains since about a year before my diagnosis, and have never been a fan of sugary foods. I'm glad I never had to meet with a dietician: it would have been a waste of time.
    • 1 day, 23 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 1 day, 23 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 2 days ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Pretty sure most of us type 1's have spent a ton of time and research developing personal guidelines for our bodies and insulin response. Trial, error, start again. test. Thinking about the high carb pyramid they gave me in the hospital when first diagnosed in 1980... and my youth not understanding why i had so many sugar swings. Food guidance from the government has always seemed driven by lobbyists and politicians...
    • 2 days ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Not at all. I'm 86 and what got me here is what I'm still doing. Also, I have heart disease and will not increase my use of beef fat or butter.
    • 2 days ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Amanda Barras -- The marketplace of ideas, almost as much of a cul de sac as the tribal alleys of true believers, there are plenty of shortcomings to keto and Bernstein diets. Google almost any "Critcism of X diet" and a plethora of articles will appear. Same goes for all the current protein-push policies that are in vogue.
    • 2 days ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      While I appreciate the pyramid needed some adjustment, going to a meat and fat pushing diet (my perception) is just as bad. Plus I don’t trust people that ignore the science and common sense needed just because they happen to be currently in charge.
    • 2 days ago
      Lawrence S. likes your comment at
      Does dietary protein affect your glucose levels?
      Said I’m not sure. I mostly have some protein with every meal. How would I know for sure that protein is the impact and not some other of the 100s of factors that affect BG?
    • 2 days ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once when 1st diagnosed
    • 2 days ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 2 days ago
      Ahh Life likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 2 days ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was younger I used to see a dietitian with every T1D appointment, but that was like 20-30 years ago
    • 2 days ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      One appointment shortly after I was diagnosed but none since then.
    • 2 days, 14 hours ago
      lis be likes your comment at
      Does dietary protein affect your glucose levels?
      So, I ordinarily would answer "never" to this question. I can go on a no carb diet for days and need no bolus insulin whatsoever (I still must take a basal dose). For example, I can eat eggs, bacon, and other "breakfast" meats for breakfast, I can eat a cheeseburger (lettuce wrap bun) for lunch and even eat a 16oz steak for dinner and not need a single unit of bolus insulin. That said, protein drinks and protein bars are a different story. Even a small amount of carbs mixed in (say about 6-8g) will drive my glucose up slightly. Because this increase is significantly larger than the carbs would induce alone, obviously, the protein does cause some increase.
    • 2 days, 20 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      It has a minor Impact but it happens every time.
    • 2 days, 20 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      For me always - it may take hours, but it will eventually go up.
    • 2 days, 20 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      Said I’m not sure. I mostly have some protein with every meal. How would I know for sure that protein is the impact and not some other of the 100s of factors that affect BG?
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    What is the symptom you most often notice first when you’re starting to experience hypoglycemia? (This is part 2 of a 3-day understanding hypoglycemia series – check back tomorrow for day 3!)

    Home > LC Polls > What is the symptom you most often notice first when you're starting to experience hypoglycemia? (This is part 2 of a 3-day understanding hypoglycemia series – check back tomorrow for day 3!)
    Previous

    Which of these symptoms of hypoglycemia do you frequently experience? Please select all that apply. (This is part 3 of a 3-day understanding hypoglycemia series)

    Next

    When you are beginning to experience hypoglycemia, do you consistently have a particular symptom or set of symptoms that signal the start of a low to you? (This is part 1 of a 3-day understanding hypoglycemia series – check back tomorrow and Monday for days 2 and 3!)

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    33 Comments

    1. Becky Hertz

      I have some hypoglycemic unawareness so don’t always have any symptoms and if I do it’s more of a “hmmm…I feel weird” but nothing specific

      2
      4 years ago Log in to Reply
    2. Janice B

      I experience more than one symptom at a time.

      4 years ago Log in to Reply
    3. Leon Ullrich

      I have had “diabetes unawareness” for many years in my 75 years with Type One.

      2
      4 years ago Log in to Reply
      1. Joan Fray

        Amazing! 75 years! Do you know anyone who’s had it longer than you? My puny 60 years is nothing in comparison! congratulations and stay well .

        1
        4 years ago Log in to Reply
    4. Leon Ullrich

      My wife is the best monitor that I have.

      1
      4 years ago Log in to Reply
    5. Mick Martin

      Further to the response I offered yesterday, the first symptom that I USUALLY experience is when I’m ‘coming round’ after being given a Glucagen injection. I can usually feel where I’ve been injected.

      4 years ago Log in to Reply
    6. james zellerhoff

      Feeling the “low”
      Hard to explain

      4
      4 years ago Log in to Reply
    7. Chrisanda

      By the time I feel the clamminess, I’m pretty low-low 50s. Until then I don’t have any symptoms. I had good symptoms (shakiness, irritability) for the first 15 years, now, Nada. My pump /CGM alarm is my first alert.

      4 years ago Log in to Reply
    8. RegMunro

      I’m very slow to notice hypos and before CGM would quite often almost pass out, eg watching TV. My wife would get me going. I’ve been T1D since 1965 so am insensitive to symptoms

      4 years ago Log in to Reply
    9. Kevin McCue

      I put confusion but it’s more of an uneasiness like somethings wrong but I’m not able to put my finger on it. Usually it happens 10 minutes before my Dexcom reflects it. Finger stick is usually close to CGM so it doesn’t show there either. If I don’t pay attention to the uneasy then it transitions into inability to maintain focus.

      4
      4 years ago Log in to Reply
    10. Lawrence S.

      Sometimes it’s fatigue and weakness, Sometimes lightheadedness. Occasionally, when it’s a fast drop in BG, I get no warning. But, most of the time, I catch it by recognizing the symptoms. On a similar note, I went for a very long period, maybe 20-30 years without early symptoms. Then for no apparent reason, several years ago, I started getting warning as noted above. I think that for many years I was so busy at work and home, that I did not focus on my warning signs. Now that I am retired, I seem to pick up the warning signs, most of the time.

      4 years ago Log in to Reply
    11. ConnieT1D62

      Other symptom not listed above. As I noted in yesterday’s QoD answer I get a “sinking feeling” that is hard to precisely describe. I supposed it can include bits & pieces of many of the signs and symptoms listed above. However, the first symptom I tend to notice is a sinking sensation – as if my inner awareness is descending down an elevator shaft. I have hypoglycemia unawareness so the BG may be at 72 or 64 or 50 before I actually manifest any of the more overt physical symptoms.

      I am forever grateful and thank goodness for Dexcom!!! It has been a saving grace for several years!

      8
      4 years ago Log in to Reply
      1. Ahh Life

        I hate to over-exaggerate what you so carefully say, but I too experience the walls caving in. Sort of like that old Edgar Alan Poe movie where the walls move in. Only, as the walls get closer, they’re more like the marshmallow man softly enveloping me as I sink in. ( ͡> ⍨ ͡<)

        4 years ago Log in to Reply
      2. Tracy Jean

        I get this feeling too. Thanks for explaining it.

        4 years ago Log in to Reply
      3. Jneticdiabetic

        Yes, me too. This description stood out to me yesterday too. Good description of an imprecise symptom that it seems a number of us can relate to. Thanks for articulating it! 👍

        4 years ago Log in to Reply
      4. n6jax@scinternet.net

        Sweet Charlie says Me also…

        4 years ago Log in to Reply
    12. Tod Herman

      Almost all of those symptoms on the list I have experienced. But, like many others, after having T1D for over 40 years the lows have become less noticable. But after I recover, I usually just need a nap.

      3
      4 years ago Log in to Reply
    13. Amanda Barras

      Hunger and/or sleepiness. Those are my top 2.

      4 years ago Log in to Reply
    14. Mark Schweim

      Most common first symptom I used to notice was numbness and tingling around and in my mouth, but for the past decade, I only very rarely notice any symptoms and feel nearly identical whether my BG is in the 40s, 140s, or 300s.

      1
      4 years ago Log in to Reply
    15. Sue Martin

      I stopped having consistent symptoms years ago and was very glad to get a DGM. It has saved me many times when I can’t feel what is going on with my blood sugar levels. I love my DexCom.

      4 years ago Log in to Reply
    16. Patricia Dalrymple

      I just feel “off”, not how I usually feel. None of those symptoms. Just not right.

      1
      4 years ago Log in to Reply
      1. AnitaS

        That is probably how I feel, which I described as “uncomfortable”.

        4 years ago Log in to Reply
    17. Pauline M Reynolds

      Sometimes I feel a “sensation” come over my body; sometimes I suddenly feel “nervous”. Sometimes I start to feel sweaty, which means it went too far at that point and will be under 60.

      4 years ago Log in to Reply
    18. Marie Cardinell-Daldry

      I SAID COORDINATION OR CLUMSINESS BUT THIS CAN CHANGE EACH TIME. SOME TIMES I WON’T HAVE SYMPTOMS BUT MY DEXCOM WILL START BEEPING UNCONTROLLABLY AND I FIND THAT I’M DOWN TO 50 OR LOWER OR MY HUSBAND WILL BE MORE AWARE I NEED HELP

      4 years ago Log in to Reply
    19. Stephen Woodward

      Not sure why there not listed, but before any of these listed symptoms appear there are a few warning sings I mwartch out for. #1 is dexterity, I.e., fumble fingers, #2 I memory recall becomes obstructed. Both of these symptoms are talked o out when talking to others and subside quite rapidly as bg rises. These symptoms start before any of the hypo symptom listed as choices.

      4 years ago Log in to Reply
    20. Mig Vascos

      Light flashes but this is only if my sugar is dropping fast and below 45.

      4 years ago Log in to Reply
    21. Mary Ann Sayers

      I usually don’t have symptoms, but I’ve noticed a feeling of “ease” or lessening of bg if that makes sense to anyone? when having a reaction. Only a T1D can possibly understand what I’m saying!

      1
      4 years ago Log in to Reply
    22. Karen Maffucci

      My symptoms change quite frequently. It’s not a consistent one symptom or another.

      4 years ago Log in to Reply
    23. Jneticdiabetic

      It varies on the nature of low & rate of drop. I put fatigue/weakness because I think this (or a “sinking feeling” as someone aptly described it yesterday), is the symptom I most commonly detect. Often don’t notice until this point. However, sometimes it’s rapid heart rate. Sometimes hunger and irritability. Sometimes all of the above, others none at all.

      4 years ago Log in to Reply
    24. n6jax@scinternet.net

      confusion

      4 years ago Log in to Reply
    25. AnitaS

      I feel uncomfortable. Not shaky, but uncomfortable. I want to get rid of the feeling a.s.a.p.

      4 years ago Log in to Reply
    26. Cheryl Seibert

      First, I get that strange numb/tingling/slight pressure feeling below my eyes.

      4 years ago Log in to Reply
    27. Jen Smith

      I checked numerous symptoms but they aren’t all present every time. I don’t know what causes them to be different although some are obviously (to me) a result of more severe lows. The very subtle symptoms I get early on in the drop in BG is a major blessing to still have after almost 50 years of T1D and it’s very difficult to describe. But if I have to categorize it, it’s a mix of very subtle shakiness deep in my upper body.

      4 years ago Log in to Reply

    What is the symptom you most often notice first when you're starting to experience hypoglycemia? (This is part 2 of a 3-day understanding hypoglycemia series – check back tomorrow for day 3!) Cancel reply

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