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Blood glucose levels before bed
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<blockquote data-quote="Dillinger" data-source="post: 834615" data-attributes="member: 13582"><p>Hi Jackie, that's really worrying advice from your nurse. 10 or 11 at night is not fine; that means about 8 hours at that level; if you are saying even at that level then you are still hypoing then your must reduce the Lantus. </p><p></p><p>Think also of the timing of your short acting insulin; <a href="http://www.diabetes.org.uk/Documents/Magazines/Insulinwallchart.pdf" target="_blank">http://www.diabetes.org.uk/Documents/Magazines/Insulinwallchart.pdf</a></p><p></p><p>Apidra lasts for about 4 hours with a fast peak. If you are going to bed within 4 hours of your evening injection and therefore taking your Lantus whilst you have active short acting then you may be getting a stacking up of insulin. Try and take your Lantus as late as possible and eat as early as possible. Ideally you should wake up with the same blood sugars (give or take 1.5 units) as you went to bed with.</p><p></p><p>There is good evidence that blood sugar levels above 7.8 mmol/l start to cause damage so your nurse is not being helpful.</p><p></p><p>Best</p><p></p><p>Dillinger</p></blockquote><p></p>
[QUOTE="Dillinger, post: 834615, member: 13582"] Hi Jackie, that's really worrying advice from your nurse. 10 or 11 at night is not fine; that means about 8 hours at that level; if you are saying even at that level then you are still hypoing then your must reduce the Lantus. Think also of the timing of your short acting insulin; [URL]http://www.diabetes.org.uk/Documents/Magazines/Insulinwallchart.pdf[/URL] Apidra lasts for about 4 hours with a fast peak. If you are going to bed within 4 hours of your evening injection and therefore taking your Lantus whilst you have active short acting then you may be getting a stacking up of insulin. Try and take your Lantus as late as possible and eat as early as possible. Ideally you should wake up with the same blood sugars (give or take 1.5 units) as you went to bed with. There is good evidence that blood sugar levels above 7.8 mmol/l start to cause damage so your nurse is not being helpful. Best Dillinger [/QUOTE]
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