Night time drop in blood sugar
Hello! I was wondering where I would post a question about my blood sugar? You see, I have to keep it at 300 before bed or else I will wake up with my bs in the 30s. Did anyone have this experience once? My Endo does not know why it drops so much while I sleep. I take 1:15 insulin for my meals and correction is for every 50 over take one unit. I am thinking I am taking too much here but my bs stays high during the day. Like my insulin works slower when I am active and faster when I am dormant(sleeping). I take 20 units of Lantus as well once a day. Can someone please help me? 300 is very high to be going to sleep with.
Replies to This Discussion
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Permalink Reply by Korrie on -
Can your doctor get you connected to a CGMS like Dexcom for 7 days (or more) - that may give you a good feel for what is happening overnight, if your sugars peak even higher before dropping, how rapid is the drop, etc.
I would also suggest you contact the pump companies and talk to them about getting a pump - never know if a solution is hiding if you don't ask questions!
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Permalink Reply by Crystal on
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I spoke with my doc. She agrees that I should split the Lantus dose. I have been doing this since Friday. It seems to be working. My Bs improved during the day as well. I keep my bs at 150 before bed now. Lets see if this keeps up! Thanks to everyone for all your help and suggestions.
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Permalink Reply by Emmy on -
I had problems with lows too when I took my Lantus all at once, yet would get too high before the next shot rolled around. I think you're going to find that splitting the dose will be your best bet. If it already worked once, it will likely be the safest way to handle it. If you still go low, you could try having a larger proportion in the morning, and a lower dose at night. That way you can eventually get your numbers more within range. Good luck!
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Permalink Reply by Brock G on -
Yeah, I know that problem real well. Had EMS take me to the ER last month because even with the D50 I would not wake up.
I am on Lantus and novalog. I had to lower and split the dose of lantus to stop that. Would go to sleep with BS at 175 and would wake up with it at 45 and going up. You may ask your ENDO about splitting the dose or switching to Levimer. That one is taken in 2 doses so if you need more for a while you would increase it and lower it for the other times. Or you can do what I am and that is going back to the pump. That way I can set the basel rate for different times.
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