1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2020 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Target Glucose Levels At Bed Time And During The Night.... If Possible :)

Discussion in 'Ask A Question' started by everway9, Sep 1, 2016.

  1. everway9

    everway9 Type 3c · Well-Known Member

    Messages:
    229
    Likes Received:
    72
    Trophy Points:
    68
    Hey everyone. I hope y'all doing grand today! :)

    So..... A quick update first.

    Tomorrow it will be 3 weeks since I was diagnosed 3c. A lot has happened in that time. Lots of research, doctor and DSN appointments. I have an eye screening test and an appointment with the consultant surgeon, AKA 'the professor' (Pancreas & Benign HPB unit) at my local hospital next month. (If you have read my first post you will be aware of the problems I have had). So hopefully all will go well. (Please no more gall stones!!)

    My glucose levels are still high compared to a person who has good control of their diabetes. My last 7 day average has been 12.0. Considering my levels at various points recently after diagnosis were in excess of 40 I dont think I'm doing too bad. I have had one hypo so far and I counter attacked that perfectly with 6 Jelly Babies... yummy :) I then followed that with a sandwich and some NovaRapid. 2 hours later... 5.6, YES! :) My overall mood, stamina and motivation are greatly increased and I'd say pretty much back to normal. I have been learning carb counting too.


    Anyway.... I have another question for you all.

    I know that I should maybe know this already but I really haven't thought about it too much. Is there a general rule for glucose levels at bed time? For example... If your level is 5.3 when you go to bed, should you have a light snack/supper and match those carbs with novarapid or not eat anything? I dont think I'm getting my thoughts on to paper properly here. I'm not quite sure how to explain. Say if my level is 5.3 and I go to sleep, will my level continue to fall to the extent that I have a hypo during the night and therefore should set my alarm for a level check. Or will it not really fluctuate that much? If it will drop too low, then will eating a small snack without novarapid raise it enough to prevent it going too low before the morning, therefore taking away the need for a check during the night? . Basically, slightly putting your level up on purpose, taking into consideration/predicting the amount it will drop. I suppose its all going to depend on when you last had something to eat.... doesn't it? or does it? ARRRGHH!

    The reason I am asking this is not because I cant be bothered waking from my nice lovely sleep it's because one of my anti-depressant medications causes me to sleep extremely deeply for the majority of the night and I am concerned that my alarm will not wake me up.

    I'm sorry. I've probably confused you all as much as I have myself. Maybe you can understand. Depending on what sort of response I get I may have to delete this post :)

    Thanks for reading my random garble. Any input would be very welcome. :)
     
  2. GrantGam

    GrantGam Type 1 · Well-Known Member

    Messages:
    2,607
    Likes Received:
    1,582
    Trophy Points:
    178
    Good morning :)

    Have a look here for some BG target range advice:

    http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

    Ideally, your BG upon waking should be the same as before bed. You can allow yourself some flexibility though as no-one's BG profile is linear. I think the book "Think Like A Pancreas" suggests that BG differential between going to bed and waking should be within 1.7mmol/L.

    Providing your basal insulin is set correctly then there should be no need for light snacks with or without bolus insulin before bed. This will help you fine tune your basal insulin:

    https://mysugr.com/basal-rate-testing/

    It's worth remembering that bolus insulin is working up until around 5hrs after injecting. So if you have a late dinner or supper, your BG could still be falling long after you go to sleep. This may cause a delayed nocturnal hypo.

    I hope I've answered something here, it's tricky reading posts on my phone with the current site issues.

    Cheers:)
    Grant
     
    • Informative Informative x 1
  3. everway9

    everway9 Type 3c · Well-Known Member

    Messages:
    229
    Likes Received:
    72
    Trophy Points:
    68
    Hi GrantGam1337. Thank you very much for your excellent reply and links. I will take a look at those links. I know Basel is background insulin (24h) and Bolus must be fast acting insulin. Am I right to assume that Basel is Base Level? I have not got a clue what Bolus stands for though. Thanks. :)
     
  4. GrantGam

    GrantGam Type 1 · Well-Known Member

    Messages:
    2,607
    Likes Received:
    1,582
    Trophy Points:
    178
    Hello!

    That's no problem at all. In a nutshell:

    -Basal insulin (Lantus, Levemir, etc) are background insulins administered once or twice daily at 24 hour and 12 hour intervals respectively.
    -Bolus insulin (Novorapid, etc) are quick acting insulins administered to cover carbs in meals or correct high BG levels.

    This will explain better than me though:

    http://www.diabetes.co.uk/insulin/basal-bolus.html

    Grant:)
     
    • Useful Useful x 1
  5. everway9

    everway9 Type 3c · Well-Known Member

    Messages:
    229
    Likes Received:
    72
    Trophy Points:
    68
    Good stuff. Thanks :)
     
    • Like Like x 2
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook