heronbrook
Member
- Messages
- 6
- Type of diabetes
- Parent
- Treatment type
- Insulin
There is, but not that much. What time is she eating before bed and what is she eating?Thanks for reply, she takes her lantus before bedtime normally around 9pm? I am told there is a delay in the dose becoming active.
Before this pattern she would have a snack before bedtime carbs depending on her BS. Teatime is around 6pm. Since this new trend she has gone to bed on sugars as low as 4.8 had no snack and still risen to 10/12 by 12pm, so it's not carbs causing it.There is, but not that much. What time is she eating before bed and what is she eating?
Thanks Ruth plenty to think about there, whilst I know snacking is always a possibility I am as confident as I can be it isn't that. The fat and protein is really interesting and could well be a cause, her snacks do often include proteins and fat e.g chicken skewers/ Low carb etc. she hates the idea of a pump but 2 injections of Basel would be better is that what you were referring to when you mentioned Levemir?Is her evening meal higher fat and/or higher protein than previously? Either of those can cause a slow rise over up to 8 hours, and they each double the effect, so for example, 30g protein will cause a long, slow rise, and add 30g fat, you will get an additional rise of approximately the same amount.
It is also true that teenagers' insulin requirements can be quite high so it may just be a marker of puberty - or a phase in her menstrual cycle.
If her daytime readings are not just flat but in the right zone (not too high), while her nighttime ones are rising, she might need to change to two shots a day of Levemir (I am sure, having been a teenage diabetic, that won't be popular) or ask to move onto a pump.
But look at what she's eating for dinner first.
(And look under the bed for the sweetie wrappers (kind of a joke, but I really was a teenage diabetic, secret runs to the biscuit tin and all that). Going from 6pm till morning without eating at all is a long time for anyone, let alone a teenager. Might even be best to give her a bedtime snack and another bolus.)
Yes, some people take one shot of Levemir in the morning, and another before bed. That way you can deal with different requirements for basal over the two periods. Tim does that. If you look at some of hsi posts, he explains it.Thanks Ruth plenty to think about there, whilst I know snacking is always a possibility I am as confident as I can be it isn't that. The fat and protein is really interesting and could well be a cause, her snacks do often include proteins and fat e.g chicken skewers/ Low carb etc. she hates the idea of a pump but 2 injections of Basel would be better is that what you were referring to when you mentioned Levemir?
I only joined this forum today after coping with T1 as a single dad for last 4 years glad I did now, such a weight off hearing from people like I have today. Thanks Ruth you've been a big help.Yes, some people take one shot of Levemir in the morning, and another before bed. That way you can deal with different requirements for basal over the two periods. Tim does that. If you look at some of hsi posts, he explains it.
thanks again and I will ask her xGet her to join too. There's a really good teens section. I wish I had known some other diabetics when I was young. It can really help with adjustment, i think.
Anyway, welcome!
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