In the 15 years I have lived with type 2 diabetes, I have not had many meltdowns. I have suffered from diabetes burnout, denial, periods of anger, periods of negligence, and overwhelming moments courtesy of the endocrine rebellion I have been subjected to by my body. But I have not cried or thrown pity parties that often. Not the kind of pity parties where I bawl like a baby because I just don’t know what to do and no one understands me. Well, I had a fantastic meltdown last night when I was supposed to start my Lantus treatment. Why? Because I am afraid of hypoglycemia in the middle of the night and not knowing what to do.
Sure, I have dealt with a few lows here and there; my worst one being a 52 mg/dL that came with some disorientation and face numbness. Other than that, my lows are very rare and not that bad—most of them have been “false” lows when my body is trying to trick me. But a real bad low where I don’t know where I am or what to do? Nope, I don’t remember that, and I am terrified.
Now, we are talking about basal insulin, the one that has a long lasting action and a starting dose of 10 units. Insulin veterans must be laughing at me. But hey… I have never used the stuff before, and my body may get crazy, you never know. I have gotten mixed stories; people telling me they were OK, people telling me that they went really low, etc. I guess we are all different, but I think my fear comes mainly from the fact that I am supposed to do bed time Lantus, I am alone at night because my fiancé works 3rd shift, and I don’t think I can rely on my cats to help me that much.
After expressing my fear to a few people, one of them actually told me something that surprised me. She said I should learn everything I can about hypoglycemia and go from there. Now, wait a minute… I thought I already knew everything I can about hypoglycemia. Are you telling me I have to do the Hypoglycemia 101 course all over again? And if that is the case, does it also mean I have to relearn everything I think I know about diabetes? I guess I will have to go all Socrates… ipse se nihil scire id unum scia… I know that I know nothing.
But I will be brave tonight, and I will take my Lantus. I am prepared with an alarm clock to test in the middle of the night, a bottle of glucose tabs, and juice boxes. What I need now is to keep on being the same brave human being I have always been and grab this insulin fear by the horns. I am sure my pancreas will thank me.