I am not a fan of the rule “must have fast acting sugar along with slow acting carbs” for a low reaction. In the past, before CGM days, I had called the paramedics a few times for bad lows when Vince went unconscious. They insisted he have slow acting carbs in addition to fast acting carbs. If we refused transport to the hospital, which we did because once his sugar was up he was fine of course, they require to see you consume the slow carbs before they leave. Also, I put this in quotes because everyone responds to diabetic care in a different way. I believe paramedics are trained in immediate diabetic care, not the long term care, which comes into play when over correcting. In Vince, most of the time this rule results in over correcting and a very high number hours later that he is chasing with a bolus to get back down. Normally, especially with his CGM tracking his numbers, if he is low, he will have a cup or two of soda or juice to bring up his low. This normally brings it up to a decent number and he is good to go. One of the only times he eats carbs with the sugar, such as a sandwich or crackers of some type, is if the low is near mealtime and he is going to be eating anyway, or if he is active, say at the beach and is sweating a lot.
Last night (early morning) his CGM starting beeping low. He tested and he was running about 50. I got him a cup and a half of sweetened iced tea, he gulped that down, and we went back to bed. I woke up for work and realized he was not in bed. He said he got up earlier and was still low so he had a “carb filled” snack/breakfast to boost him up. He knew this was more than he would need so he gave himself a small bolus for the food. When I left for work, he still had active insulin in his system and it had been a few hours since he ate. This made me nervous, coming off a low, so I reminded him I would call him in a few hours to be sure he was okay. When I checked in with him later in the morning, he was 165. Not bad for all the correcting and eating going on.
Just a reminder to us to pay close attention to details and always treat each situation as needed. A one-time fix such as, “always eat xxx food when your low” doesn’t work.