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A DiabetesTeam Member asked a question 💭
Quebec, QC

I had a severe hypo last night right before I was going to bed, I felt awful and checked my Libre and had an arrow straight down as in fast drop, so did blood stick I was at 5.5 (99), then 8 min later I was down to 4.3 (77) blood stick, so I had to use a sugar tab, 5 min after sugar tab I was down to 4.0 (72) and once it came up 15 min later I took social tea cookies (I am not home, so do not have much to help me). When I did go to bed I was at 5.8 (104) There is no fridge or stove here. This… read more

December 27, 2022
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Answer Summary

Members explored whether cold exposure could trigger hypoglycemia, with one member finding a 1969 study suggesting a possible link between... Read more

Members explored whether cold exposure could trigger hypoglycemia, with one member finding a 1969 study suggesting a possible link between hypothermia and low blood sugar, though it couldn't determine which caused which. Several members shared that cold sensitivity in hands and feet is common among diabetics due to reduced circulation from blood vessel damage, affecting about half of all people with diabetes over time. The original poster, who has Raynaud's syndrome and multiple autoimmune conditions, received practical cold-weather survival tips and validation that extreme cold can stress the body, with one member sharing research showing that temperature changes affect blood sugar differently depending on diabetes type.

A DiabetesTeam Member

Hi @A DiabetesTeam Member,
Just something I learned camping in the winter in subfreezing temperatures (specifically 9f / -13c or lower).

2 subzero sleeping bags, one inside the other will keep you toasty, but only if you follow these additional steps.

Take off all your clothes and go to bed nude or with all clean and dry clothes, including socks. Put an additional throw blanket at feet. And most important, put a vapor barrier like a shower curtain or thick plastic table cloth under the sleeping bag. Wear a watch cap if your head is out.

Snuggling with a steady in that sleeping bag combo, doesn't hurt and can be fun, but watch out for getting sweaty. Any dampness can lead to feeling miserably cold.

Oh yeah, my steady is my Bride. At home she normally calls me her heater, as she puts her icy cold feet and hands against my back or other areas sensitive to the cold. It can dampen the mood, temporarily. But I show her and don't even flinch, and tell her bring it on.

As newlyweds, our oldest is only almost 49. We enjoy honeymoons many times a year. Since I retired, almost 6 months ago, we try to spend most weekends in bed. We were at over 500 honeymoons then of at least 3-5 Days. Now over 520. Every day is an adventure.

Keep warm. Baby steps.
Never give up, never surrender, never ever.
You got this.
Have a wonderful day.

December 27, 2022
A DiabetesTeam Member

@A DiabetesTeam Member yes, I thought of mentioning that afterwards

The article I cited didn't even guess if it was the cold that caused the hypo or the hypo that caused the cold simply noted that both were noted in half the cases.

I took an extensive look (tried to search a few different ways) and just doesn't look like anyone has studied the phenomena or haven't thought to study the question about cold being related to hypo's.

There is a ton of studies where they artificially induced a hypo (insulin injection) and then subjected the person to cold but it was to look at how the Thyroid reacted (didn't read enough to see what they were looking for), but in all those studies both the hypo and the cold were "introduced" so totally not pertinent to what Johanne was talking about.

December 27, 2022 (edited)
A DiabetesTeam Member

A study in november 2014, available in National Library of Medicine published in Journal Medicine
(Baltimore) had some interesting results.,
Haemoglobin levels decrease in summer or warm season and increase in winter or cold season.
For people with T1-HbA1c high winter low summer,more severe hypos in summer than winter
For people without diabetes-more severe hypos in summer than winter
For people with T2-severe hypo and HbA1c levels did not differ significantly with temperature changes
Both sepsis and bg control can strongly affect the occurrence of severe hypos.

September 1, 2023
A DiabetesTeam Member

@A DiabetesTeam Member the cold sensitivity in extremities is common in the majority of diabetics

The small blood vessels in the extremities are some of the first to be damaged by excess blood sugar (and you can be decently still controlled and still effected) resulting in less then ideal circulation which leaves hands/feet feeling "cold"

Statistically 1 in 2 (50%) of all diabetics will experience some degree of reduced circulation in the extremities during the course of the disease.

December 27, 2022
A DiabetesTeam Member

@A DiabetesTeam Member I had never heard of a link so let my fingers walk through the study database

Found a really old article (observational) from 1969 where they did full blood panels/intake on 15 patients admitted (to whatever hospital) with Hypoglycemia and found that 8 of them had a body temperature at or below 96 F (35.6 C) which is (medically) considered to be mild hypothermia.

So at least based on this very limited bit of information it looks like hypothermia and hypoglycemia "might be" related.

(unfortunately this article was so old that only the abstract was still on file so can't provide any of the discussion and it was the only item in the database that specifically mentioned the two keywords "hypo and hypo")

December 27, 2022

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