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low readings before bed?

Discussion in 'Ask A Question' started by ~Molly~, Jun 7, 2009.

  1. ~Molly~

    ~Molly~ · Member

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    My brother is slowly reducing his insulin (novomix) from 10 to 8 in the morning and from 5 to 4 in the evening. In addition he has just started taking metformin (300mgs twice daily) as he is trying to come off the insulin. He started this new regime 4 days ago (on the doctors advice).

    With the addition of the metformin he is finding his sugars are down to an average of 4.5 before bed (usual levels anywhere between 5.5 - 9.0) which is really worrying him as he is not feeling well at these levels and thinks he might go into hypo overnight. He is now eating before he goes to bed because of this. In your experience do you think this a possibility?

    Thank you
    Molly
     
  2. hanadr

    hanadr · Expert

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    The insulin can cause a hypo. Perhaps it's about time to drop the nighttime dose( he needs to discuss this with the doctor.
    I assume that he's a T2 on insulin?
     
  3. ~Molly~

    ~Molly~ · Member

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    Thank you so much for your reply hanadr - yes he is type 2. We have also been told that he needs a slow reduction in insulin... he has been given around 2-3 months at these levels. Can insulin be reduced quicker than this?
     
  4. Trinkwasser

    Trinkwasser · Well-Known Member

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    In a word, yes. The long version - IMO he really needs some closer supervision, does he have a DSN or someone he can ring/email with his numbers?
     
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