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    • 15 hours, 1 minute ago
      Kristi Warmecke likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Unlike most of the comments on this subject matter, I have needed glucagon several times per year. I am very active, and work hard around the house. I have a Tandem X2 pump with Control IQ and a Dexcom G7 sensor. However, from time to time, my blood sugars drop quickly, or I spend too much time between taking my meal insulin dose and eating my meal, where I need help. The glucagon has come in very handy. For me, it would be fool-hardy to be caught without it. Regarding cost, the price on glucagon has shot up, drastically, over the past year or two, even with health insurance. Luckily, I was able to find a generic, NOT pre-mixed glucagon. It is referred to as "Glucagon Emergency Kit For Low Blood Sugar 1MG." It's the old fashioned kind where you have to mix it yourself. But, at least I have something in case of an emergency.
    • 18 hours, 24 minutes ago
      eherban1 likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      I use InPen and it's great. Except they aren't keeping up with iOS so you now have to unlock your phone and open the app to check IOB instead of simply looking at the home screen. You can tell when app developers aren't users, otherwise they'd know how much of a pain this is when you check 50 times a day
    • 19 hours, 25 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Insurance won't cover and it was several hundred dollars.
    • 19 hours, 27 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 19 hours, 28 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 19 hours, 28 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I do because it Costc me over $300 to replace it. Too expensive.
    • 19 hours, 55 minutes ago
      John Barbuto likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Medicare has added FIASP for 2026! Besides the great news of being able to use this once again, it is one of the few fast acting insulins that works with the inPen. I am considering doing that in the new year
    • 19 hours, 55 minutes ago
      John Barbuto likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Been using fiasp for 2 years (in the UK) and it's significantly better than novorapid. Would highly recommend to everyone, especially if you find your insulin a bit slow to act.
    • 20 hours, 48 minutes ago
      Lozzy E likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Medicare has added FIASP for 2026! Besides the great news of being able to use this once again, it is one of the few fast acting insulins that works with the inPen. I am considering doing that in the new year
    • 1 day ago
      Ahh Life likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      The last Glucagon prescription that I purchased was 15 years ago. Now it's way too expensive because my insurance doesn't cover it. They just want us to either die or use ambulance service to use or send us to ER. Pretty stupid to me. I've had T1D for 52 years and never needed it really. Only 3 times during early morning hypos in 2015-16 I needed rescue to wake me.
    • 1 day, 5 hours ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      My experience over the past 65 years is that a sugary drink and patience will bring me out of a low satisfactorily. If I’m unconscious, as has happened four or five times over that period, the EMTs know what to do.
    • 1 day, 5 hours ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 1 day, 5 hours ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No I haven't a glucagon in yeans. Reason being:, every time I had a prescription, the glucaagon was never used and expired.
    • 1 day, 5 hours ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 1 day, 5 hours ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I do because it Costc me over $300 to replace it. Too expensive.
    • 1 day, 5 hours ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Insurance won't cover and it was several hundred dollars.
    • 1 day, 5 hours ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No,insurance won't cover it. T1D for 45+ years and haven't had a situation where I needed it - so far so good
    • 1 day, 7 hours ago
      Vicki Breckenridge likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 1 day, 14 hours ago
      Richard likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 1 day, 15 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      My experience over the past 65 years is that a sugary drink and patience will bring me out of a low satisfactorily. If I’m unconscious, as has happened four or five times over that period, the EMTs know what to do.
    • 1 day, 15 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Expiration dates are put on by the manufacturerbecause they have to, and almost never indicate the product won't work. I am confident if I need it , it will work.
    • 1 day, 16 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      With the latest monitoring technology I will probably never need it. I did need it a couple of times in the past, many years ago, and I do have expired Glucagon on hand. I do question whether expiration is real, since until it is mixed, what is there to expire?
    • 1 day, 18 hours ago
      ConnieT1D62 likes your comment at
      Have you been diagnosed with neuropathy? If so, please share your top management tips in the comments.
      My endocrinologist is very good about following the standards of care and looks at my feet every three months when I’m in as well as once a year he does a thorough test with a microfilament and a tuning fork regarding my feet. He says that there is mild neuropathy and at this point, it has not caused me any real problem no pain, numbness, tingling. I recently had a nerve conduction test on my hands because there was concern that there might be something going on with my spine and the neurologist did tell me I had some neuropathy in my hands along with carpal tunnel syndrome in both of them. This all was a surprise to me. I have had a complaint of periodic numbness in some fingers of both hands which he said at this point is mainly being caused by carpal tunnel syndrome. So I think a lot of people with diabetes may be unaware of some mild neuropathy unless their doctors are doing regular thorough testing. my cardiologist also suspects that the fact that my blood pressure tends to go all over the place, sometimes being high, and then crashing to extremely low levels is caused by autonomic neuropathy, and I suspect that some of my chronic gastrointestinal distress may also be caused by some neuropathy. diabetes for 64 years so not a surprise.
    • 1 day, 20 hours ago
      Bill Williams likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I have been a T1D for 57 years. I have not had Glucagon on hand in 25+ years. Normal carb/sugary items seem to be ok.
    • 1 day, 20 hours ago
      Lee Tincher likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      With the latest monitoring technology I will probably never need it. I did need it a couple of times in the past, many years ago, and I do have expired Glucagon on hand. I do question whether expiration is real, since until it is mixed, what is there to expire?
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    Do you have hypoglycemia unawareness?

    Home > LC Polls > Do you have hypoglycemia unawareness?
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    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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    29 Comments

    1. Ernie Richmann

      I have awareness for very low bg levels- 40-50 range.

      4 years ago Log in to Reply
    2. Steve Rumble

      My family members frequently detect my hypoglycemia before I do.

      3
      4 years ago Log in to Reply
    3. Rebecca Lambert

      I don’t feel low until very low (under 50) unless it is a rapid descent and the I feel the fast drop a little.

      2
      4 years ago Log in to Reply
    4. Beth F

      Sometimes – only when I’m lying down reading/sleeping. 58 seems to be magic number where I get restless, heart ‘thumpy’, and feel hot. I have it set at 60 at night to try to fix before the symptoms kick in. Doesn’t happen too often luckily.

      4 years ago Log in to Reply
    5. Daniel Bestvater

      My Dexcom G6 has saved me many times from more severe episodes of hypoglycemia.

      4 years ago Log in to Reply
    6. TEH

      As others have said, I don’t feel it until about 50. The sensation is never the same each time. CGM has been a tremendous help. I have a dropping alarm at 85. Most times (except while driving) I watch the trend at that time. Then at 70 take action and eat somthing.

      4 years ago Log in to Reply
    7. Annie Wall

      I used to have hypoglycemic unawareness but answered no because my cgm lets me know when I’m on my way down so I’m able to treat right away.

      4 years ago Log in to Reply
    8. Kim Murphy

      I am not aware it is low at any point. If I did not have the Dexcom I probably wouldn’t be alive. A few times my Dex com has not read correctly and my husband has to call paramedics. Before Dex Com I had paramedics at my house at least twice a month, because it would drop at night while I was asleep so my husband didn’t notice.

      1
      4 years ago Log in to Reply
      1. AnitaS

        I had a diabetic relative and her husband awoke many times each night and just touched his wife’s arm to check for clamminess. She didn’t have a CGM. I am sure both you and your husband are very thankful for your CGM

        4 years ago Log in to Reply
    9. Kathy Morison

      The only time I experienced hypoglycemia unawareness was while using Humalog insulin.

      1
      4 years ago Log in to Reply
      1. Wanacure

        So, Kathy, are you using beef pork insulin? Or?

        4 years ago Log in to Reply
    10. Jim Cobbe

      Like Rebecca, the speed of change definitely affects my awareness of what is happening; more likely to notice what is going on if the blood sugars are going down fast. On the other hand, the almost total unawareness I had about a decade ago has largely disappeared; but my wife still detects many episodes that don’t exist — but the false positives both she and the dog register are a small price to pay for their help in other ways (this is not a trained dog, but she clearly detects deep lows, but also sometimes gets my wife unnecessarily).

      1
      4 years ago Log in to Reply
    11. Janis Senungetuk

      Yes, over the last decade I lost awareness of lows and highs. Both my spouse and cat are often aware before the CGM extreme alarm sounds.

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

      My awareness symptoms have changed over the last 37 years so I was very glad when my doctor suggested DexCom. It was version 3 at that point. Each version has had improved features. It really gives me and my husband peace of mind, especially overnight. I have my low alarm set to 90 so that I have time to correct before it gets too low.

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

      I used to have hypoglycemia unawareness for many years. Over the past 10 years I seem to be becoming more aware. The only difference that I can think of is that I am retired, and seem to be more aware. When I was working, I was too busy to think about how I felt. Also, I still have unawareness when my blood sugars drop quickly.

      4 years ago Log in to Reply
    14. MarionBarker

      I used to have hypoglycaemic unawareness. Once I got a CGM and could prevent most lows, my awareness returned. It got even better once I started using a hybrid closed loop. (T1D for 42 years. )

      4
      4 years ago Log in to Reply
      1. AnitaS

        Same here. My awareness is much better with a CGM but I still have some unawareness.

        4 years ago Log in to Reply
    15. Kristine Warmecke

      I didn’t think I had hypoglycemia unawareness, until my endocrinologist suggested I test for a research study on hypoglycemia unawareness. I failed it miserably. Yep at 20, I was ready to go for a walk, no symptoms what so ever.

      1
      4 years ago Log in to Reply
    16. Bob Durstenfeld

      This is why I have LOVED having CGM alarms. Especially the predictive ones.

      2
      4 years ago Log in to Reply
    17. LizB

      Have not felt lows for a long time, 20+ years, (34 years with Type 1). This year I have really been paying attention to TIR and am more obsessive about checking my CGM. Several times this year I felt lows when I was in the 50s, but other times felt nothing when my numbers were even lower. I have not been able to figure out why.

      1
      4 years ago Log in to Reply
      1. AnitaS

        That has happened to me. I am not sure, but sometimes I think it has something to do with how fast the sugar level is declining.

        1
        4 years ago Log in to Reply
    18. Nicholas Argento

      I said yes sometimes, but actually the correct answer was not a choice- I had it severely, pre CGM use because I got low a lot at night, but it has resolved by avoiding or minimizing hypoglycemia since starting the Dexcom CGM in 8-2006.

      1
      4 years ago Log in to Reply
    19. Chrisanda

      I answered the question about me physically, not with my CGM. Obviously the G-6 lets me know when I’m going down. Physically, I don’t feel any symptoms until I’m in the mid 50s. Then I get a weird feeling and a bit of shakiness. I recognize it for what it is.

      4 years ago Log in to Reply
    20. Marsha Miller

      I did have this until the cgm. Now I have more awareness.

      1
      4 years ago Log in to Reply
    21. HMW

      I used to for several years before I got the Medtronic 670G closed loop system

      4 years ago Log in to Reply
    22. Maurine Bowser

      Depends upon which blood glucose level defines unawareness. Without the DexCom 6, I knew I was in trouble at 60 so I was aware I was low. But at 60 I think that meant I was unaware I was going below 70. G6 does tell me at 70 I am going down. So if the G6 alarms before I feel it, then yes I have hypoglycemic unawareness.

      4 years ago Log in to Reply
    23. AnitaS

      I am more aware now than I used to be before having a CGM. Before my CGM, there used to be times that I felt a little shaky and would test only to find out my sugar level was in the high 20’s or low 30’s. No wonder I was feeling a little bit off! Now my CGM notifies me when I am getting below 85 so I can usually correct that impending low blood sugar before it happens. I sometimes still get those low sugar symptoms but far less often and usually before the sugar level is way too low.

      4 years ago Log in to Reply
    24. Patricia Kilwein

      The majority of times I know I’m having trouble is when my cgm alarms me.

      4 years ago Log in to Reply
    25. PamK

      I was diagnosed with hypo unawareness @6 years ago. Since getting my blood sugars back into normal range, I find that I am recognizing I am low more often. I still get some surprise alarms though, so I guess I’m not completely back to normal.

      4 years ago Log in to Reply

    Do you have hypoglycemia unawareness? Cancel reply

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