CANT FIGURE OUT WHY BS GOES UP

[noosrat]

despite a balanced meal and with a bs at 4.9 at night at 22 pm my bs in the morning shoots to 17.1? why? can anyone help? i am type 1 novorapid and lantus 30. i increase that dose to 34 this morning. how to calc by how much to increase.? i use the calc given by someone in the forum but by that calc it must be 41? isnt it too much and afraid ofthat amount of dose, i just increase it to 34? help me out pleaseeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee :crazy:
noosrat

 

[candiloo]

Hi - am on the same meds as you and mine used to do this. I found that if I am not doing anything after my meal and dosage, my level will stay high, so I cut down carbs when I will not be able to burn them. I work nights, so it is in the morning - if I had cornflakes and banana before going to bed, I would have a very high reading when I woke up, would wake early as they are high carbs and I would be hungry, but would not have burnt them off, so I can only suggest lower the carbs when you are going to watch tv or before bed - you don't need the energy if you aren't going to use it. This is the only thing that works for me, but we are all different......

 

[s230787]

Hi Noosrat

If I went to bed on a BS of 4.9 I would also wake up with a higher blood sugar reading (usually 11.3mmol - spot on each time which I find odd!) I now try to raise my BS to 7-8mmol before bedtime which seems to get me through the night without any problems. Woke up this morning on 4.6 so very happy with that.

During the night you could be dropping low and as such are experiencing a process where the liver secretes glucose for energy to power you throughout the night and for your wake up hence your higher readings. When this happened for me I actually looked at lowering my lantus rather than putting it up as it turned out I was almost correcting an over dose of my lantus (hope that makes sense). The best thing to do is test test test - trial and error, don't make too many changes in one go and give each change a few days to work to enable you to be able to see the effects.

Good Luck!

 

[Sameer]

Then what should one eat before going to bed ???


Newly diagnosed taking insulin novomix 30 , 21units in morning and 17 units at night , have issues in late night snack very lazy always get high sugar in morning from 130 to 140

 

[phoenix]

Noosrat:
You need to work out what is happening with your levels overnight. This means you have to do some testing during the night to find out what is happening. Set your alarm for 2-3am and see if your levels are rising or falling
It may be gradually rising overnight, in that case you probably need to gradually increase your lantus. If you do increase it as you said you would in another post, you need to leave it for a few days before you make more adjustments.

There is a smaller possibility that it is falling and then your liver is releasing some glucose to compensate (Somyogi)http://en.wikipedia.org/wiki/Chronic_Somogyi_rebound
I say smaller possibility because many researchers say this doesn't happen but I've certainly read of people who say it happens to them.

Sameer
You are on a different insulin to Noosrat. Novomix is a mixed insulin.
It maybe that you have been told to have a small snack before bedtime because of a peak in the insulin (when the insulin is the strongest) The purpose of this snack is to stop you going to low overnight.

You need to ask your doctor/nurse at what glucose level you should take this snack and how much.
If you look online you will find that most bedtime snacks seem to be about 15g carb sometimes with a little protein.

 

[Sameer]

Nobody told me to take late night snack it's my problem I can't sleep empty stomach
Is my insulin better than his ???
Doc told me it's advance that's why it's expensive and better ???
I want my BS to be normal in morning because to much morning sickness what should I do please help
Thankyou soo much !!


Newly diagnosed taking insulin novomix 30 , 21units in morning and 17 units at night , have issues in late night snack very lazy always get high sugar in morning from 130 to 140

 

[noosrat]

hi dear phoenix, its really puzzling u know my bs seems normal at bed time but generally i become hungry at night so now instead of taking a small bit of snack i take yesterday a small guava thinking it is "sucre lent" but still my bs in morning is "11.3"! i will try taking it during the night and test and test.its hell phoienix to live like that

 

[noosrat]

as for you sameer, i can understand your feelings but truly i think the problem is with the snack if really u wnat to eat it then increase your night dose and count the no of carbs in the snack if you cant hten eat it but before take your bs and then after 2 hrs retake the bs if it has increase then u know for sur it is the snack! then reduced the taking of the packet if u eat 1 whole packet try half of it and see the result again after 2 hrs! hope this suggestion help so cheers we will climb that steep slope together i b here :wave:

 

[Sameer]

Thankyou nosrat , is eating channa yellow and black wise does it contain too much carb ??? I think they are rising my , i hope u understand what is channa !!!


Newly daignosed , novomix 30 , 21units in morning and 17 at night , have issues in eating and sleeping pls help me , why my morning BS is always high ???? Late night eating is the problem , so please help me guys

 

[Paul Oak]

@sameer, try a protein based snack and cut out the carbs, something like an unsweetened yoghurt, a decent full fat (preferably organic) Greek, a small amount makes you feel full, I did and problem solved.

 

[noosrat]

sameer i dont know what it is but i guess lentils but try a little let say 1/2 cup n take bs before eating it and after 2 hrs and see its effect

 

[dave howard]

Hi Noosrat

If I went to bed on a BS of 4.9 I would also wake up with a higher blood sugar reading (usually 11.3mmol - spot on each time which I find odd!) I now try to raise my BS to 7-8mmol before bedtime which seems to get me through the night without any problems. Woke up this morning on 4.6 so very happy with that.

During the night you could be dropping low and as such are experiencing a process where the liver secretes glucose for energy to power you throughout the night and for your wake up hence your higher readings. When this happened for me I actually looked at lowering my lantus rather than putting it up as it turned out I was almost correcting an over dose of my lantus (hope that makes sense). The best thing to do is test test test - trial and error, don't make too many changes in one go and give each change a few days to work to enable you to be able to see the effects.

Good Luck!

I would agree with this answer I used to be continually waking up high after going to bed with a b/s less than 5.0 I mentioned this to my diabetic specialist and she gave pretty much the same answer. I never go to bed without testing b/s and always ensure I am on more than 6.0 before sleep.

 

[noosrat]

thanks dear i again encounter the same prob i went to bed yest with 4.9 and try to eat 2 slices of cake of banana pre dinner i was 11.0 so after dinner i gave myself a bolus of 11 (have 2 slices of wholebread + beans cooked + chicken adn estimate it to be 10 g in all and with a correction dose of 1[11 -6 {my target} and assuming i am 1:5 g insulin:carbs ration]); i was 4.9 at 22 bed time and in hte mornign was 8.8! i take a basal of 32 units. can anyone advice me? was a slice of cake ENOUGH!!!!! WAS IT THAT THAT CAUSE THIS RISE!

 

[Sameer]

What is lentils ???
And going to bed with testing blood sugar is interesting !!! I will do that !!
Thanks


Newly diagnosed taking insulin novomix 30 , 21units in morning and 17 units at night , have issues in late night snack very lazy always get high sugar in morning from 130 to 140

 

[Lesley r]

What do you do if you overdose on lantus?


Sent from the Diabetes Forum App