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Sudden evening hypos..low levels after eating?!

M

Mrscarter

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4
Hi 

I am a type 1 diabetic, diagnosed 4 years ago. I carb count and take nova rapid after I eat according to how many carbs I've eaten. 
I take 1 unit to every 10g of carbs.
I am on lantus 24 units every eve. I have not made any changes, not lost weight or exercised. Suddenly every evening, about 2-3 hours after eating and injecting I start to feel  shaky and hypo like- I test my levels and they are low- like 3.6 or 4.8.. I'm not sure what's causing it.. Just wondered if anyone is able to help or shed any light on it.  Going to call my gp to see what hey think but I'm imagining I'll have to drop my lantus? Just bizarre how it's suddenly doing it. It keeps me up because I'm then worrying and they just keep falling and I have to eat to keep them up.  

On top of this I have been told I have fatty liver disease and I've been referred to the hospital (tomorrow actually!) for a recheck on my eyes as retinopathy result need a consultant to check my eyes. I have also been told I'm overweight and I'm just a bit worried about this too! My last hba1c was 7.5 and my control is fairly good. Morning levels are between 8-10 and lunch is 6-8 and pre eve is usually 7-8.. 

Sorry to go on! 
Thanks in advance
 
Hypoing 2-3 hours after eating is almost certainly due to Novorapid. Are you going hypo at any other time? Are your bedtime and morning levels consistent?
 
Hi thanks for responding.. No not going hypo at any other time and prior to this they were consistent yes.
 
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If your overnight levels are consistent then your Lantus is correct. So it sounds like its your evening Novorapid that needs decreasing. One unit of Novorapid changes your sugar levels by about 3 mmol/l, so decrease by an appropriate amount. Hope this helps.
 
Excellent- I hadn't thought of that. I wonder why the evening ones suddenly require less insulin? Great point though- thank you very much.
 
Mrscarter said:
Excellent- I hadn't thought of that. I wonder why the evening ones suddenly require less insulin? Great point though- thank you very much.
Click to expand...

Hi

If this was me I would increase my Novorapid so that my bedtime bg levels were lower. I think this was what Sam was trying to say to you. So an increase of about 1u of Novo will make your bg levels lower by about 2-3mmol.
 
Have I read this wrong?! Mrscarter is having hypos so needs to reduce her insulin.
 
Ohhhh Crikes

Yes, sorry, Im having one of my senior moments I think. Yes, a reduction of the Novo needs to be done and not an increase.


Sorry
 
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