Managing diabetes can be challenging, especially when you're alone and away from immediate help. Hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar) are two of the most common issues that people with diabetes face, and both require prompt action to prevent complications.

In this guide, we explore practical steps for planning and preparing for these highs and lows so that you can confidently manage your diabetes; even when you're exercising or living an active lifestyle by yourself.

Understanding Hypoglycemia and Hyperglycemia

 

What Is Hypoglycemia?

Hypoglycemia occurs when your blood sugar levels drop below the normal range, typically under 70 mg/dL (3.9 mmol/L). It’s essential to act quickly to prevent symptoms from worsening, especially when you're alone.

Common Symptoms of Hypoglycemia:

• Shakiness or trembling
• Sweating or chills
• Dizziness or light-headedness
• Confusion or difficulty concentrating

 

What Is Hyperglycemia?

Hyperglycemia happens when your blood sugar levels are too high, usually above 180 mg/dL (10 mmol/L) after eating. Left unchecked, it can lead to severe complications over time. The definition of “high” is different for each person; some of us have our high range set at 8mmol/L, some at 14mmol/L. 

Common Symptoms of Hyperglycemia:

• Frequent urination
• Increased thirst
• Fatigue or tiredness
• Blurred vision

Understanding these symptoms is the first step to managing these conditions effectively when you’re alone.

 

 For a more detailed look at the symptoms, causes, and effects of hypoglycemia and hyperglycemia, check out our guide: Understanding Hypoglycemia and Hyperglycemia in Type 1 Diabetes.

Preparing for Hypoglycemia When Alone

Planning Ahead: Essential Supplies

Preparation is your best defence against hypoglycemia when you're by yourself. Here’s a list of must-have items to keep within reach:

1. Fast-acting carbohydrates: Glucose tablets, juice boxes, or sugary snacks to quickly raise blood sugar levels.
2. Continuous Glucose Monitor (CGM): To track your blood sugar in real-time and alert you to drops before they become severe.
3. Medical ID bracelet: Clearly states your condition and provides critical information to first responders.
4. Fully charged mobile phone: Always keep your phone on you to call for help if needed.
5. Emergency contact information: Easily accessible contacts in case of a severe hypoglycemic episode.

 

Step-by-Step Emergency Plan for Hypoglycemia

When alone, it's crucial to have a clear action plan to handle low blood sugar effectively:

1. Recognize the Symptoms Early: Pay attention to signs like shaking, sweating, or confusion. Listen to your body when it gives you warnings.
2. Consume Fast-Acting Carbs: Eat or drink enough quick-acting carbs, like glucose tablets or juice, to bring your blood glucose levels back up enough.
3. Recheck Your Blood Sugar: Wait 15 minutes and then test your blood sugar again.
4. Repeat if Necessary: If your levels are still low, consume another dose of quick-acting carbs and retest. Some of us respond quickly, some of us don’t. Sometimes, we have those stubborn lows that require 3 or 4 hypo treatments just to get out of - you won’t know until you’re out of it. 
5. Notify a Friend or Family Member: If possible, let someone know that you're experiencing low blood sugar.

 

Preparing for Hyperglycemia When Alone

Hyperglycemia Prevention Strategies

Preventing hyperglycemia is just as important, especially when you're alone and don’t have immediate support. Here’s how to stay ahead:

1. Monitor Regularly: Use a CGM to keep an eye on your blood sugar trends throughout the day.
2. Stay Hydrated: Drinking water helps your body flush out excess glucose.
3. Follow Your Insulin Routine: Take your insulin as prescribed by your healthcare provider.
4. Plan Balanced Meals: Include protein, fiber, and healthy fats to stabilize blood sugar levels.

Managing Hyperglycemia: Action Plan When You're Alone

If you experience high blood sugar while alone, follow these steps to bring it down safely:

1. Check Your Blood Sugar: Confirm your levels with a glucometer or CGM.
2. Administer Insulin: If advised by your doctor, take a correction dose of insulin.
3. Drink Water: Hydration can help lower blood sugar by aiding in glucose excretion.
4. Avoid Exercise: Wait until your levels return to normal before engaging in physical activity, as exercise can sometimes increase blood sugar when you're already high.
5. Monitor Closely: Keep checking your levels to ensure they're moving back into a safe range.

Using Technology to Stay Safe

Leveraging Continuous Glucose Monitors (CGMs)

CGMs, like Dexcom G7, are a lifesaver when managing diabetes on your own. They provide continuous data about your blood sugar levels, alerting you to changes before they become dangerous.

 

Benefits of CGMs for Managing Blood Sugar:

• Real-time Alerts: Get instant notifications if your levels are too high or too low.
• Trend Analysis: See how your blood sugar levels fluctuate throughout the day.
• Remote Monitoring: Some devices allow your data to be shared with loved ones or healthcare providers.

Using a CGM can significantly reduce the risk of unexpected highs and lows when you're alone, giving you peace of mind.

Smartphone Apps for Diabetes Management

Apps designed for diabetes care can help you track your blood sugar, meals, exercise, and medications in one place. Some recommended features to look for include:

• Carb Counting Tools: To help manage meal planning.
• Medication Reminders: Never miss a dose of your insulin or other medications.
• Emergency Contact Features: Quickly notify loved ones if you’re in distress.
  

Technology plays a vital role in managing T1D, especially when you’re living alone. Learn how tools like CGMs, insulin pumps, and smartphone apps can promote independence: How Technology Can Promote Independence in T1D

Building a Support System for When You’re Alone

 

 

Involving Caregivers and Friends

Even though you might be alone physically, you don’t have to handle everything by yourself. Building a support system can help:

• Educate Family Members: Teach them about your hypoglycemia and hyperglycemia action plans.
• Share Your Location: Use your phone’s location-sharing feature during workouts or when you’re away.
• Set Check-in Times: Schedule regular check-ins with friends or family if you’ll be alone for an extended period.

Connecting with the Diabetes Community

Engaging with the diabetes community can provide valuable tips, support, and encouragement. Consider joining local support groups or online forums where you can share your experiences and learn from others who manage their diabetes independently.

Building a strong support system is one of the most effective ways to feel secure while managing diabetes alone. For tips on creating a safety net, read our blog: Guide to Building a Support System While Living Alone with T1D.

Final Thoughts: Stay Prepared, Stay Safe

Planning ahead is the best strategy for managing hypoglycemia and hyperglycemia when you’re alone. By understanding the signs, having an emergency plan, and using technology to your advantage, you can confidently handle your diabetes care wherever you are.

How Type One Style Patches Help Keep you Safe

To ensure your tech stays securely in place while you’re managing your blood sugar alone, consider using Type One Style patches. Our patches offer durable protection to keep your tech in place during any activity, providing you with the data you need to make real-time decisions about your health

Why Type One Style CGM Patches Are a Great Choice:

• Long-lasting Hold: Keeps your CGM firmly attached through exercise or daily routines.
• Protect your infusion site from coming off if the cannula is snagged on a machine
• Stop your CGM from slipping off with sweat
• Keep your tech stuck down all week despite the extra post-gym showers
• Skin-Friendly Design: Hypoallergenic and comfortable to prevent irritation. When our tech itches, we take it off - then we lose the benefits of CGM and take on extra risk.
• Personalized Style: Choose from over 350+ designs to make your diabetes care more positive and engaging. We all deserve positivity.

With Type One Style CGM patches, you can focus on staying active and independent, knowing that your device is secure and providing you with the information you need to manage your diabetes safely.