Use them automatically and allow time for your glucose to correct before eating more.Keep glucose tabs or other quick carbs handy at your bedside, in your pocket or purse, at your desk, in the glove compartment, and where you exercise.Memorize how many grams you need for rapid treatment.Wear a CGM and act on the first alert with an immediate intake of quick carbs to eliminate unwanted spiking. If your glucose frequently goes high after lows, overtreatment is quite likely. These panic attacks arise from the release of stress hormones during lows. A panic overdose of orange juice with sugar, a box of chocolates, and the entire contents of your refrigerator makes your goal of stable blood sugars hard to achieve. For serious hypoglycemia, choose the fastest high glycemic food available for a quick rise in glucose and to get back on your feet quickly. Fruit juices, like orange juice, contain a bit less glucose, take longer to raise the glucose, and are often over-consumed. Table sugar is made of one glucose molecule and one fructose molecule and has only half as much glucose as glucose tabs. Glucose and dextrose reach the blood as 100 percent glucose, making them ideal choices for hypoglycemia. Dextrose, a double glucose molecule found in Dex4, Glucolift, BD Glucose tablets, and in candies like Sweet Tarts and Smarties rapidly resupplies glucose.
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Plus you’ll quickly feel better and your brain, muscles, and cells will thank you for resupplying the fuel that shortens their misery.ġ4 Smarties® (3/4″ diameter roll) Quick Carbs Quick treatment reduces stress hormone release and the chances of your glucose rising sharply afterward. If you took a meal bolus but never ate the meal (IOB x CarbF should cover this).If you forget and take 2 boluses/injections for a meal, or.More grams of carbs than these will likely be needed: *** Remember that IOB calculations CANNOT be accurate unless your Active Insulin Time (AIT) or Duration of Insulin Action (DIA) time is set to at least 4.5 hours or LONGER! It might feel wrong to bolus when low, but any excess carbs you eat will send your glucose up before a bolus begins to work. If you overeat in a weak moment, calculate the grams of excess carbs you consumed once your brain is working again.Wait 15 minutes and recheck with a glucose meter, or look at your CGM screen after 20 minutes because its reading lags a bit behind.If any extra activity has occurred, a few more carbs may be needed.If any IOB exists, eat 10 more grams for every unit of IOB to cover this residual insulin activity, OR add grams = IOB (units) x CarbF (grams/unit).(A small child should eat at least 6 grams.) See Textbox 1 for Quick Carbs. First, eat one gram of quick carb for every 10 pounds of body weight, such as 15 grams for someone who weighs 150 lbs.Speedy treatment reduces the release of stress hormones and minimizes rebound highs. Fix every low immediately at the first CGM alert before it turns really bad.
Smarties or Sweet Tarts, made of glucose or actually dextrose that is two glucose molecules hooked together, are optimal and less expensive options. Not only do they work fastest, but they’re not as tempting to overeat, and it’s easy to track the carbs by the number of tablets you eat.
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