What do you do to be extra careful when your seizure threshold is low?

I don't have photosensitive seizures... so I do not have to avoid flashing lights. However there are a few things that I do consider

1) Make sure I get enough sleep. Sleep affects different people in different ways. If I get very little sleep, I am more likely to have a seizure... but not guaranteed to have one. One of my old college roommates had epilepsy and he told me he was guaranteed to have one if he got less than 5 hours of sleep every night.

2) Don't suddenly shift your body's schedule. If you typically go to bed at midnight and wake up at 7am, don't suddenly shift it to a schedule that forces you to go to bed at 8am and wake up at 4pm.

3) Don't introduce foreign chemicals that you are not used to having. I am not only talking about illegal drugs. For example, if you are not used to caffeine and you suddenly introduce a large amount of it, the sudden change may contribute to the likelihood of having a seizure if you are already at risk. That happened to me in the past. I have also been told that sudden changes in glucose levels in your blood (aka blood sugar) can affect your seizure threshold... so diabetics with epilepsy must be careful.

4) If you can avoid stress, do so. High stress levels are known to contribute to seizures.

5) Don't change your medication schedule. Get in a habit of taking it at the same time(s) every day. Changing the times can affect things.

Other things to consider:

If you know you are likely to have a seizure, please do not drive. You put yourself and others at risk.

If you workout regularly and know you are likely to have a seizure, be careful and choose your activities wisely (or skip the workout). If you lose even some of your situational awareness or body control when lifting weights or swimming, you could really hurt yourself.

If your seizures significantly affect your judgement or situational awareness and you know you are very likely to have one, you may want to find some way for a person to keep an eye on you. Just make sure they understand how the seizure may affect you. After having a seizure, my judgement is impaired, but I don't realize how much it is impaired. (It is similar to how a really drunk person may think they are not impaired at all). I have done a few stupid things when in that state of mind without anyone to stop me.