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Advice on late night rising BG Please!

S

si-hard

Member
Messages
6
Location
Scotland
Hello Again

I would appreciate any advice anyone could offer on the following:

I have reasonably good control and hba1c etc and try my hardest! Recently I have found that i can keep my levels at a good level with the exception of after tea. For example I had tea at 7.30 last night. My levels were btwn 5 and 6 for just over 3 hours post meal when they proceeded to rise to 9.8 before the fourth hour was up. I found that when eating a particularly carbey or fatty meal I would hypo followed by a rapid rise so I asked my diabetes nurse about this and was advised either splitting the dose or injecting after meal. I now split the dose routinely with my evening meal and I have the second injection approx 45 mins after eating. I appreciate my meal was perhaps a bit fatty last night (it also sometimes happens when I eat pasta) but I split the dose and counted the carbs perfectly. If I increase my dose any further I just hypo. Any thoughts - I find it really odd that my body is dealing with the food about 4 hours later. PS my morning levels are perfect and I am on Lantus and Novorapid.

Any replies greatly appreciated.

Cheers
Si
 
Si,

The fat content of a meal does slow down the rate of absorbtion, so can delay the effects of the carbs in your meal to a much later time, which you and your dsn already know. Novorapid is almost exhausted at the 4 hour mark, and as your bg was fine up until 3 hours after, I think it will be more to do with your lantus by the look of things. As your morning levels are fine, I would ask your dsn for advice on this matter.

Sorry I can't be more helpful here!

Nigel
 
hi,
we are new to this as my son was only diagnosed in october 2009. I would say to look at what you eat and how much you eat. My sons last hb1ac was 5.6 but i think this was due to the fact of regualr meals but really low fat and mainly wholemeal. From what we have been told your morning levels tell you if your lantus is correct. We aim for having the same reading 2 hours after a meal as he had before the meal. Also activity will make a big difference to the absortion of your meal. Try to avoid high fat as this is a nightmare to control (we have problems with the odd pizza) Also watch meals designed for diabetics as they may not list sugar but many still have loads of sugar in them. Maltitol is also a problem for us as it sends his bg sky high and stays that way for ages.
 
I have the same problem with my night time reading.

I take my lantus before bed and i use novorapid during the day.

It probably is what you eat because I have had a dip in sugar levels 2 hours after a meal and think I am on track, yet I'll check maybe a couple of hours later before bed and just before I take my lantus again and I'm in the teens.

I cut down my portions as I was overdoing it a bit, however, this still happens when I eat pasta dishes :? hmmm...
 
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