Great topic. Reviewing the app, found the forum and this topic and had to sign up. I have this same problem and it revolves around nights or periods of high activity. The fear is less now than in years past but it still keeps my A1C messed up. Lows may be a part of the diabetic life but it only takes hitting a blood sugar of 40 one time to bring reality to the fear. I HAD a specialist that gave me the same line of "I just need to get over it." I don't expect them to go against good health practices but how about some compassion? How about - let's work through this together as part of your treatment?
After that low I found the fear for me was based on knowing the insulin was in me and I so I had to deal with it. Injections are based on a predictable level of activity. Last I checked my life isn't that predictable. Yard work, house work, fixing the car, volunteer activity, activities with my son in Boy Scouts.
Got on a pump 3yrs ago and getting used to setting a temp basal before activities and checking more often so that helps. If you have a pump, the temp basal is a FANTASTIC feature to help with this problem. When I get in a serious low like 60 or below I lower the basal for 30 minutes and eat one carb. Probably not a recommended procedure but for me it removes some fear knowing that I'm not battling against new insulin that is already in me and I can't fight it. My blood sugar doesn't bounce quite as bad since I don't over-compensate so much with food.
I can also set the rate lower for a period of planned activity. Still trying to get dialed in on the right level per activity but I went backpacking 3 weeks ago and had one high of 235 and one low of 60 and I know what caused both. Personally I would not have done that same activity on injections.
Sorry for writing a book here but I guess I was ready to share something.
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