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Repeated night hypos

Engineer88

Engineer88

Well-Known Member
Messages
2,130
Location
Wales
Type of diabetes
Type 1
Treatment type
Pump
Hi guys

Posting in almost desperation as well as a lack of sleep! Last 3 nights have been **** with multiple hypos between 10.30 and 1am after dropping 4u of basal. Cant get levels up in the evening. Any suggestions?
 
A few possible causes to consider:

If you eat your evening meal late are you sure it isn't your QA insulin that's to blame?.. meaning your insulin to carb ratio is wrong. The reason why I ask is your hypo's are quite early on between 10.30 and 1am.

Another could be exercise earlier in the evening, if this is the case then you need to reduce your insulin to compensate.

If none of the above then try reducing your basal insulin again, what time do you take it?

In any event ask your DSN for advice and show them your record book with your bg readings, carb intake and insulin doses, hopefully they'll advise and you can get a good nights sleep :)
 
Thanks for the replies,

Tried snacks, no good.

Noblehead, I think some of your points must be closest but it isnt exercise for sure. Could be either of the others though. Ive contacted the dietician and DSN and thats what seems to have caused it all!
Starting DAFNE on june 3rd so fingers crossed.

Thanks
 
Yeah Im down to 12U basal now from 19. No hypos that im aware of just feeling ****** due to highs now!
 
Engineer88 said:
Yeah Im down to 12U basal now from 19. No hypos that im aware of just feeling ****** due to highs now!
Click to expand...

I think there must be hundreds of type 1 diabetics using bolus/basal who if they bothered to get up in the night and test bg levels every 2hrs would find out that between certain hours like 11pm to 3am, their bg levels drop like a hat but from 3 or 4am onwards bg levels start to climb upwards and that if they reduce the nightime basal down, they deal with the low bg levels between 11pm and 3am but the reduction doesnt deal with the higher bg levels that occur from 4am onwards and those levels just get higher than before.

What do you do???????? well years ago I had this trouble and thought about it a bit and decided to eat some carb before going to bed (but the amount I eat could only be determined by getting up and testing to see what effect eating the carb had on my bg levels, but some might need to eat 5g or 10g carb and some might need 15g.... all can be sorted through bg testing and adjusting) and if the low bg levels stop but then get far higher from 4am, then increase the nightime basal up by 1 or 2u. That way, the carb will deal with the low times and the increase in basal will deal with the times when bg levels goes higher.....
 
I appreciate that iHs but I dont find it as simple as 'bothering' to get up. For example with my disbeties the same amount of carb can affect me differently over days (or nights).

Im hoping I'll get a pump and a continuous monitoring system sooner rather than later.
 
iHs I DO get up in the night occasionally to check things out, but I work full time, I have a dog to walk and aid in the care of my grandparents and 4 nieces and nephews. Continual broken sleep just isn't ideal

I agree doing a few nights to get the lay of the land is important, but continually? It just isn't going to happen!
 
Hi

Im really sorry that my msg has caused some concern and offended... I didnt mean it to come over that way.
 
Sorry iHs I've been rubbed up the wrong way a lot this morning (DSN) and ontop of a lack of sleep I'm feeling very short temperd. Friends?
 
iHs said:
Hi

Im really sorry that my msg has caused some concern and offended... I didnt mean it to come over that way.
Click to expand...

No no not offended! Just feeling snappy today as there are some cupcakes in my eye line that just won't go away! I'm sorry you feel that way!

I agree testing through the night is vital at certain stages. I just mean broken sleep is as bad as no sleep for some people (or maybe just me haha)
 
Easy solution to that Hale710! threaten to throw them at the wall!

Feels good and doesnt affect BG.

Side effects may include the sack. :D :lol:
 
Engineer88 said:
Easy solution to that Hale710! threaten to throw them at the wall!

Feels good and doesnt affect BG.

Side effects may include the sack. :D :lol:
Click to expand...

It's my own fault, I made the **** cupcakes! What was I thinking....

Thankfully I'm the boss today so the sack isn't an option! Potentially could be carted off to the loony bin though

My plan is to have one with lunch so I can control the insulin. I intentionally made a smaller one with only half icing so I could have a treat. But later. It's always later.......
 
Hi, i was having lots of night time hypo's so now have my lantus in the morning instead of before bed. I was told to reduce it but i went from 22 units down to 2 units and it didn't make any difference!! Also try testing before bed and if it's lower than 10 have a couple of biscuits or half a sandwich. Good luck. :D
 
I suffered night time hypo,s, normally 2.30ish, changed basal insulin from insulatard to lantus, also changed basal dose to morning, brought forward by 2 hours each day. Not had 1 night time hypo since. Doesn't suit all but worth discussing with your hospital/doctor.
 
Hmm...

Well I know that for the past six evenings from around 8-10 p.m I have been having constant lows. Even when I correct one, another one creeps up. I decided to just reduce my Novorapid and have more carbs at dinner time. Problem more or less solved.

Also try and do blood tests every hour. A lot can happen in an hour.

Best of luck,

Izzy.
 
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