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Scary night time hypo
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<blockquote data-quote="kkkk" data-source="post: 461314" data-attributes="member: 92533"><p>Hiya,</p><p></p><p>I'm similar not much really encouraging stuff - I've been diabetic 25 years and I remember having night hypos as a child and being in this odd daze with my Mum telling me a doctor was coming and I was convinced I was dreaming - since then I've had several more and they've got worse over the last year - but that is just me - I did have a gap where I was fairly stable overnight and had nothing too bad for a year or so - I guess the encouragement in that it could just be a one off.</p><p></p><p>My tactics are:</p><p></p><p>- Don't go to bed below 6 - if I am a slice of toast normally does me very well and keeps me up enough if I am too high, then I am too high and unless it would be some really high number I wouldn't touch my insulin (I am on injections and not a pump at present hence that view). Whatever happens with me I think a snack quite helps - it is that 1am-2am period where I am incredibly unlikely to wake up and those hypos have the potential of being horrible.</p><p></p><p>- Have your bedtime/nighttime insulin at a regular time, and I try not to have my evening meal too late as otherwise the insulins overlap and that can cause that little peak in action that could cause the hypo. (I do this rather than the 4 hour wake up - it's the same principle - I sadly do a 1am wakeup each night as mine are a little to frequent for comfort at the moment and like you it really scares me)</p><p></p><p> - having talked about all the injections - it might be worth considering a pump as your insulin doses can be personalised and night time hypos make you qualify under the old NICE guidelines - definitely worth talking to your team about. (I am hoping to go on one to really just get to the bottom of it as I am fed up with night time hypos!)</p><p></p><p>- Do some blood tests in the middle of the night to see what is going on.</p><p></p><p>- Ask your team whether they could loan you a CGM (continuous glucose monitor) for a couple of days and have a look at what is going on at night and whether you have a big morning phenomenon - when your glucose rises as you wake up.</p><p></p><p>- maybe just do a note in your diary of what you did on that night, just incase if ever happens again and there is anything common - though I know it can be like a needle in a haystack - I know heat generally makes my sugars fall so on holiday I am more aware of hypos in the day as well as the night then, also alcohol, exercise all that sort of stuff can come into play too.</p><p></p><p>For me - my solution after many many hypos in the night is to go on a pump, but I am also getting CGM as I believe that should be able to wake me up before I am at that horrible stage (though I will have to fund this, as I was told NICE won't even consider funding it until you have proved that a pump cannot completely eliminate night time hypos). I can't tell you whether either of those have worked yet but I am really positive and determined that they will <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> Good luck with it, sadly you are not alone and for me too it is the worst part of diabetes - if my CGM and pump to the job for me I will let you know - it does take a while to get a pump so be worth asking about one sooner than later if that is an option you want to pursue.</p></blockquote><p></p>
[QUOTE="kkkk, post: 461314, member: 92533"] Hiya, I'm similar not much really encouraging stuff - I've been diabetic 25 years and I remember having night hypos as a child and being in this odd daze with my Mum telling me a doctor was coming and I was convinced I was dreaming - since then I've had several more and they've got worse over the last year - but that is just me - I did have a gap where I was fairly stable overnight and had nothing too bad for a year or so - I guess the encouragement in that it could just be a one off. My tactics are: - Don't go to bed below 6 - if I am a slice of toast normally does me very well and keeps me up enough if I am too high, then I am too high and unless it would be some really high number I wouldn't touch my insulin (I am on injections and not a pump at present hence that view). Whatever happens with me I think a snack quite helps - it is that 1am-2am period where I am incredibly unlikely to wake up and those hypos have the potential of being horrible. - Have your bedtime/nighttime insulin at a regular time, and I try not to have my evening meal too late as otherwise the insulins overlap and that can cause that little peak in action that could cause the hypo. (I do this rather than the 4 hour wake up - it's the same principle - I sadly do a 1am wakeup each night as mine are a little to frequent for comfort at the moment and like you it really scares me) - having talked about all the injections - it might be worth considering a pump as your insulin doses can be personalised and night time hypos make you qualify under the old NICE guidelines - definitely worth talking to your team about. (I am hoping to go on one to really just get to the bottom of it as I am fed up with night time hypos!) - Do some blood tests in the middle of the night to see what is going on. - Ask your team whether they could loan you a CGM (continuous glucose monitor) for a couple of days and have a look at what is going on at night and whether you have a big morning phenomenon - when your glucose rises as you wake up. - maybe just do a note in your diary of what you did on that night, just incase if ever happens again and there is anything common - though I know it can be like a needle in a haystack - I know heat generally makes my sugars fall so on holiday I am more aware of hypos in the day as well as the night then, also alcohol, exercise all that sort of stuff can come into play too. For me - my solution after many many hypos in the night is to go on a pump, but I am also getting CGM as I believe that should be able to wake me up before I am at that horrible stage (though I will have to fund this, as I was told NICE won't even consider funding it until you have proved that a pump cannot completely eliminate night time hypos). I can't tell you whether either of those have worked yet but I am really positive and determined that they will :) Good luck with it, sadly you are not alone and for me too it is the worst part of diabetes - if my CGM and pump to the job for me I will let you know - it does take a while to get a pump so be worth asking about one sooner than later if that is an option you want to pursue. [/QUOTE]
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