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HYPERS at night - pump user
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<blockquote data-quote="Tranly" data-source="post: 707083" data-attributes="member: 125298"><p>Hi!</p><p>I'm a type 1 pump user. I was diagnosed almost 6 months ago, and often feel so thankful for being with a pump now. I have been on pump therapy for 1,5 months and still struggling with managing my sugar with so little knowledge and experiences of the disease. Recently I have had some persisted problem which is having HYPERS at night. It really freaked me out to wake up <strong><u>2 times at night</u></strong> to find my sugar 10. or 13. or even 22. something <strong><u>when I was fast asleep</u></strong>! The problem is that it happens at really <u><strong>unexpected hours</strong></u>, could be 11 pm, or 3 am, or whatever, and it happens <strong><u>more than once at night</u></strong>. If it happens at daytime then everyone knows we can make corrections to prevent it from damaging our bodies, but as it happens at night, <strong>I feel like I'm really helpless about it and out of control. </strong></p><p>May I have some questions about this, please.</p><p>1. Is having hypers at night common for most type 1, esp. those who are on pump therapy? </p><p>2. Is this <strong><u>very damaging to our bodies</u></strong>? As I read last time that for a non-diabetic <strong><u>their sugar is very stable throughout the night. </u></strong></p><p>3. I wonder what causes this to happen? As it can happen to me more than once. Like yesterday, I had 13. at 10pm (before going to bed), I made a bolus correction and programmed a temp basal rate. Later at 4 am I woke up to test again, and again it was 9.7! I made another bolus correction and adjustments to basal rates, and woke up at 5.1 this morning. I have read a thread on "dawn phenomenon" and "Somogyi effect", and have used the wisdom in it to apply to my case. But it involves dieting (low-carb and low-protein diets) and exercising (before going to bed) which I'm not sure can be applied to type 1 diabetic like me. I'm not suffering from obesity so do I need to go on a low-carb/low protein diet? </p><p>4. How to deal with this? Any advice on basal rates adjustment, dieting for type 1.. to improve the situation? <u><strong>I am not sure if I should increase or decrease my basal rates. </strong></u>As it depends on the nature of the problem whether it is somogyi effect or dawn phenomenon. </p><p>I'm really in need of some help. I don't have a good doctor with a heart here and still having to count on my own most of the time. I think I have already run out of option. </p><p>I am so grateful for any advice and help!!!</p></blockquote><p></p>
[QUOTE="Tranly, post: 707083, member: 125298"] Hi! I'm a type 1 pump user. I was diagnosed almost 6 months ago, and often feel so thankful for being with a pump now. I have been on pump therapy for 1,5 months and still struggling with managing my sugar with so little knowledge and experiences of the disease. Recently I have had some persisted problem which is having HYPERS at night. It really freaked me out to wake up [B][U]2 times at night[/U][/B] to find my sugar 10. or 13. or even 22. something [B][U]when I was fast asleep[/U][/B]! The problem is that it happens at really [U][B]unexpected hours[/B][/U], could be 11 pm, or 3 am, or whatever, and it happens [B][U]more than once at night[/U][/B]. If it happens at daytime then everyone knows we can make corrections to prevent it from damaging our bodies, but as it happens at night, [B]I feel like I'm really helpless about it and out of control. [/B] May I have some questions about this, please. 1. Is having hypers at night common for most type 1, esp. those who are on pump therapy? 2. Is this [B][U]very damaging to our bodies[/U][/B]? As I read last time that for a non-diabetic [B][U]their sugar is very stable throughout the night. [/U][/B] 3. I wonder what causes this to happen? As it can happen to me more than once. Like yesterday, I had 13. at 10pm (before going to bed), I made a bolus correction and programmed a temp basal rate. Later at 4 am I woke up to test again, and again it was 9.7! I made another bolus correction and adjustments to basal rates, and woke up at 5.1 this morning. I have read a thread on "dawn phenomenon" and "Somogyi effect", and have used the wisdom in it to apply to my case. But it involves dieting (low-carb and low-protein diets) and exercising (before going to bed) which I'm not sure can be applied to type 1 diabetic like me. I'm not suffering from obesity so do I need to go on a low-carb/low protein diet? 4. How to deal with this? Any advice on basal rates adjustment, dieting for type 1.. to improve the situation? [U][B]I am not sure if I should increase or decrease my basal rates. [/B][/U]As it depends on the nature of the problem whether it is somogyi effect or dawn phenomenon. I'm really in need of some help. I don't have a good doctor with a heart here and still having to count on my own most of the time. I think I have already run out of option. I am so grateful for any advice and help!!! [/QUOTE]
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