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[IPk] Re: night-time high BG's
I would second the advice Di has given you - very sound. I have problems
with high and low BG's during the night. If you are going to change your
basal rate, it is wise to only adjust by a small amount at a
time(remembering that the dose that went into you two hours ago causes the
current BG, with Humalog).
I too have found that restricting carb intake before I go to bed gives me
better night time/morning BG's. Ideally I will eat 3 hours before sleeping.
My BG result just before bed should then(in theory.... if the basal rate is
set correctly) be similar to the one I wake up with i.e. you don't want a
falling/rising blood sugar as you sleep - hard to predict surplus insulin
requirements and therefore hypo/nasty high BG's all night will ensue.
In practise I often become hungry after dinner, eat before bed, take insulin
for this, which inevitably doesn't match (and I can't take blood tests in my
sleep, not regularly anyway), and have a high BG in the morning, which for
me is better than that DULL, THUNPING post-hypo headache I can wake up with.
Hope this helps........
I'd go for the suspending diabetes option :-)
Probably the only way is to set your alarm and do the dreaded 3am
Might also be worth being very careful about what you eat in the evening
I get much more predictable nighttime BGs by restricting my carb intake
much as possible) in the evening.
>Thank you for remembering that Dr Di :-) My BGs have indeed been
>in the last couple of weeks. Last night was a classic: sensible meal
>evening. In bed before midnight. Middle of night: mild hypo and
>BG 4.7. Couple of glucose tablets and kicked son out of my bed. A few
>later headache even worse, and BG 4.2. Ate a little sugar and back to
>This morning BG 15.6. Sheesh. I guess it's a rebound. Last week I was
>waking regularly in the night to go to the loo with a very high BG. I
>I'm chasing a moving target. Where do I go from here? Do I back off
>24hrs while my body settles down again? Do I cut my overnight basal
>slightly tonight, or do I just have a bowl of cereal before bed?
>Or should I suspend my diabetes for a while? ;-(
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