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Is a bedtime blood glucose level of 5.0 ok?

Discussion in 'Ask A Question' started by Northerngirl, Aug 23, 2015.

  1. Northerngirl

    Northerngirl Family member · Member

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    My partner, who has been on insulin for a couple of months, tried very hard yesterday and cut out all snacks containing carbohydrate.

    5.30 pm evening meal had a reading of 12.1
    2 hours later had a reading of 12.0

    At bedtime 11pm had a reading of 5.0 (he has never in 13 years had a reading that low).

    At which point we were both worried about how low it would go overnight, so he had a snack . (Banana and bag of mini cheddars

    This morning 8.30am his reading was 7.0 - also the first time it's been this low for ages and ages.

    Was having a snack the correct thing to do, or should we just have left it? Thanks
     
    #1 Northerngirl, Aug 23, 2015 at 2:34 PM
    Last edited by a moderator: Aug 23, 2015
  2. philchap1

    philchap1 Type 1 · Well-Known Member

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    Looking at what he'd eaten and the reading next morning it was the right thing to do as he would have gone really low without the snack :)
     
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  3. philchap1

    philchap1 Type 1 · Well-Known Member

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    If I'm in the 5 range I have a small snack before bed.
     
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  4. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    Wow! Going low carb while on insulin sounds tricky, but potentially a really good idea. You'd better get some serious advice from people who have done it. It may be worth a new thread or maybe search the forum.
     
  5. Northerngirl

    Northerngirl Family member · Member

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    He wasn't really going low carb, more less snacks!
     
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  6. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    Ah, I see. It might be worth exploring going low carb. Lots of type 1 diabetics do it.
     
  7. Spiker

    Spiker Type 1 · Well-Known Member

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    Before embarking on low carb a diabetic on insulin should do full fasting basal rate testing and ratio testing. Otherwise unexpected results like this are likely, if, for example, basal is too low and bolus ratios are too high as compensation
     
  8. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    He shouldn't change his eating habits without some serious planning and thought.
     
  9. Molly56

    Molly56 Don't have diabetes · Well-Known Member

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    @Northerngirl ....similar with my partner...has not intentionally gone low carb but has reduced carbs (his choice, no longer eats potatoes with evening meal / has salad instead)...also cut out snacks (had a liking for a slice of bread or bowl of porridge in evening)...have also been worried if evening reading was low and I too have suggested he has a snack pre bed.....does have a banana as a snack which I don't think is best choice but better than some of the alternatives he may choose.

    @Spiker ...I think (like my partner) @Northerngirl 's partner is on mixed insulin at the moment in which case it is not possible to distinguish between or alter basal or bolus rates...
     
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  10. mrspuddleduck

    mrspuddleduck · Guest

    Hi, Sounds like he's in the honeymoon period or still producing some of his own insulin?. I have a similar problem. I run high during the day and then drop and regularly hypo at night. I eat every night before bed to stave off the night lows, a low GI, slow release carbs snack. The best thing I have found is nut based breakfast bars. Works for me!! Sue xxx
     
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  11. Northerngirl

    Northerngirl Family member · Member

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    Thanks when you say you regularly hypo in the night, is that when you are asleep? What do you do?
     
  12. mrspuddleduck

    mrspuddleduck · Guest

    I'm lucky cos I'm hypo aware so I'd my bloods drop below 4 it wakes me up. I keep orange juice and jelly beans by the bed (most people suggest jelly babies but I'm a veggie!) for immediate 'treatment' then test my bloods again after approx 20 mins and then have some slower release carbs, biscuits/toast etc and so on. BUT that's not prescriptive, its only what works for me! Try looking at www.diabetes.co.uk/how-to/treat-a-hypo.HTML for more specific advice. Sue xxx
     
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  13. mrspuddleduck

    mrspuddleduck · Guest

    Sorry my link not working! Go to the sites main page and search hypos! Sue xx
     
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  14. teacher123

    teacher123 Type 1 · Well-Known Member

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    I try to go to bed sitting around 5.5/6 so have sufficient room for levels to drop without going hypo. I find oatcakes are helpful snack just before bed, 4.3g of carbs per oatcake (Nairns)
     
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  15. iHs

    iHs · Well-Known Member

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    In the years that Ive been type 1, my bg levels always dropped overnight and unless my bg was higher at bedtime, I always had a 5-10g carb snack to try to prevent a hypo. I did this using twice daily insulin and then MDI, and for a while until I got my basal rates sorted, I also had a small snack before bed using a pump.

    There is no harm from eating a snack before bed if it helps to stop a hypo from manifesting.
     
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