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    • 18 hours, 40 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.
    • 18 hours, 40 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.
    • 18 hours, 42 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.
    • 22 hours, 39 minutes 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.
    • 22 hours, 40 minutes 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, 7 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, 18 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, 20 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, 20 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, 20 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, 20 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!
    • 1 day, 21 hours 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...
    • 1 day, 21 hours 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.
    • 1 day, 21 hours 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.
    • 1 day, 21 hours 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.
    • 1 day, 21 hours 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?
    • 1 day, 21 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once when 1st diagnosed
    • 1 day, 21 hours 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.
    • 1 day, 21 hours 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.
    • 1 day, 21 hours 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
    • 1 day, 21 hours 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, 11 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, 17 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, 17 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, 17 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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    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)

    Home > LC Polls > 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)
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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!)

    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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    42 Comments

    1. HMW

      One of my other symptoms that is not listed is anxious thoughts and paranoia.

      4 years ago Log in to Reply
    2. Marina Kurkov

      Uncomfortable feeling in the gut…I know what’s coming and must react before it gets worse.

      1
      4 years ago Log in to Reply
    3. Jeanne McMillan-Olson

      I have a gut feeling and know it is hypoglycemia and usually being irritable goes with it.

      1
      4 years ago Log in to Reply
    4. Henry Renn

      65.5 yrs T1. Reviewing this list I realize that I experience more than one of the list as 1st sign. Primarily had shakiness/weakness as a child but primary sx multiplied as adult.

      4 years ago Log in to Reply
    5. Mick Martin

      Although I selected “I do not experience any symptoms of hypoglycemia”, as I have done over the last few days of this farce, that is not strictly true. I SOMETIMES feel when I’m about to collapse.

      4 years ago Log in to Reply
    6. Kathy Hanavan

      The feeling is hard to describe and I am not sure in our language we have an exact word, but it feels like something bad is impending and I am on alert along with some other vague symptoms to start.

      2
      4 years ago Log in to Reply
      1. Judy Hampton

        That is the way I feel. It is quite scary and I immediately treat the problem.

        2
        4 years ago Log in to Reply
      2. Ahh Life

        Our language may not, but staring at Picasso’s Guernica for 20-30 minutes certainly does! 😱

        2
        4 years ago Log in to Reply
    7. AnitaS

      I put “other”. I just feel uncomfortable. Not shaky, but just “uncomfortable”

      1
      4 years ago Log in to Reply
    8. Jane Cerullo

      Thankfully I have hypoglycemia awareness. I know if going low. Also have CGM and check my numbers a lot. Very few episodes of hypo or hyper. If I do I correct immediately

      1
      4 years ago Log in to Reply
    9. M Fedor

      I didn’t think of this before reading the other comments, but dread and anxiety are definitely part of the experience for me.

      3
      4 years ago Log in to Reply
    10. Gina Lucero

      Shortness of breath

      4 years ago Log in to Reply
    11. Trish Seidle

      I don’t always notice any symptoms until my B’s is extremely low. However, recently I have been noticing a new symptom. If I have an upset stomach, usually it means that my bs is dropping.

      4 years ago Log in to Reply
    12. Brett Jorgensen

      Tingling lips is one of my prominent signs

      1
      4 years ago Log in to Reply
      1. Miriam Gordon

        I used to have that decades ago. No more. Never saw that listed anywhere so thanks for the confirmation.

        4 years ago Log in to Reply
    13. Hieromonk Alexis

      I lost all of the usual physical symptoms years ago, other than an inability to stand up. There’s always confusion, an inability to figure things out, but I don’t recognize it as a symptom at the time.

      4 years ago Log in to Reply
    14. Patricia Kilwein

      After having a low and dealing with it, I am exhausted and need to sleep.

      3
      4 years ago Log in to Reply
    15. Lloyd Lowe

      I answered that I feel all of those symptoms plus others. However, because I am usually hypoglycemicly unaware, I know these only because others tell me so.

      4 years ago Log in to Reply
    16. M C

      As I, and others, responded to the last related question, there is an ‘odd’ feeling within, when the BG is getting lower, that is hard to describe otherwise. When the BG is below 50 (3 mmol/L), often my tongue and lips become numb. Overheating is one that pops up about 3 out of 5 times – so, not consistently. None of my ‘symptoms’ happen each and every time, thus the need to check the BG when any show up…. And sometimes they are for the opposite problem – a high BG. I used to only feel nauseated when my BG was high…. now it occurs when my BG is extremely low, making it next to impossible to chew and swallow glucose tabs (I have to fight not to throw up with those)…. I need to ensure I have either juice, soda, or fast dissolving candy at hand, as they seem more easily acceptable when feeling this way. Also, when my BG is below 30, my sight can seem to go to black out. I haven’t passed out, but my eyes aren’t seeing – it’s as if my eyes are closed, which they aren’t. [Perhaps it is because I have been dealing with these issues for almost 45 years that the body just throws any reaction my way these days to try and gain my attention!]

      4 years ago Log in to Reply
    17. CandyM

      I think my first indication and most common symptom of a low is a sinking feeling in my whole body. Almost as though I can feel the glucose draining out of my muscles and then I get clumsy. If it is very low I also notice that any light seems extremely bright (almost like snow-blindness) and therefore I can’t see things clearly. I am often hot or sweaty when it is low, but after I recover from a low that reached the 40s, I have a bone deep cold that makes me shake and shiver for some moments after BG is back in normal ranges.

      2
      4 years ago Log in to Reply
      1. Patricia Dalrymple

        Ohhh. I forgot about the blindness, because that happens to me only if I am in the 30-range which luckily is a rare occurrence.

        1
        4 years ago Log in to Reply
      2. ConnieT1D62

        Candy M – Pretty good description of what I experience too.

        1
        4 years ago Log in to Reply
      3. persevereT1D52

        CandyM It’s unusual that I have the same symptoms as someone else because they seem to be different that others. The extreme bright light is a circle in the center of my vision, and I had trouble describing the overall feeling but you did it perfectly “sinking” clumsy, weak and the cold comes as I recover.

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

      I’ve experience many of those listed and those written about by others here. One odd thing that happens to me sometimes is my vision becomes very narrow, like I lose peripheral vision. Also, I get a large black spot in the middle of my vision, as though there is a hole in the middle of my retina.

      4 years ago Log in to Reply
    19. Amy Jo

      Nausea is an interesting one – I did not include it in my answer because I don’t have it frequently, but I do usually experience nausea if I’m low while riding in a car.

      4 years ago Log in to Reply
    20. John Williamson

      With CGM I am able to deal with a low before I get shaking sweating and confusion that used to be common symptoms.

      4
      4 years ago Log in to Reply
    21. cynthia jaworski

      Along with shakiness, etc, I find I cannot process numbers. This happened to me in the middle of my GRE exam — I realized I had been on the same math question for 15 minutes. Language is slower to go, but I lose my articulateness in speech. And I am likely to burst into tears if I try to communicate.

      4
      4 years ago Log in to Reply
      1. Jneticdiabetic

        I’ve experienced all listed at some point, except nausea. However must I no longer sense. I marked the ones I most frequently experience now, but it’s not consistent. Headache is usually a post hypo symptom for me that can last a while afterwards.

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

        I’ve been unaware of any symptoms, lows or highs, for more than a decade. Cynthia Jaworski mentioned the inability to process numbers, experiencing a low in the middle of taking a GRE. I also had a low while taking that exam, a very frightening experience.

        2
        4 years ago Log in to Reply
    22. TEH

      As John W states, I can usually catch my BG dropping with CGM. I can avoid most symptoms other than Hunger. I had large hunger pangs and became “hangry” when I was a kid and pre-T1D

      4 years ago Log in to Reply
    23. Becky Hertz

      Once again, I have hypoglycemic unawareness so I don’t frequently experience any symptoms of hypoglycemia.

      4 years ago Log in to Reply
    24. Edward Geary

      When I feel anything, largely a symptomatic until BS drops below 70. Consequently, CGM is set to alarm at 85. When I do go low, the recovery time and rebound takes up to several hours.

      4 years ago Log in to Reply
      1. Shelly Smith

        I don’t understand the reason for delayed recovery, but I have found one of the foods that brings me up the fastest of all is plain ol’ grapes. That fruit seems to accomplish recovery for me even faster than glucose tabs. Best wishes and happy holidays to you!

        4 years ago Log in to Reply
    25. Karen Maffucci

      Sometimes after a very low event my mouth and lips feel numb and tingle. But that’s after I’ve treated the hypoglycemia

      4 years ago Log in to Reply
    26. Kim Murphy

      I usually do not know when my sugar is low until it gets to 20 and by then I usually an having convulsions. I am so thankful to have the dex com although occasionally it malfunctions and I don’t get an alert until it is too late and I need help from someone or the paramedics.

      4 years ago Log in to Reply
    27. Molly Jones

      My first feeling is hunger. If my blood sugar continues to drop, my head feels somehow cut off from the rest of my body, like I’m suffocating but different than dizzy. If it continues, some of the other symptoms come on besides irritation, nausea, fast heartbeat or sweating.

      4 years ago Log in to Reply
    28. Jillmarie61

      I don’t usually experience any before symptoms of a hypo, except maybe I’m extremely cold depending on how low I am. (I was diagnosed with autonomic neuropathy and have a hard time regulating my body temperature.) But as my bg rises I start sweating immensely. I haven’t really had many symptoms in years. But I also do tend to be extremely hungry when treating it and can easily overeat. Afterwards I usually jump into a very hot shower to bring up my body temperature back up.

      1
      4 years ago Log in to Reply
      1. ConnieT1D62

        I do that hot shower thing too to deal with the shivers from sweating and cold chills after a hypo episode.

        4 years ago Log in to Reply
    29. ConnieT1D62

      Several of the above in addition to that “sinking” feeling that others have mentioned.

      4 years ago Log in to Reply
    30. Cheryl Seibert

      I have nearly all the symptoms listed, except headache and nausea. Symptoms not listed that I experience are, 1) an ‘odd’ feeling just below/around my eyes… kind of a tingling, but more of a slight pressure. I normally talk very fast (type A personality), but during hypoglycemia, my speech speed doubles and my thoughts go very, very fast. I solve more complex problems when my BG is 50-70. I go into Energizer Bunny mode. Once below 50, then frustration, aggravation and confusion set in.

      4 years ago Log in to Reply
    31. persevereT1D52

      After 52 years it is interesting how the feelings change. I used to always get a cold nose first lol. During the pandemic I have had worsening depression and anxiety. And strangely, as my BS drops I have developed scary anxiety and dread and am flooded with very intense fear. It’s a huge relief when BS comes up and they calm down.

      4 years ago Log in to Reply
    32. Wanacure

      When I was on beef/pork insulin injections, the symptoms were more pronounced. Today on GMO insulin’s like lispro and glargine, symptoms are not so obvious. If bg test confirms going low, I take 3 sugar cubes (12 grams sugar). Wait 15’ and test again. If exercising, be prepared to lower insulin doses before and after. I used to eat one half.cinnamon bagel (1.5 oz) before jogging 3 miles or swimming laps for 40’. Then I’d eat the remaining 1.5 oz immediately after. Plus reduced insulin. Worked pretty well. You might try Luna Bars or similar bars. Convenient, don’t need refrigeration. Look for a bar with protein, with fat, and complex carbs with fiber. A bar with over 230 calories is too much for me.

      4 years ago Log in to Reply

    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) Cancel reply

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