Some Type 1's still produce a bit of insulin themselves so even in the absence of an injection, if their blood sugar levels are already a little low, and if it's during a period of fasting (not eating for 3 or more hours), and if the Liver, which is our back-up source for sugar, is not dispensing enough to "keep things running" a Type 1 can experience a Hypo

If this regularly occurs then the Doc should order another C-Peptide or Fasting Insulin test to determine if your child is one that still "produces a little insulin" and treatment adjustments can be made from there

A normal pancreas releases about 0.8 units of insulin an hour when we are not eating - if production is severely diminished but not totally absent your child's own pancreas may still be releasing some number of units of insulin regularly or even intermittently

Hypo's can be deadly for Type 1's. In fact insulin overdose is one of the leading causes of death in T1's so it should be "immediately" addressed with the Doctor

Hi @Conner,
Even type 2s like me in clinical remission, A1C 5.4, with no diabetes medications experience hypos. In Portugal where everything is hills and mountains, there are lots of vertical climbs.

At present I spend much of my time in a wheelchair, because of a left leg injury I was blessed with in Iceland a couple of weeks back. My Bride does not have the strength to push me up hills.

So I have been doing the hard work with my legs and arms. I depleted my body of energy the other day, and had a severe hypo. I realized what was happening and took immediate action.

The increased exercise depleted my system of glucose.to the point that my number was around 3(54), but I didn't test till after treatment. By then my number was rising and headed back to the normal range.

So I suspect that with normal body processes you had used up the energy you had available and your number dropped to the hypo level.

Yes normally you have hypos when you overmedicate with insulin. But running out of fuel can do the same thing. Without insulin you can't process glucose into fuel.

So it is a balance.

Good luck.