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Bedtime Snacks
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<blockquote data-quote="phoenix" data-source="post: 517064" data-attributes="member: 12578"><p>Your reference to the 2003 paper actually goes to one on evening snacks for people with cirrhosis of the liver but I think I've found the correct one. That paper actually has no significance to most of us here since the long term insulins used were NHP, or Ultra lente, insulins that don't have a flat profile. The purpose was to find at what level it was a good idea to take a snack,to prevent night time hypos. Basically the snacks resulted in higher overall average glucose levels. It was suggested that snacks weren't necessary at higher levels but were at lower levels. <a href="http://care.diabetesjournals.org/content/26/1/9.full" target="_blank">http://care.diabetesjournals.org/content/26/1/9.full</a></p><p>The difference is that the modern basals have a much flatter profile Personally, I'd rather avoid this extra glucose because all it would do is raise my blood glucose level and it would stay up.</p><p>The whole purpose of a basal is to deal with and inhibit glucose released from the liver so if it's right then you shouldn't need a snack</p><p>(unless very low and/or you've had exercise that is likely to lower levels further; in my case this usually kicks in at 5hours post exercise, we're all a bit different)</p><p> </p><p>Absolutely you need to test to find out what is happening overnight if there is a big rise or fall though it might be difficult to adjust basal to suit, especially if taking it just once a day.</p><p>If you find that you find that you can't get your basal right and you find that a snack helps then fine, it's great that it works well for you.</p></blockquote><p></p>
[QUOTE="phoenix, post: 517064, member: 12578"] Your reference to the 2003 paper actually goes to one on evening snacks for people with cirrhosis of the liver but I think I've found the correct one. That paper actually has no significance to most of us here since the long term insulins used were NHP, or Ultra lente, insulins that don't have a flat profile. The purpose was to find at what level it was a good idea to take a snack,to prevent night time hypos. Basically the snacks resulted in higher overall average glucose levels. It was suggested that snacks weren't necessary at higher levels but were at lower levels. [url]http://care.diabetesjournals.org/content/26/1/9.full[/url] The difference is that the modern basals have a much flatter profile Personally, I'd rather avoid this extra glucose because all it would do is raise my blood glucose level and it would stay up. The whole purpose of a basal is to deal with and inhibit glucose released from the liver so if it's right then you shouldn't need a snack (unless very low and/or you've had exercise that is likely to lower levels further; in my case this usually kicks in at 5hours post exercise, we're all a bit different) Absolutely you need to test to find out what is happening overnight if there is a big rise or fall though it might be difficult to adjust basal to suit, especially if taking it just once a day. If you find that you find that you can't get your basal right and you find that a snack helps then fine, it's great that it works well for you. [/QUOTE]
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