Hi all,
How do you treat a high BG before bed?
I was on 12.3 before going to sleep so injecting 1 unit knowing it would bring me down anywhere between 6-9 (really varies honestly)
But instead it brought me down to 3.8 in the middle of the night!!
How can it go down so much and how do I prevent that in the future then?
Thank you!
The way I treat high blood sugar before bed is I just inject some insulin. I have previously had restless nights where I had to wake up several times and inject insulin, as a result I discovered that I need double the amount of insulin I usually need to bring my BG down so I just know I can safely inject 4 units knowing I’ll go from 12 to 6 in 3 hours but if I did that during the day I would go from 12 to 0 in 3 hours. To be honest it’s pointless me telling you how I manage it, you kind of learn your own metabolism... how much insulin you need, how alcohol affects you, how exercise affects you, these are all things you find out yourself.
The low blood sugar in the night could be due to a number of factors...
-Lantus may have an irregular profile in some people meaning it works harder sometimes and lesser other times therefore making BGs inconsistent.
-Possibility of endogenous insulin production (your own pancreas making insulin) (I haven’t checked your profile so don’t know if you’re newly diagnosed)
-Your insulin needs are lower during the night so the Lantus may be too much, if your BGs are fine throughout the day but at night you get hypos then it suggests you need a snack before bed. If hypos are frequent during day despite careful carb counting and bolusing then Lantus dose may need to be adjusted