Waking Up with Hypoglycemic Psychoses

This morning I woke up psychotic. The details are hazy; sorry.
What I can say for certain is that I checked my blood sugar and my meter read 35.
I got all of my gear and went over to my folks' (different apartment same building) went into my mother's room and said, "My blood sugar's not really 35". I then went and drank some water and sat at the dining room table until my mother handed me a cup of orange juice, which I drank; twenty minutes later I was up to 59.

The stuff I can't say for certain is the stuff that really bugs me. That is, the thoughts going through my head between when I woke up and when I went and got my mother. I absolutely did not realize that 35 was dangerously low; I had no sense of urgency. I was somewhat confused about what was going on; I believed, among other things, that my blood sugar was connected to the ocean basins and that if I put things in pairs, they'd cancel out. So like, if I said that something was, then it wasn't. I believed that telling my mother that my blood sugar wasn't 35 meant that it had never really been 35. How that works, I've forgotten. But anyways, I had a seriously messed up thought process this morning.

On a handfull of other occasions when I've woken up hypo (less than about 50 seems to do it) I've been anywhere from disoriented to psychotic. The worst time, I believed that a sweet roll was a circus tent with naked women inside and that my dropping a crumb was killing the acrobats.

I don't get crazy when I'm low during the day (in fact, I rarely have any symptoms other than occasional dizziness) and so far everytime I've woken up disoriented I've still ended up treating it appropriately. But it kinda worries me. Anybody else in the same boat?

Catch Up

I lost my transmitter. I am still looking for it. Thinking I might need to buy another one, I decided to check with my local MM rep about the ease of getting insurance to pay for it. He said my insurance is in negotiations with MM and the CGMS in its entirety might go on the formulary in the next few weeks. He said don't order supplies now if you want insurance coverage; wait two weeks and there's a good chance they'll be paid for. That's good to know. I'll order supplies anyways. I currenly have two nasty bumpy scars from CGMS wear. I think if I wear the sensors continuously for a few years, my arms will develop too much scar tissue to be good for sensors or injections anymore. At least, that's my fear.

I have an endo appt set up for Feb 25. I need all new prescriptions and am trying to decide on what needle lengths I want, and whether or not to switch to the Accu-Check Compact or stay with the Aviva.

One of my other docs has suggested that I have an adrenal problem that I should be tested for, and I am less than thrilled and not so sure I even want to get tested, which I know is cowardly of me.

My 24 hour microalbumin was nice and low, in the teens. The creatinine clearance I don't know but will discuss with endo on the 25th.

My testosterone dose has been lowered again because my levels were still well above the normal male range, although this time it was less dramatic (985 vs the previous 1330 with the top of normal being 875).

I switched the Lantus dose to bedtimes starting December 1. This resulted in awful blood sugars for about two weeks while I figured out what I was doing. I have since started keeping track of the Novolog I take per day, and then I adjust the Lantus dose based on how much Novolog I took that day and on what happened the previous night. I think my night time blood sugars have improved, but my evening numbers are a little worse. My Lantus dose is down to a daily average of 12 units, and the variation is also down. I've learned a bit about what my insulin sensitivity at various times of days really is- like I thought I had dawn phenomenon, but since I now drop at that time of day, I think it might have simply been the Lantus wearing off. Overall, I think it was a good move and that I will stick with it.

A local diabetic and I have been having phone conversations on the topic of our diabetes management once per week. I'm not really sure what to make of our conversations- her diabetes is so DIFFERENT from mine. We're both T1 and we both take a ton of shots per day but other than that it's just really different to listen about her numbers.