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how do I prevent hypos at night?

J

jane12

Well-Known Member
Messages
57
Location
salisbury
Type of diabetes
Type 1
Treatment type
Insulin
I was diagnosed with type 1 diabetes a year ago, and until recently had not had an issue with hypos at night. However for the last 3 or 4 months I have been going to bed at anywhere between 5m/mol and 10m/mol,and waking to either around the same reading or really high, anywhere between 12 and 20m/mol. I have 11 units of Lantus twice a day, this was as a result of taking the Dafne course in January and working out that my levels rise in the afternoon/early evening. The nurses suggested splitting my Lantus which I did. I take around 20 units of insulin in the week when I am sat at a desk most of the day, this includes correction doses. My carb ratio dose of insulin is 1.5:10, and 1:2 correction.
At the weekend when I am very active, I use between 5 and 10 units of insulin including (if any) correction. Last night I went to bed at 7.1; woke at 02.36 at 4.9 when i woke up this morning my blood was 18.5!(08.19) I had a small amount of carbs at 2.36 (about 9g) so should have been fine in the morning.
Can someone tell me what adjustment I should make to my doses. PLEASE!
 
Switching to a different insulin might be better, have you tried Levemir? It lasts less than 24hrs I think 16-20 so there's obviously four hours or more when you'd be sleeping that it wouldn't be active so you might not go low. I think you should speak to your consultant and/or DSN about making a possible switch.
 
TooMuchGlucose said:
Switching to a different insulin might be better, have you tried Levemir? It lasts less than 24hrs I think 16-20 so there's obviously four hours or more when you'd be sleeping that it wouldn't be active so you might not go low. I think you should speak to your consultant and/or DSN about making a possible switch.
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Thank you, I split my lantus on the advice of the nurses at the hospital because it wasn't effective in the afternoon, so now take half my dose in the morning and half in the evening. In theory I should be covered 24/7. I will ask my consultant when I see him.
 
jane12 said:
Thank you, I split my lantus on the advice of the nurses at the hospital because it wasn't effective in the afternoon, so now take half my dose in the morning and half in the evening. In theory I should be covered 24/7. I will ask my consultant when I see him.
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If you can't get an appointment, try to speak to them over the phone instead.
 
jane12 said:
I have an appointment on October 7th so will discuss it with him then.
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That's quite far off night-time hypos are serious you should ring them as soon as possible on Monday, even if you have to take the day off or go to work late.
 
TooMuchGlucose said:
That's quite far off night-time hypos are serious you should ring them as soon as possible on Monday, even if you have to take the day off or go to work late.
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Really? I am at the hospital on Wednesday for something else so could see him then.
 
jane12 said:
Really? I am at the hospital on Wednesday for something else so could see him then.
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That's a good idea, but you really should phone on Monday as well just to get some better information, in the mean time I suggest testing during the night around 4-5 hours into your sleep and eating some carbs before bed. I had a similiar problem a few weeks ago I was dropping by 9 or 10 in the night and this is what I did.
 
Please may I just ask... What time is your last eating and bolus or correction bolus?
 
SweetLucie said:
Exactly. But OP was writing
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Yes, so she is high when waking because of a hypo in the night, it's still not the dawn phenomenon she wants to know how to stop the hypos in the night. I suggested she speak to her diabetes team to get a new insulin or see what can be done, she's already split her Lantus doses but it doesn't seem to have worked.
 
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