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Overnight Hypos with No Insulin
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<blockquote data-quote="LooperCat" data-source="post: 1828986" data-attributes="member: 468055"><p>[USER=319823]@Rosie Longstreeth[/USER] Wow, you’ve given us all a conundrum to sink our teeth into here... </p><p></p><p>I’d second [USER=374531]@Scott-C[/USER] and get a transmitter to sit on your Libre and give you alarms so you can deal with the crash before it happens. He uses the Bluecon, I’ve got a MiaoMiao. They’ll turn your Libre into a proper CGM, which I think would be invaluable here. </p><p></p><p>Have you considered splitting your dose of basal? Most of them have a peak at around four hours before tailing off, I used to get horrendous night hypos with a single bedtime injection of Lantus, less so when I split it morning and night. </p><p></p><p>My initial thought is that your basal is set too high, even with low carb meals, you should need a little bolus, even if it’s just for protein. As the others have already suggested, keep meticulous records of not just your insulin doses all your food, down to the last g of not just carbs but protein and fat as well. Protein can cause a slow, sustained rise if you’re not eating many carbs; fat slows them both down. I find the MySugr and MyFitnessPal apps incredibly useful for this, as you can print out paper reports to go over with your team.</p></blockquote><p></p>
[QUOTE="LooperCat, post: 1828986, member: 468055"] [USER=319823]@Rosie Longstreeth[/USER] Wow, you’ve given us all a conundrum to sink our teeth into here... I’d second [USER=374531]@Scott-C[/USER] and get a transmitter to sit on your Libre and give you alarms so you can deal with the crash before it happens. He uses the Bluecon, I’ve got a MiaoMiao. They’ll turn your Libre into a proper CGM, which I think would be invaluable here. Have you considered splitting your dose of basal? Most of them have a peak at around four hours before tailing off, I used to get horrendous night hypos with a single bedtime injection of Lantus, less so when I split it morning and night. My initial thought is that your basal is set too high, even with low carb meals, you should need a little bolus, even if it’s just for protein. As the others have already suggested, keep meticulous records of not just your insulin doses all your food, down to the last g of not just carbs but protein and fat as well. Protein can cause a slow, sustained rise if you’re not eating many carbs; fat slows them both down. I find the MySugr and MyFitnessPal apps incredibly useful for this, as you can print out paper reports to go over with your team. [/QUOTE]
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