my daughter has cystic fibrosis diabetes - its almost like a cross between type 1 and type 2 in that depending on the rest of her health, the pancreas can or cannot release insulin (well it can produce it, along with digestive enzymes, but the tubes could be partially or wholly blocked which stops it getting where it should be)
as a result she wears a Libra monitor and with high carb meals she takes between 1-2 units of a novorapide pen.
She is also on digestive enzymes with food, which are mainly calculated around fat content, but also contain amylase, which helps digest carbs. but previously had been told that she didnt need to take them if she had sweets etc, but that was pre diabetes, so may be having some impact here
She has recently started hhaving hypos and struggled to get her sugars back up. The numbers are not as crucial as with straight diabetes - for example the CF nurses told her that a 3 isnt as much concern as if she were type 1 diabetes as its a different thing altogether
so some questions
does stress and anxiety have a big impact on blood sugars? She has left to do a course yesterday and had been exceedingly anxious about it - really panic attack type anxiety - she has PDA/ASD so does get very very anxious. she is on Sertraline but had forgotten to take them for a day or two, but did take them yesterday eventiually. She managed to get to the town where her course is going to be and has her boyfriend staying with me, she had been exhausted the night before and slept in, only eating a noodly soup around 2pm. at 5.30 she had to get off the train as was having the first hypo with blood sugars at 2.7. and found something to help raise it It then settled and they continued their journey and stopped for food around 8ish. they arrived at their hotel at 9.30 and ate at the hotel. but she hadnt needed any insulin she says. I dont know how much she ate.
then around midnight it dropped around 2.9 and despite having had 1.5 litres of lucozade over the next 2.5 hours it fluctuated between 2.9 and 4, going up and down. Around 2.30am I suggested she take some digestive enzymes and I dont know if that was what finally let it start going up. But she was never told that she needed to take creon with lucozade if her sugars were low. They returned to 4.9 before she went to sleep.
is this normal, for the figures to fluctuate like this, or for it to take hours to go back up. she has only had the diabetes for 2 years and the clinics have not been up and running since then