About a week ago I took my nightly pills (beta blocker and antihistamine) with some almond milk instead of water. The next morning I woke up with a blood sugar of about 4.5 (81). Morning blood sugars are a HUGE struggle for me, probably the hardest thing to keep steady. Usually I am either high or low. Lately I'd been waking up around 10 (180) every morning. Anyway, I did it the next night and the same thing happened. So since then, every night I have about a cup of almond milk before bed, and every morning I've woken up perfectly except for yesterday when I woke up low.
Overall I get so confused about overnight readings because although I wake up to test several times per week, sometimes I am high and sometimes I am low (or have dropped a lot), and some mornings I wake up low while others I wake up high or in range. One of the biggest areas I think a CGM would be helpful for (the other being seeing what happens after I eat different foods).
Yesterday I was stuck around 10 (180) all afternoon and then after dinner I shot up to 15 (270). I was super annoyed so piled on the corrections. One thing I dislike about the Ping is that it is not NEARLY as good at preventing stacking of insulin as the Cozmo was. I don't know what it does differently, but I often notice it doesn't reduce bolus suggestions much at all even if there is a lot of insulin on board. Anyway, last night I sort of forgot about that, and I took almost 10u of insulin over a period of three hours (that's a lot for me).
I went to bed around 10:30, and around 3:30 I woke up for no reason and could not figure out why. I didn't feel low at all, but as usual I went to test.
I was 1.6 mmol/L (28 mg/dl)!!!
I had to test twice to see if I was really that low! According to the meter, I was. I ate four glucose tablets and less than 10 minutes later was 5.1 (91). So then I thought maybe I hadn't really been that low after all. I ate some cheese and a glass of almond milk, just in case, but I was sure I'd be high this morning because it looked to me like I was already rebounding!
Nope. This morning I woke up at 6.8 (122). Crazy!!!
That's the first really major overnight low I've had since living on my own (since August). I've had many other overnight lows, but not super scary-low lows! This one was totally my own fault, but I think at my appointment next week I'll ask about CGM. I could technically get a new pump (even though I've only had the Ping for two years) as I'm with a different employer so have different health benefits. I don't know if the stand-alone Guardian unit still exists in Canada (I haven't been able to find any information on it), and no clue if/when the Dexcom will ever get here, so I wonder if it would be worth putting up with the non-waterproof pump and super low-contrast screen for the benefit of the CGM (assuming it's covered).
Nope, no high blood pressure. I have an arrhythmia called SVT, so the beta blocker is to control my heart rate (completely unrelated to diabetes).
Comment by Black Llama on January 4, 2013 at 7:36am 3:30 is my magic time for lows. I figured out that I HAVE to eat something before bed in order to stop it. Mine is usually 1 slice of multi with no HFCS peanut butter. The slow burn of the carbs and protein keeps me level all night.
The CGM is what actually helped me discover that trend.
Comment by Howie767 on January 4, 2013 at 10:17am With the pump, I reduce the basal rate as the day progresses. Then at 3 am, I jack it up to stop the dawn phenomenon. It takes an hour for a basal rate change to take effect. 3am seemed very risky for a basal rate increase. But that's what works for me. These rates work okay. Trying to improve them is like polishing cannon balls.
12am 0.15, 3am 0.50, 6am 0.45, 9am 0.40,
12pm 0.35, 3pm 0.30, 6pm 0.25, 9pm 0.20
Jen , ...I felt like experimenting due to my " not nice BG numbers , ie higher than I wanted . Yesterday I put my ( Sure -t ) infusion set in a place never been used for insulin delivery ( very soon to be 30 years ) . Below my left breast , where I could not feel the ribcage . Numbers have been steady , however did put a temp basal of 85 % for 3 hours at 12.15 AM ( 5.7 ) , at 4 AM BG was 8.0 , cancelled the temp basal and corrected , at 8.50 am 5.3 , had breakfast followed by usual walk and had a low at 11 am ..with more work ahead :). Would my experiment be a thought for you too ...just asking ??
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Manny Hernandez(Co-Founder, Editor, has LADA)
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