I hear and read a lot about overnight lows, and the endo quizzed my son about whether he wakes up for overnight lows and what symptoms he experiences. To our knowledge, he's never had an overnight low. Periodically, we test his through the night - sick days, changes in routine days, days with lows, days with highs, etc. - but we don't do a 2-3 am check daily. On a routine basis, he tests himself at bedtime and never goes to bed below 100, then whichever parent is up latest checks before they go to bed (anywhere between 11:00 - 1:00), then he tests when he first wakes up (5:30 on school days). He has never been low when tested, and there hasn't ever been evidence of a rebound high or some of the other signs I've read about - sweating, sheets twisted, etc.

The endo almost acted as though she didn't believe us. So, are overnight lows an inevitable part of type 1?

Views: 817

Reply to This

Replies to This Discussion

I agree with Gerri that you have a very healthy attitude. I think it is important that we are aware of potential problems, but we also should not live our lives in fear of something that may never happen.
I test my blood sugar 18 times during my waking hours because I know for a fact that is where my problems are. I used a Dexcom for over a year and a Navigator for 3 months. My standard deviation most nights was zero - meaning my blood sugar did not vary much during the night. Having to set my alarm in the middle of the night would be a burden to me. I know other people that don't and function very well. The people that do run around with a lack of sleep and create more problems for themselves. Lack of sleep actually causes blood sugar to go up. I function better on a full nights sleep. Not everyone has lows at night. As I said, there is no need to worry about it because I doubt it will happen. If you want to worry and wake up every night, that is your choice. It is not everyone's choice.
The last time I had a serious hypo (after dinner, rather than at night...) the paramedics were alarmed by an irregular heartbeat. I went for a bunch of expen$ive cardiac tests that were all negative. Then the endo (with whom I wa working on this, as she was alarmed by the hypo...) suggested follow-up with a cardiologist "for more tests". By then, I'd read a couple of books (nervously, of course...), none of which mentioned a connection between hypoglycemia and arrythmia but, when I asked the endo if there could be a connection, she said "maybe..." so I blew off the rest of the tests.

The thing that seems to be missing from the "dead in bed" and other hypo death horror storie are the case histories, how was the patient doing, what had the patient done at that time, etc. I am sure having a kid is very hair-raising but I think that if you are on top of it, you may be reasonably safe? I have told junior that I need to go to cheerleader tryouts to make sure they are safe and have been told "OH MY GOD!!". Really, I was kidding but figured I'd keep her on her toes. Hee hee...
I don't worry about a cure at all. I used to worry about being dead but don't worry about that all that much any more either. I try to distract myself with hobbies and activities and nagging my daughter. Between that and work and running a tight diabetes ship, I'm usually wiped out.

I had a wierd patch recently, where my BG at night was running up a ton, I'm not sure what it was but since the race it's *really* smoothed out and I'm a lot more relaxed. Surgery on Friday though will be a new adventure! I have reserved Harold and Kumar@ the library to go along with the painkillers...heh heh heh...
I know what you mean about getting old. I have Alzheimer's on both sides so I figure when junior goes to college, I'll start smoking? If I remember. There was a CWD board thread w/ all these parents going ballistic about the JDRF funnelling some of their vast amounts of dough into something besides a cure and I was sort of puzzled because I would rather see a lot of resources poured into getting the medical industry to adopt a more thoughtful approach overall with a goal of influencing the insurance industry to suck it up and take care of people instead of pulling the "you need 7 test strips/ day" b******* all the time. A new generation of research ought to study tighter control than the studies that have been done to date, find out how safe it is and if there are benefits to it. There's *tons* of people here and on other boards who do that and most of them seem to be reporting that they are in reasonably good shape? This may, of coure, be internet crap (except for me, of course... :-P) but I think that it seem prevelent enough to warrant the medical industry looking into new approaches and designing them to be more accessable to more people, with a long-term goal of improving our long term prospects and lowering our long term costs? I have no evidence that this would work but I have to think that it would be worth a small amount of resources diverted from the "artificial pancreas" hooplah to investigate.

I abhore the term "dead in bed"!  It sounds so cute and rhymey... like a dance move.  I myself am plagued by nighttime lows (I'm talking 35 at 2am a few times per month, at least) even though I wear a pump and CGM.  Remember though, that having a low sugar at night does not necessarily mean the dreaded DIB is around the corner.  It's dangerous, but I've had diabetes for 33 years and I still always feel the lows a wake up when I'm well enough to fix the situation without outside help.  In fact, I usually know I'm low before my CGM does.  Your son may get low at night sometime, but that doesn't mean disaster is inevitable.

Hello there, I also have a 13 year old son now on the omnipod, i feel we are similar to our approach and attitude about diabetes. my son has never had a night time low ( occasionally in the 60's in the am) we plan accordingly, i probably overshoot with food or undershoot with his night time bolus if he is running low at night time snack, I always make sure he is over 100 before bed and have really only checked him at night when transitioning to the pump or when sick. Probably if he was really active in sports i would check more but he is not. Listening to some posts on here makes me feel more anxious, parents doing multiply nightly checks etc, I know my son and his diabetes well now, if he does have a night time low our bedrooms are right next to eachother and i've been told he would be loud and squirming if he was low, everynight i wake up to go to the bathroom and check to make sure he is breathing steady, like a new born! other than that i try to let it go diabetes takes up so much thought and concern, i feel like my son feels safe and only bothered and different from his diagnosis, to have him especially live with fear would be hard to deal with i am trying to teach him to live with his diabetes like he does brushing his teeth, making healthy choices and mostly seeing the joy in life rather than the inconvenience and worry. good luck i think we would have a lot to share with each other! amy
Thank you - it does sound like we try to approach this in a similar fashion and that our son's are the same age and were diagnosed around the same age. I hate that my son has to deal with this disease, but I'm so thankful that, if he had to get it, he is at an age to really be an active participant in his own care. I can't imagine how tough it would be to go through all this with a little one. Take care and thanks again.
my husband was looking at a pic of jacob when he was a toddler and said thank god we didn't have to deal with diabetes then god gave us 10 year without it, i agree with you, being diag. at 10 he was able to handle it without rebelling like an older teen might it is a tough disorder emotionally and physically but as parents we can help our kids deal as best we can and let them live their lives with as much normalcy as possible have a good week
Thanks Gerri, Kelly and Jacob's mom. I appreciate your kind and reassuring thoughts.
You're welcome:) Alarmist warnings aren't particularly helpful, or healthy.
I don't think they're inevitable but it's definitely unusual not to have ANY. The hormonal shifts of childhood pretty much guarantee a certain amount of instability in blood sugar even during the night. You must either have some wicked good basal control going on, or else you've got some sort of guardian angel slipping him some sugar overnight! :)

What's his a1c like? Is it possible that his overnight basal rate is too low and he's therefore staying higher than he should overnight, and then coming back down to his starting point by morning? We put Eric (my son, age 4) on a CGM because we wanted to see his overnight patterns and a 2 or 3 a.m. test really wasn't telling us much, and sure enough, we found he was doing a lovely parabola --up up up after about 9:30 PM (not visible to the test when he went to bed at 8:00) and then gliding down down down after about 2:30 AM (and of course I was testing at 2). So what it meant was, we weren't giving him enough basal from about 9-12, and then correcting him at 2:30 would wind up giving him too much because the basal setting from 2-4 didn't change to match his decreased insulin needs. Now we have him on a basal pattern that rises from 9-12 and dips down from 2-4. We still get weird fluctuations from time to time, usually when he's sick, but at least with the CGM I can *see* them.

RSS

Advertisement



REsources

From the Diabetes Hands Foundation blog...

Congratulations Diabetes Advocates Scholarship Recipients!

The Diabetes Hands Foundation and Diabetes Advocates Program is proud to announce and congratulate the members of DA who were granted scholarships to attend diabetes conferences in 2013! Thanks to a generous grant from Novo Nordisk, in 2013 we were …
Continue Reading

La Familia de EsTuDiabetes Sigue Creciendo

El Centro Nacional de Prevención de Enfermedades Crónicas y Promoción de la Salud en el Estados Unidos encontró que a partir de 2002-2009, el 11,8% de los hispanos mayores de 20 años, que viven en los EU, viven con diabetes …
Continue Reading

TuDiabetes Team

DHF STAFF

Manny Hernandez
(Co-Founder, Editor, has LADA)

Emily Coles
(Head of Communities, has type 1)

Emily Walton
(Business Manager)

Mike Lawson
(Head of Experience, has type 1)

Corinna Cornejo
(Development Manager, has type 2)

Heather Gabel
(Administrative and Programs Assistant, has type 1)

DHF VOLUNTEERS


Lead Administrator
Bradford (has type 1)

Administrators
Lorraine (mother of type 1)
Marie B (has type 1)

Teena (has type 2)

Brian (bsc) (has type 2)

jrtpup (has type 1)

 

LIKE us on Facebook

Spread the word

Loading…

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.

© 2013   A community of people touched by diabetes, run by the Diabetes Hands Foundation.

Badges  |  Contact Us  |  Terms of Service