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Lamar123

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Hi, I hope it’s ok to ask this. Generally what are people’s blood sugars at before going to bed? How quickly do blood sugars come down? Thanks
 
Hello @Lamar123 and welcome to the forum :)

Your profile doesn't say what type of diabetes you have or what your treatment is, can you tell us ?

I am type 1 so dependent on insulin, I like to be around 6 mmol/l before bed with no active insulin on board so remain stable during the night and ideally like to wake at around 5.5-7.5mmol/l upon waking :)
 
It’s actually my husband who is Type 1 diabetic. His control is awful so i am trying hard to sort him out but I worry about where is bloods should be at night as he has suffered a couple of bad hypos during the night.
 
Hi, I hope it’s ok to ask this. Generally what are people’s blood sugars at before going to bed? How quickly do blood sugars come down? Thanks

welcome here Lamar... does he himself say what he is aiming for before sleep ?
 
He takes 34 units of lantus at 10pm, about 12 units in the morning ( not lantus) 14-16 with lunch and about 18 at dinner.
 
It’s actually my husband who is Type 1 diabetic. His control is awful so i am trying hard to sort him out but I worry about where is bloods should be at night as he has suffered a couple of bad hypos during the night.
If 'his control is awful' his basal insulin is probably not the right dose (apart from the dosing for food). That means whatever anyone here, with good to acceptable control chooses as a safe level to go to sleep with is irrelevant to your husband.

Would he be willing to join this forum himself? You're saying you're 'trying to sort him out'. It usually doesn't work for someone else to sort you out, unless you're under 8 years old or seriously disabled.
If he wants to improve things, it's certainly helpful if you try to work and learn with him!
 
welcome here Lamar... does he himself say what he is aiming for before sleep ?
no....the last couple of nights he has been 6 , 4.3, 4.3 my problem is trusting that this is ok, going to bed bloods at 6 woke & they were 2.6. Going when they were 2.6 when he woke they were 3.1 last night going to bed they were 4.3 so I asked him to have a slice of toast they were 8.8 this morning is this Ok?
 
If 'his control is awful' his basal insulin is probably not the right dose (apart from the dosing for food). That means whatever anyone here, with good to acceptable control chooses as a safe level to go to sleep with is irrelevant to your husband.

Would he be willing to join this forum himself? You're saying you're 'trying to sort him out'. It usually doesn't work for someone else to sort you out, unless you're under 8 years old or seriously disabled.
If he wants to improve things, it's certainly helpful if you try to work and learn with him!
Definitely not willing to join himself. He has responded well to my input and I don’t think his bloods are as bad as I originally thought, I just don’t know what acceptable levels are before going to bed. It’s scary.
 
no....the last couple of nights he has been 6 , 4.3, 4.3 my problem is trusting that this is ok, going to bed bloods at 6 woke & they were 2.6. Going when they were 2.6 when he woke they were 3.1 last night going to bed they were 4.3 so I asked him to have a slice of toast they were 8.8 this morning is this Ok?
I've recently had exactly the same problem with Lantus, it seems to drop my sugar levels overnight between 1am and 3am (I was taking the Lantus at 10:30pm), but if I decreased the Lantus then I was high all through the day no matter what I did - I believe Lantus does have a peak period - which for me was about 1am -3am - not helpful!
So I ended up having to make sure my sugar level was at about 10 to stop me going into the red overnight
So because this was really annoying me (and not healthy for me), I've just changed to Tresiba after talking to my consultant - have only changed about a week ago so still testing :)
 
I think you're wonderful for trying to help him!
Could it be he's suffering from diabetic burn out? It's a very common thing and it might help him to speak with a professional about it.
 
Unfortunately @Lamar123 he needs to get an appointment with his DSN asap, avoiding nighttime hypos is a priority, so he shouldn't go to bed if he's below 6 so reviewing his doses is important.

Personally I don't rely on anyone else but myself to manage my care, it's not down to trust it's just only I live with this so I know what works and what doesn't.

Get him a copy of 'think like a pancreas' written by a type 1 but incredibly useful, to really comprehend life with type 1.
 
He does need to carb count for himself, cos what happens if you're away (for whatever reason)
I get that, but I need to do something, breakfast & lunch he generally eats a similar diet and I am keeping a journal of everything so if I am away he has that to reference from.
 
I think you're wonderful for trying to help him!
Could it be he's suffering from diabetic burn out? It's a very common thing and it might help him to speak with a professional about it.
Not heard of that before.....no think he has just been in denial for the last while but I do think he wants to fix things now but he won’t go to the specialist nurse as we have had problems with her before....we aren’t the only ones
 
Unfortunately @Lamar123 he needs to get an appointment with his DSN asap, avoiding nighttime hypos is a priority, so he shouldn't go to bed if he's below 6 so reviewing his doses is important.

Personally I don't rely on anyone else but myself to manage my care, it's not down to trust it's just only I live with this so I know what works and what doesn't.

Get him a copy of 'think like a pancreas' written by a type 1 but incredibly useful, to really comprehend life with type 1.
I will get a copy of that. He doesn’t solely rely on me, we are doing this together.
 
Hello @Lamar123 all questions generally come through the 'type 1' section, we do get questions from partners from time to time but it's fairly rare as type 1's tend to join to get support for themselves here. With type 1 there is no 'one size fits all', it's a unique condition to each and every one of us hence why we encourage the individual to join, we also cannot give advice here on dosing, this information needs to come from their Diabetic team. There are so many things that affect our control from illness, stress, exercise, change in seasons, weight etc, hence why needs change constantly, but as I said earlier if he's having nighttime hypos then his team need to be contacted asap to review his care. If he's struggling with his nurse then demand to see another, he has patient rights and if they are not helping then report them as this isn't acceptable care.

By joining the Dose Adjustment for Normal eating course the individual is empowered to make the changes for themselves and recognise when things do need to change. As this requires constant monitoring it really is down to him to take ownership for his condition, is he struggling with his management hence why he's relying on you ?
 
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