Hi there, my 4 year old daughter was diagnosed 2 weeks ago with type 1. She's on pump and is doing brilliantly. We've managed to stabilise her blood glucose (BG), but are having one problem area that is really puzzling us.
BG are all between 4.5 and 6 all day, except when she goes to bed, where they start creaping up from about 8pm, untill they are around 18-20mmol by 10pm.
I've tried to look at all the variables, but I just can't thing of why she has such a dramatic spike.
*Her BG is normal when she goes to sleep, I've checked it at regular (30 mins to 1 hour intervals) before and after bedtime to check that she's not going hypo and having a rebound. Everything is ok.
*pump was disconnected for a bath on first 2 occasions, so we didn't give her a bath last night - and it still did it.
*her hands have been washed before bed so there's no glucose on her fingers.
*her last bolus is at between 5 and 6 pm, so worn off or diminished by bedtime.
*I double checked her meter readings on different fingers -same result. Also checked the meter on my blood - reading was fine.
*once I've given her a bolus at 10pm, her sugars come down beautifully and then remain stable all night - 4.5-5 mmol on waking every day.
*her basal is at 0.175units/hour during the day, then increased to 0.225 from 20.30 until morning.
I will increase her basal for the period between 20.30 and 10.30 tonight, but I'm confused as to why her sugars rise so much during this period. I know of the dawn phenomenon and nocturnal hyperglycemia, but this is new to me.
Any suggestions please??
Thank you all for reading and helping out!
Elinor
BG are all between 4.5 and 6 all day, except when she goes to bed, where they start creaping up from about 8pm, untill they are around 18-20mmol by 10pm.
I've tried to look at all the variables, but I just can't thing of why she has such a dramatic spike.
*Her BG is normal when she goes to sleep, I've checked it at regular (30 mins to 1 hour intervals) before and after bedtime to check that she's not going hypo and having a rebound. Everything is ok.
*pump was disconnected for a bath on first 2 occasions, so we didn't give her a bath last night - and it still did it.
*her hands have been washed before bed so there's no glucose on her fingers.
*her last bolus is at between 5 and 6 pm, so worn off or diminished by bedtime.
*I double checked her meter readings on different fingers -same result. Also checked the meter on my blood - reading was fine.
*once I've given her a bolus at 10pm, her sugars come down beautifully and then remain stable all night - 4.5-5 mmol on waking every day.
*her basal is at 0.175units/hour during the day, then increased to 0.225 from 20.30 until morning.
I will increase her basal for the period between 20.30 and 10.30 tonight, but I'm confused as to why her sugars rise so much during this period. I know of the dawn phenomenon and nocturnal hyperglycemia, but this is new to me.
Any suggestions please??
Thank you all for reading and helping out!
Elinor