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<blockquote data-quote="sgm14" data-source="post: 2722687" data-attributes="member: 517358"><p>Diabetes is complicated and this could be cause by several reasons, including some I have not mentioned. But here are a few possibilities.</p><p></p><p>For a lot of people, the evening meal is their main meal and more complex than the other meals. That means that it is possible for the blood sugars to continue to rise after the normal two hour period. If you have a cgm, then you will spot this, but if you are just doing a finger prick test after two hours, it is very easy to miss. </p><p></p><p>When do you take your lantus?</p><p>I take mine at night, and sometimes I get the feeling that it has started to run out before the 24 hour period is up. This doesn't happen often enough to be a problem, but apparently it does for some people and their doctor/endo has switched them to use two long-lasting insulin injections, obviously using different type of insulin.</p><p></p><p>Lack of Exercise in the evening.</p><p>Most people work during the day and if your job means you are physically active, then that may have the effect of lowering your daytime blood sugar.</p><p>Then after work, you may relax more and take less exercise, which means you aren't using up as much glucose. Hence you may need to increase your 'insulin to carbs' ratio for this meal or take more exercise.</p></blockquote><p></p>
[QUOTE="sgm14, post: 2722687, member: 517358"] Diabetes is complicated and this could be cause by several reasons, including some I have not mentioned. But here are a few possibilities. For a lot of people, the evening meal is their main meal and more complex than the other meals. That means that it is possible for the blood sugars to continue to rise after the normal two hour period. If you have a cgm, then you will spot this, but if you are just doing a finger prick test after two hours, it is very easy to miss. When do you take your lantus? I take mine at night, and sometimes I get the feeling that it has started to run out before the 24 hour period is up. This doesn't happen often enough to be a problem, but apparently it does for some people and their doctor/endo has switched them to use two long-lasting insulin injections, obviously using different type of insulin. Lack of Exercise in the evening. Most people work during the day and if your job means you are physically active, then that may have the effect of lowering your daytime blood sugar. Then after work, you may relax more and take less exercise, which means you aren't using up as much glucose. Hence you may need to increase your 'insulin to carbs' ratio for this meal or take more exercise. [/QUOTE]
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