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Eating late...

P

pinewood

Well-Known Member
Messages
792
Location
London
Type of diabetes
Type 1
Treatment type
Insulin
I still haven't quite got used to managing my insulin dose when eating late. I typically work crazy hours and often won't have dinner until 9pm or later. If I inject my NovoRapid just before it's still "active" when I go to sleep and that always worries me and has dropped me to hypo-land before and woken me up. Any tips for how to manage late eating? It's also a problem the other way round in that when I have a high-fat/high-carb meal the delayed release of the carbs means I can get high levels in the night....

Guess it's just trial and error but wondered if anyone else had any tips. Can't help but feel this would be much easier on a pump with the extended bolus.
 
Probably the best advice is to test your bg during the night until you are confident enough that your I:C ratio's is right when you eat late in the evening, it's a pain having to wake up to test your bg but once you've got it right you can sleep a little bit sounder.

Unfortunately with high-fat meals your going to get a delayed spike, I'd always give a spit-dose for such meals when on MDI which seemed to work, but it does mean giving an insulin dose close to bedtime - so again it's best to test a few times until you get it right, as you say trial & error.
 
I eat late most days of the week, around 9pm. I have found that if my sugars are good around the 2 hour mark, they likely don't drop more then a point or so in the next 2 hours. So i try to go to bed around 7 mmol/L. Typically wake up around 6mmol/L

It can be worrisome, but there isn't any way around it besides 1) eat earlier, 2) stay up later so you can check 2 or 3 hours post injection, 3) eat a very low carb meal so you don't have to inject, or inject very little.

You could always try to eat like 10g of carbs more then you bolus for just before bed to ease your worrying, and see what your sugars are when you wake up?
 
Yes, I gave myself a cracking "mystery" hypo the other day. Ate the same breakfast as usual, and the same bolus as usual and two hours later had my lowest BG I've ever recorded. It worried me till today, when I looked back and realized that I had eaten and bolused very late the night before. Less mystery, but I need to look at the maths now.....
 
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