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Type 1 Diabetes
Frequent hypos at night
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<blockquote data-quote="In Response" data-source="post: 2483109" data-attributes="member: 527103"><p>@nick192 I assume you are wearing a Libre 2 and this is the alarm that is waking you.</p><p>Do you <strong>always</strong> check your readings with a finger prick before treating?</p><p>The reason I ask is because the alarm may not be reporting a true low - it may be a compression low where pressure on the sensor (such as lying on your arm) can cause the Libre to report a fake low.</p><p></p><p>If you are testing and the lows are genuine,. I would look at the pattern of the lows on your graph.</p><p>- Are they heading downhill for the whole night? If that is the case, it is likely your basal is still too high.</p><p>- Are they remaining level and then falling after a certain time? This may be due to your basal insulin not having a flat profile. For example, Lantus has a "kick" after about 5 hours. If you are taking Lantus you. could ask for an alternative basal with a flatter profile or move the timing of your Lantus.</p><p>- Are they heading downhill and then stabilising? This could be because your bolus insulin is still working when you go to bed. What time do you take your last bolus dose? When reviewing your bedtime level, do you consider bolus insulin "on board"? I assume you are not taking insulin with your bedtime snack?</p><p>- Does this happen every night or is there another pattern such as when you do exercise or drink alcohol? Both of these can lower your levels. Depending up on your basal insulin, you could lower your insulin doses on the days you exercise and/or drink or have a bigger snack.</p></blockquote><p></p>
[QUOTE="In Response, post: 2483109, member: 527103"] @nick192 I assume you are wearing a Libre 2 and this is the alarm that is waking you. Do you [B]always[/B] check your readings with a finger prick before treating? The reason I ask is because the alarm may not be reporting a true low - it may be a compression low where pressure on the sensor (such as lying on your arm) can cause the Libre to report a fake low. If you are testing and the lows are genuine,. I would look at the pattern of the lows on your graph. - Are they heading downhill for the whole night? If that is the case, it is likely your basal is still too high. - Are they remaining level and then falling after a certain time? This may be due to your basal insulin not having a flat profile. For example, Lantus has a "kick" after about 5 hours. If you are taking Lantus you. could ask for an alternative basal with a flatter profile or move the timing of your Lantus. - Are they heading downhill and then stabilising? This could be because your bolus insulin is still working when you go to bed. What time do you take your last bolus dose? When reviewing your bedtime level, do you consider bolus insulin "on board"? I assume you are not taking insulin with your bedtime snack? - Does this happen every night or is there another pattern such as when you do exercise or drink alcohol? Both of these can lower your levels. Depending up on your basal insulin, you could lower your insulin doses on the days you exercise and/or drink or have a bigger snack. [/QUOTE]
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