My type 1 daughter aged 9 always seems to get high sugar at night. We also suffer with hypos during day. I use librefreestyle and we see overnight it is always 200 plus.
Am I right in thinking to move to a low carb diet for her as we can't get the levels right?
Not on pump.It may help, but adjusting basals/bolus and analysing food effects would be probably better.
I assume it climbs during the night from what you are describing, and not dipping and then rising?
Is she on pump or MDI?
Hi @liverdie. As donnellydogs has said you may need to re assess your daughter's basal/bolus regime.
Going hypo in the daytime is equally as bad as going high overnight.
You maybe over treating daytime lows which from personal experience can lead to high sugars for quite a few hours later.
I'm sure you'll find a solution, as with a lot of things diabetes related it's trial and error.
Good luck.
Basal dose is 12 taken at night about 1 hour before sleepingWhat basal insulin does she use and when does she take it?
Persistent highs or lows are usually due to insulin issues not food (unless she's eating a vast amount of carbs).
Basal dose is 12 taken at night about 1 hour before sleeping
It was 6.7 before sleeping and now in morning it's 10.9. She takes 12 Lanctus at around 1 hour before sleepingWhat kind of insuljn does she take? If she's going high at night, her basal insulin dose and timing needs looking at. It might need increasing or it might need the injection earlier or it might need splitting into two doses - or even a combination of those things.
There shouldn't be any need to change her diet.
The problems you've described suggest her imsulin needs adjusting in some way. If this is a fairly sudden change, it could be that she's going through a growth spurt. It may take a little experimenting with her insulin (with the help of her team) but you should be able to sort this
Normally before food we give the novorapid. Then it seems to go low after about 2 hours but only sometimes. No fixed time. Maybe need to reduce novorapidIf you get her basal/bolus doses correct, there is no need to go low carb. If she's going hyper at night after suffering hypos in the day, you could possibly be over treating the hypos.
What time of day is she having the hypos; before/after breakfast, before/after lunch?
We are in qatar. Very little guidance appointment every 2 months and they seem to want us to aim higher with scores like 150 fasting. We just started carb counting this week. Using the librefreestyle is giving more info but I think highlighting more hypers.Is it lantus or levemir?
We aren't allowed to officially give advice as none of us are professionals, HOWEVER, we can suggest what we would do in your scenario.
First off it would help if we had a days worth of levels, units insulin etc.
Ie
3am bg test. 5.0. No insulin
8am bg test 13.0
1 unit correction
32g cereal
3 units bolus
10am bg test 3.6
1pm Lunch
Bg level 7.4
25g jacket spud with salad
No correction
2.5 bolus
Etc, etc...
It would enable us to give you guidance as to the changes we would make if it was us.
Personally from
just my opinion give good, homemade foods where possible from as much fresh nutients and foods as possible.
The only thing I would restrict would be heavy laden things like processed foods, takeaways etc.
For me its hard to balance the idea of restricting any nutritional categories from a childs diet ie going veggie, or paleo unless there is a medical need for it. I don't for myself count T1 as a need to restrict to certain food groups. I don't really agree with the NHS stance of 230g carbs for children, as I think this is too high. Again just my own personal views... Others will come along with different thoughts.
Have you got 1/2 unit pens?
Have you read books like "think like a pancreas" etc?
What guidance are you getting from the hospital?
Basal dose is 12 taken at night about 1 hour before sleeping
Why did you move your lantus to earlier and how did it help?You can take lantus anytime of day as long as you leave a 24 gap between injections, I used to inject my lantus just before bed then moved it to earlier in the evening around 6pm.
I did this after speaking with my DSN and I would suggest you speak with your daughters diabetes team first if you decide to move the basal dose.
Why did you move your lantus to earlier and how did it help?
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