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Type 1 Diabetes
Napping and hypos!
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<blockquote data-quote="spake" data-source="post: 1195446" data-attributes="member: 231197"><p>Hello Sarah, </p><p></p><p>I had a similar problem. Every time I got to bed in the evening my BG would fall 1-3mmol/l. I found this great in the beginning since it allowed me to sback just before sleep or to go to sleep with high sugar and have it decreased "automatically". </p><p>But there were some issues. At first, I suspected it falls every time I fall asleep deeply enough in the evening. But I was worried because I sometimes fall asleep with my children, hence I go to sleep 2 times per evening. That creates a 2x drop. This happened only twice thought, so I could never confirm that.</p><p>Then my doctor told me the following. There are some changes in the insulin/glucagon equilibrium when we sleep. For instance, a rise in BG around 4am seems to be common because the body starts producing glucagon at a certain point in the night for some reason. So maybe that's my personal physical setting - a drop in glucagon when I fall asleep. However, my doctor also told me that I should check if the basal injection has anything to do with it. </p><p>I then experienced an extreme fall of BG just before bed time (and just after basal injection). I stayed awake until 3am and ate around 150g of carbs. Following this, I started experimenting with the basal - taking 2 half doses each 12 hours and similar. I now landed in taking basal in late afternoon and I'm not encountering this problem anymore. I also never sleep in the late afternoon. And I'm also very careful of how I inject basal not to get it intravenous by mistake as I'm very thin and have thin skin, apparently. </p><p></p><p>Hope this helps.</p></blockquote><p></p>
[QUOTE="spake, post: 1195446, member: 231197"] Hello Sarah, I had a similar problem. Every time I got to bed in the evening my BG would fall 1-3mmol/l. I found this great in the beginning since it allowed me to sback just before sleep or to go to sleep with high sugar and have it decreased "automatically". But there were some issues. At first, I suspected it falls every time I fall asleep deeply enough in the evening. But I was worried because I sometimes fall asleep with my children, hence I go to sleep 2 times per evening. That creates a 2x drop. This happened only twice thought, so I could never confirm that. Then my doctor told me the following. There are some changes in the insulin/glucagon equilibrium when we sleep. For instance, a rise in BG around 4am seems to be common because the body starts producing glucagon at a certain point in the night for some reason. So maybe that's my personal physical setting - a drop in glucagon when I fall asleep. However, my doctor also told me that I should check if the basal injection has anything to do with it. I then experienced an extreme fall of BG just before bed time (and just after basal injection). I stayed awake until 3am and ate around 150g of carbs. Following this, I started experimenting with the basal - taking 2 half doses each 12 hours and similar. I now landed in taking basal in late afternoon and I'm not encountering this problem anymore. I also never sleep in the late afternoon. And I'm also very careful of how I inject basal not to get it intravenous by mistake as I'm very thin and have thin skin, apparently. Hope this helps. [/QUOTE]
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