How to Stop Overeating When Treating a Low (Hypo-Bingeing)

Andi is a Glucology brand partner.

"One of the biggest things that holds my clients back from their health and weight goals is the extra food they eat to manage low blood sugars," says T1D nutritionist Andi Balog. When you're low, your body is screaming for food, and it's easy to eat far more than you need. That can lead to a rebound high and a lot of extra calories.

The good news is it doesn't have to be that way. Working with your care team to fine-tune your plan can make lows less frequent, and a little preparation makes them easier to treat without overdoing it.

Andi's tips for reducing hypo-bingeing

• Pre-portion your hypo treatment so you know exactly how much you're having.
• Keep snacks separate from hypo treatments so you're not tempted to keep grazing.
• Keep hypo treatment everywhere: in the car, your bag and your desk, so you can treat quickly.
• Treat with fast-acting carbs, not a full meal. Fat and protein slow down how quickly glucose gets into your blood.
• Stop, rest and wait 15 minutes for the glucose to kick in before having more.
• If you use a pump, ask your care team whether a temporary basal reduction or suspension is right for you during lows.

What is hypoglycemia?

Hypoglycemia means low blood glucose, usually below 70 mg/dL.

Common causes

• Taking too much insulin or certain diabetes medications, such as sulfonylureas
• Skipping meals or eating less than usual without adjusting medication
• More physical activity than usual
• Drinking alcohol, especially without food

Symptoms

Shakiness, sweating, a fast heartbeat, hunger, irritability, confusion, dizziness, headache, blurred vision and weakness. Severe lows can cause seizures or loss of consciousness and need emergency help. Call 911.

Treatment: the 15-15 rule

Have 15 g of fast-acting carbohydrate, such as glucose tablets or gel, 4 oz of juice or regular soda, or a tablespoon of sugar or honey. Wait 15 minutes, recheck and repeat if you're still below 70 mg/dL. Once you're back in range, have a snack or meal if your next one is more than an hour away.

Prevention

Regular monitoring, consistent meals and planning around activity all help. Always carry fast-acting carbs and make sure family and friends know how to help. If you're having frequent or severe lows, talk with your healthcare provider about adjusting your plan.

Follow Andi on Instagram for more tips.

Glucology is an Australian-owned brand, founded in Sydney in 2016. Trusted by 350,000+ customers worldwide, we design practical everyday accessories for people managing diabetes, including insulin cooling pouches, insulin pump belts and diabetes travel cases.

General information, not medical advice. Always talk to your diabetes care team about your care.