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Highs on a night

A

Abbiec12

Active Member
Messages
44
Location
Bradford
Type of diabetes
Type 1
Treatment type
Non-insulin injectable medication (incretin mimetics)
Hello, I'm hoping I could get some advice about my blood sugars rising in the evening. I have my tea and test 2 hours later and my blood sugars tend to be perfectly in range (5/6mmol) but then when I test again a couple of hours later before bed it's always risen to around 12/13mmol even though I've not eaten anything else. Could anyone attempt to explain this please? Thank you!
 
Abbiec12 said:
Hello, I'm hoping I could get some advice about my blood sugars rising in the evening. I have my tea and test 2 hours later and my blood sugars tend to be perfectly in range (5/6mmol) but then when I test again a couple of hours later before bed it's always risen to around 12/13mmol even though I've not eaten anything else. Could anyone attempt to explain this please? Thank you!
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My suggestion would be you're basal. Good reading 2 hours after food. When do you do basal and have you tested what the evening profile of it is.
 
I was thinking that but if I increased my basal dose would I then inject less bolus to avoid hypos? I do it at 7.30am and 7.30pm, and I haven't no
 
Yes, it may be that the meal doses are making up a basal shortfall. So if basal is increased, reduce bolus and test what happens. There is a possible problem in the fact your basal is spot on for overnight, morning and afternoon. If that is the case, by fixing one part of the day in the evening, causes problems in the other 3 parts of the day, night, morning and noon, in which case you would be better to give a extra meal bolus maybe one hour after evening meal to make up basal shortfall of the evening only. Would strongly advise testing all basals to better understand what's happening and then decide what to do. I used to have this problem on mdi, now pumping so can set different basal profiles different parts of the day/night to keep a flatter basal profile without needing extra injections .
 
brett said:
Yes, it may be that the meal doses are making up a basal shortfall. So if basal is increased, reduce bolus and test what happens. There is a possible problem in the fact your basal is spot on for overnight, morning and afternoon. If that is the case, by fixing one part of the day in the evening, causes problems in the other 3 parts of the day, night, morning and noon, in which case you would be better to give a extra meal bolus maybe one hour after evening meal to make up basal shortfall of the evening only. Would strongly advise testing all basals to better understand what's happening and then decide what to do. I used to have this problem on mdi, now pumping so can set different basal profiles different parts of the day/night to keep a flatter basal profile without needing extra injections .
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Okay yeah, I will try these and see what's causing the problem! Thanks a lot, very helpful!:)
 
Hi Abbie - What did you have for tea last night? For example if it was a pasta based dish the carbs in that could have an affect for 5hrs or more after. what were your BG test results like the next morning?

Is this happening everynight?
 
It does happen quite often yeah, i had some soup and a bread roll yesterday. They were fine the next morning and through the night after I corrected
 
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