Blood Glucose Before Bed.

[yelselretnuh]

I

I have been advised not to test my blood sugars till 2 hours after eating. By this time they should be in the normal range if you have judged your carb and insulin correctly.

 

[Buddy]

Last night ( or more accurately at stupid o'clock in the morning after another possibly sleep hypo) I was about to post a very similar thread.

I haven't got this 100% figured out yet. But it seems that if I'm lower than around 7.5mmol (assuming there's no short acting insulin still in my system) then I'll have some kind of a sleep hypo.

Incidentally I notice there are no NICE guidelines (as linked to via this site) on blood glucose levels before bed. Is this because they don't want to be seen to 'encourage' people to go 'above and out of target range'?

Confusing for we US 1s. I aim for 100-110 before sleep. Reducing the Landis by a couple of units made a huge difference.

 

[Ampy]

Hey everyone, thank you all for your replies. I waited about half an hour and checked my level again and it went up to 13.9mmol/L, not exactly sure why it went from 4.0mmol/L to 13.9mmol/L as I didn't eat anything as I was awake for a while but when I woke up in the morning my blood glucose was normal. Does this happen to anyone else? Like at dinner today I was 11.4mmol/L and had my insulin but within 34 minutes I went up to 18.8mmol/L and I still had 2 and a half units working. :/ (My brain can not cope or understand what the heck happens lol).

Hi this kind of thing happens to me alot, does my head in as well and like you nobody believes me. I believe you because I know it happens.

 

[Buddy]

In the US the numbers are different, but I take it 4. is low. Hypos at night are awful, the next day is shot and everything hurts. Upon reaching the age of 65 I was able to see a diabetic specialist because I became eligible for healthcare. New world for me. Been a type 1 for 65 years (70 now) Didn't know fast acting existed. The doctor reduced the Lantus, I don't eat for two hours before bed and only eat some carbs if the reading is under 100. Only occasional hypos and I am investigating a pump this summer. Still not easy, but a whole lot better.

 

[CapnGrumpy]

In the US the numbers are different, but I take it 4. is low

US numbers are mg/dL; UK numbers are mmol/l. Divide yours by 18 to get ours (your 100 = our 5.5).

 

[DiabeticDadUK]

In the US the numbers are different, but I take it 4. is low. Hypos at night are awful, the next day is shot and everything hurts. Upon reaching the age of 65 I was able to see a diabetic specialist because I became eligible for healthcare. New world for me. Been a type 1 for 65 years (70 now) Didn't know fast acting existed. The doctor reduced the Lantus, I don't eat for two hours before bed and only eat some carbs if the reading is under 100. Only occasional hypos and I am investigating a pump this summer. Still not easy, but a whole lot better.

65 years! Wow. Well done. You must have experience a lot in that time. 4 is on the border of hypo and is in mmol value. x18 for your mg value as advised for US.

 

[rafa]

My glucose tends to decrease a lot during sleep. So I try to go to bed with 7.5 mmol.

 

[slikwipman]

Hey everyone, thank you all for your replies. I waited about half an hour and checked my level again and it went up to 13.9mmol/L, not exactly sure why it went from 4.0mmol/L to 13.9mmol/L as I didn't eat anything as I was awake for a while but when I woke up in the morning my blood glucose was normal. Does this happen to anyone else? Like at dinner today I was 11.4mmol/L and had my insulin but within 34 minutes I went up to 18.8mmol/L and I still had 2 and a half units working. :/ (My brain can not cope or understand what the heck happens lol).

My dsn advised me to aim for a reading between 6-8 before bed.

 

[JamesHayward1982]

Hi, I agree with the other comments that 4.4 mmol/L is too low to go to be on. Have a snack to raise it to between 6.0 to 8.0 mmol/L. You will always have a spike in levels after eating food with some form of carbohydrate in it. This happens naturally in non-diabetic people as well. Your insulin will more than likely take a number of hours to be completely used up so you need to keep track of when you last had insulin before bed. If your insulin is still active and you are reading 4 you will most likely hypo.

Ultimately you should discuss this with your doctor.

 

[TheBigNewt]

Hi I get big rises soon after I've eaten but am trying to learn not to test as by my next meal it has gone back to what it should be. I've been told by my nurse to stop correcting as I am making myself hypo. So now I only check before meals and bedtime I am hoping by doing this I can get better readings and possibly change my ratios which you may also need to do? Good luck

That's basically what I've always done, AM, premeals, and bedtime. If the average BS on my meter is around 5-6 my A1C is about 6-6.5 consistently. Who cares what it is a couple hours after you eat? There's such a thing as being OC over this stuff and if it means getting low a lot it means trouble.

 

[Daisy_Daisy]

I have just done my blood sugar and I am 4.0mmol/L, I'm just wondering if that is an okay level to go to bed on or should I have a little something to eat before hand?

I would have a glass of milk and a biscuit..