Bedtime glucose level 6

[noblehead]

Yup - here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4454113/

Worth noting that he states that there is a mistaken belief that small insulin doses in children last for a shorter period of time than in adults, however the proper studies that have been undertaken show otherwise, and that pretty much all insulin in all people lasts for at least 5 hours.

Very interesting and thanks for the link, when doing a basal test I'll be testing 5 hours postprandial from now on.

Its definitely in his book...

I've likely read it at some point DD, thanks anyway.

 

[Antje77]

In answer to your other question: I take insulin 6 to 10 times a day (1 for getting up, 3 for meals, 1 for beer, 1 for midnight snack, 1 long-acting, maybe a correction, fruit, or something unexpected), but taking insulin doesn't bother me. If it hurts you, maybe you could use a different length needles (my Lantus hurt with 4 and 5 mm, but less so with 6, for other people it's the other way around. Now I'm on Tresiba, which doesn't hurt me at all). I think there are things you could use to numb your injection area as well, like 'magic cream' they use for children in hospital or some ice before you inject. Or maybe you could look into using a pump, from what I've read you only have to change them once every three days, which might be better if your injectons hurt you so much.
I wish you all the best and I hope things will get easier for you!

 

[tim2000s]

when doing a basal test I'll be testing 5 hours postprandial from now on.

This is where it becomes a little bit more tricky. The curve shape for half life (and therefore IOB) means that it looks like this:


This means that when we tend to test these things, we introduce observational bias, because when we try and test duration, we usually use the same model as when we test correction factor, which is to raise bg levels a bit, then reduce them with what we think is a correction dose. This is often 1 or 1.5u, and at five hours, that equates to a total IOB of 0.026u, which for most people is unobservable. It's only when you bolus a larger amount that you see the 2.6% of the meal bolus out at 5 hours having an effect.

 

[22nw22]

Once again I find myself with bedtime blood glucose of 6. I've been on daphne course which advises bedtime level of 8+. Novorapid was injected 4 hours before. Decided not to inject lantus last night as fed up of eating when I don't feel like, this morning my level was 9.1. This is a regular occurrence with good control before bedtime. I do suffer with asthma/allergies and find chest is quite tight if I don't inject lantus? Unsure what's going on. Can anyone advise on best way forward. Thanks

Maybe a snack before bedtime. I have a sandwich as my bedtime snack usually but last night I had to eat brioches because my mum said 'have 2 brioches.' She didn't want me to have a sandwich last night I presume

 

[Tracie1212]

Thanks all for advice and information. Saw hospital consultant today who is referring me for insulin pump. Asked if I could have freestyle libre ... appears hospital is issuing these to insulin pump patients. Advised to stop my bedtime lantus and inject 16 units lantus morning only. Adjust if needed and correct levels with novorapid. If I don't get on with pump may try Levemir as advised by Consultant. Hope to be up and running within 4 months. I am looking forward to not having to inject 35 times a week. Can any insulin pumps users let me know how they are getting on with please. Thanks

 

[Nidge247]

Once again I find myself with bedtime blood glucose of 6. I've been on daphne course which advises bedtime level of 8+. Novorapid was injected 4 hours before. Decided not to inject lantus last night as fed up of eating when I don't feel like, this morning my level was 9.1. This is a regular occurrence with good control before bedtime. I do suffer with asthma/allergies and find chest is quite tight if I don't inject lantus? Unsure what's going on. Can anyone advise on best way forward. Thanks

Hi @Tracie1212

If you have completed your DAFNE course, you should have been taught about altering your ratios? It may be that you need to adjust your last injection of the day to help prevent you going hypo during the night. Even during my course I was 'running better' with a nighttime BG of 6.5 rather than 8.

You may well find that your overnight sugar-dump (dawn phenomenon) will cause a rise in any case - it is a common occurrence. I too got fed up with having to eat just to counter an injection; hence why I moved onto a LCHF lifestyle - and haven't looked back. Now I don't need to inject at all.

Now I'm perfectly happy going to bed with a BG as low as 4.5, knowing that my DP always brings it up to a minimum of 6-7. (NB this works for me - other people need to adjust slowly and see how their own body copes/adjusts.)

If I'm peckish at night, I'll have a small glass of full fat milk and a couple of either oatcakes or cheese biscuits. Both are low in carbs and don't cause me a BG spike, but get around the issue of going to bed on an empty stomach which I've never liked to do.

 

[Tracie1212]

Thanks for your reply and tips. I did talk to consultant about low carb diet .. does it affect KFG level? I adjust insulin, find stress and metabolism play a big part in blood sugar. I've had a traumatic year dealing with bereavement. Never ate a lot always used to skip breakfast before diagnosed. My food intake is Shredded wheat for breakfast, biscuit in between then toast or tuna sandwich for lunch. Usually chicken and potatoes for evening meal with beans or coleslaw. Eggs make me unwell . Don't drink or smoke but I do like chocolate which I carb count for. I had cheese crackers on my shopping list this week . Feel better in the morning have energy slump in afternoon. Thanks again.

 

[Poosecat]

Thanks for your great response! I'm going to ask consultant if eligible for freestyle libre this week but don't hold out much hope as I'm told not available on NHS yet. Another member has suggested tresiba I've looked at reviews for but am a little worried it could make asthma worse. I've got a long list of questions for my annual visit to hospital this week.

How many injections do you have per day? I'm on 5 but looking to reduce due to skin hypersensitivity.

Thanks again for your reply .

I saw my nurse this week. I have recently started using a self funded libre. Nurse advised me that they won't be available on NHS in my area any time soon BUT had i not already got one, she could have given me a starter pack (meter and two sensors) to trial for free. Well worth asking about.

 

[Tracie1212]

Yes it is thanks for letting me know.