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Uncontrollable Nighttime Hypoglycemia
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<blockquote data-quote="ShadowDragon" data-source="post: 1879118" data-attributes="member: 490350"><p>Greetings all,</p><p></p><p>I'm new to this forum and would really like some help with a problem that I'm experiencing.</p><p>I'm a type 1 diabetic. I've had this for nearly 9 years. I went on an overseas trip in February and after returning I've started having major hypoglycemia specifically at night. I often fall out of bed and wake up several hours later not knowing what happened. I started recording my sleep and after speaking with a specialist, it was diagnosed to be nighttime hypoglycemia and hypoglycemia unawareness.</p><p></p><p>Another problem is that I no longer have any symptoms of highs and lows. I've started using a CGM device and it is helping me iron things out but there are some things I don't understand. According the the sensor, my level drops to to nothing when I go to bed and then elevates very high when I wake up. All by itself. No food, no insulin.</p><p></p><p>Last night I was going low before bed (3.4mmol) so I ate a PVM Energy Bar, waited 20 minutes and my level dropped further. So I had some honey. Waited again and then my level started to rise. I waited for a bit more and checked my level and went to bed. According to the sensor, my level went to 9 or 10 mmol and then dropped to below 3.(The graph doesn't display readings below 3). Then when I woke up, my level had started elevating before 6am and was then, at roughly 7am, sitting at 12mmol.</p><p></p><p>This happens every night. I used to take long acting insulin at night but for the past week I've been taking it in the morning. I take 2x Glucophage XR 500 tablets at night so maybe its that. What I don't understand is why at night my level drops drastically and then in the morning it elevates without food or anything. Some mornings its as high as 21mmol and rising. Also, how has my body become completely unaware of hypo and hyper glycemia?</p><p></p><p>Another problem would be that my short acting insulin seems to be taking longer to work in the mornings. I have breakfast, take a normal dose and then an hour later it's like I haven't taken any insulin. The insulin I'm using is Apidra and Lantus. I know that when it first had diabetes, the pharmacy ran out of my insulin and they gave me Humalin and Humalog. I used that for a month and they worked well however I got headaches every time I used the Humalin and the headache would last for roughly 30 to 60 minutes. Should I look at changing my insulin? I would prefer not to go on a CSII device.</p><p></p><p>Thanks for taking the time to read this post. I really need some help in fixing this.</p></blockquote><p></p>
[QUOTE="ShadowDragon, post: 1879118, member: 490350"] Greetings all, I'm new to this forum and would really like some help with a problem that I'm experiencing. I'm a type 1 diabetic. I've had this for nearly 9 years. I went on an overseas trip in February and after returning I've started having major hypoglycemia specifically at night. I often fall out of bed and wake up several hours later not knowing what happened. I started recording my sleep and after speaking with a specialist, it was diagnosed to be nighttime hypoglycemia and hypoglycemia unawareness. Another problem is that I no longer have any symptoms of highs and lows. I've started using a CGM device and it is helping me iron things out but there are some things I don't understand. According the the sensor, my level drops to to nothing when I go to bed and then elevates very high when I wake up. All by itself. No food, no insulin. Last night I was going low before bed (3.4mmol) so I ate a PVM Energy Bar, waited 20 minutes and my level dropped further. So I had some honey. Waited again and then my level started to rise. I waited for a bit more and checked my level and went to bed. According to the sensor, my level went to 9 or 10 mmol and then dropped to below 3.(The graph doesn't display readings below 3). Then when I woke up, my level had started elevating before 6am and was then, at roughly 7am, sitting at 12mmol. This happens every night. I used to take long acting insulin at night but for the past week I've been taking it in the morning. I take 2x Glucophage XR 500 tablets at night so maybe its that. What I don't understand is why at night my level drops drastically and then in the morning it elevates without food or anything. Some mornings its as high as 21mmol and rising. Also, how has my body become completely unaware of hypo and hyper glycemia? Another problem would be that my short acting insulin seems to be taking longer to work in the mornings. I have breakfast, take a normal dose and then an hour later it's like I haven't taken any insulin. The insulin I'm using is Apidra and Lantus. I know that when it first had diabetes, the pharmacy ran out of my insulin and they gave me Humalin and Humalog. I used that for a month and they worked well however I got headaches every time I used the Humalin and the headache would last for roughly 30 to 60 minutes. Should I look at changing my insulin? I would prefer not to go on a CSII device. Thanks for taking the time to read this post. I really need some help in fixing this. [/QUOTE]
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