hypos without warning signs?

[fallongerie]

i keep having hypos without any warning signs. on the off chance i have tested my bm and it been 2-3. i have reduced my insulin but still have them. why arnt there any warning signs like the usual ones i used to get like for example light headed. heart racing, etc

[vicki9168]

I had this problem about 9 years ago and didn't understand why I no longer had the warning signs. Most of the time this occured during my sleep (not always) so was unable to help myself, I often woke up with an ambulance person nearby and very worried family. I was afraid that I would never feel a hypo again, which I have to say was quite scary. However, with the help of an endocrinologist, in my case a change of insulin type was required, this problem has gone and while I hate the hypo feeling am glad that I can feel it happening. I would suggest visiting your doctor to see what they would like to do about it.

[Zoelula]

This is called "hypo unawareness". When you have frequent lows you begin to lose the ability to detect symptoms. This awareness will come back when you are able to reduce your frequency of hypos. 2-3 (36-54) is quite low and this can be dangerous if you are unaware. You say "on the off chance I've tested". If you are using insulin you need to be testing on a regular basis so you can dose properly. Are you using an insulin:carb ratio to determine your mealtime dose? This is the correct way to dose. Also you might need to adjust your basal dose. I would recommend reading the book, Using Insulin by John Walsh and making an appointment with your endo to discuss changes in your insulin dosing to reduce the number of lows you are experiencing. Meanwhile, test more often and keep glucose tabs available at all times.