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Night Time Hypos Every Night - help!
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<blockquote data-quote="catapillar" data-source="post: 1582192" data-attributes="member: 32394"><p>Pregnancy, specifically the first trimester, can cause hormone changes that make you more insulin sensitive and cause hypos. Obviously if you're making changes to doses to deal with this you'll need to keep a close eye on blood sugars to stay in the pregnancy targets as as the pregnancy moves along the hormones make you more insulin resistant.</p><p></p><p>DAFNE says for night time hypos basal insulin should be reduced by 10-20% immediately. So that would be a reduction from 54 down to 43-48 the next night after your first unexplained nocturnal hypo. Seems a bit odd that it's taken 3 weeks to get down to 42. If you're still having hypos with 42 units do the same again, reduce by 10-20% and see how you go with something in the region of 33 units.</p><p></p><p>If you don't think it's the levemir causing the night hypos are you taking any bolus insulin before bed or in the evening? When would your last bolus dose at night be?</p><p></p><p>If you are having more frequent hypos through out the day it could be you need to look at reducing your insulin to carb ratio while the pregnancy is making you more insulin sensitive. Or it could just be that due to the tight targets required during pregnancy you just have tighter control and tighter control does cause a bit more of a hypo risk.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1582192, member: 32394"] Pregnancy, specifically the first trimester, can cause hormone changes that make you more insulin sensitive and cause hypos. Obviously if you're making changes to doses to deal with this you'll need to keep a close eye on blood sugars to stay in the pregnancy targets as as the pregnancy moves along the hormones make you more insulin resistant. DAFNE says for night time hypos basal insulin should be reduced by 10-20% immediately. So that would be a reduction from 54 down to 43-48 the next night after your first unexplained nocturnal hypo. Seems a bit odd that it's taken 3 weeks to get down to 42. If you're still having hypos with 42 units do the same again, reduce by 10-20% and see how you go with something in the region of 33 units. If you don't think it's the levemir causing the night hypos are you taking any bolus insulin before bed or in the evening? When would your last bolus dose at night be? If you are having more frequent hypos through out the day it could be you need to look at reducing your insulin to carb ratio while the pregnancy is making you more insulin sensitive. Or it could just be that due to the tight targets required during pregnancy you just have tighter control and tighter control does cause a bit more of a hypo risk. [/QUOTE]
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