Help! Recurring night hypo's

That sounds miserable...you must be exhausted. Might be a good idea to do some basal testing and talk through with your DN. Are you on any other medications that might be causing sudden change?

Hi Kesh
Maybe a little more info, if you don't mind would be helpful in getting a clearer picture of whats going on.
You mentioned both insulins, what are they and when do you take them?
For example I take my Lantus at night, Novorapid before meals, with meals and sometimes after, depending on my day, level of hunger etc.
Also when you say at night... when do you mean....waking during the night...after dinner.

Sounds like a basal issue. Testing will fix it. Perhaps consider taking a correction QA dose on waking if you're too high then, rather than looking to the basal to keep you low right thru to waking.

https://mysugr.com/basal-rate-testing/

And

http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007

Obviously above all you want to avoid dropping into hypo at night. Good luck, must be ghastly.

When did you drop your lantus dose? It can take up to 3 days for changes to properly take effect. You could also think about moving the lantus to the morning? You may still go low but it might be in the day and easier to deal with...

As an aside I'm really glad I read through that before posting, my phone seems to think lantus = pants!!

Kesh92 said:

I've been diabetice for 19 years. Last 2 weeks I've been hypo every night! Have dropped both insulin doses, tried high carb meals, bananas/cereals before bed etc all the usual. Assumed it was the cold weather but it's warmed up and still no change!!

Click to expand...

Hi @Kesh92,

All of these things, in combination . . .

- Lantus Insulin
- Injecting before bed
- Hypo problem occurs overnight frequently
- Hypo problem continues to occur even after dropping your dose

. . . strongly suggest to me that you are having problems with the Lantus Insulin partially acting as a Rapid Insulin. Please have a read of the below Post/thread, and see if it may apply to you?

http://www.diabetes.co.uk/forum/threads/nighttime-hypos.58485/#post-545991

From discussion on this forum, this problem seems most likely to occur in people who are fairly skinny with lower body-fat, and/or have some issues with the injection site (injecting into muscle or blood-vessels or slightly damaged/lumpy tissue).

Hope it's helpful
Antony

Also see this thread about Lantus peculiarities:

http://www.diabetes.co.uk/forum/threads/lantus-users.67760/