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Uncontrollable Nighttime Hypoglycemia
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<blockquote data-quote="SamJB" data-source="post: 1879145" data-attributes="member: 45322"><p>A few things here...</p><p></p><p>Regarding the overnight swings, is your basal correct? Usually, you'd test this by doing an overnight test, but in your case this is not possible. Can you do a fasted test? Do this by measuring your BGs in between meals; if there is significant change, then your basal will need to be changed.</p><p></p><p>Regarding hypo unawareness. This is common and is caused by frequent hypos. The only way to get it back is by avoiding hypos.</p><p></p><p>Regarding rebounding BGs after a hypo. This is often caused by your liver dumping a load of glucose into your BGs when it detects really low BGs. It's called "liver dumping", or "hypo rebound".</p><p></p><p>The morning insulin resistence that you are experiencing is common and is known as the Dawn Phenomenon. This is where the liver produces a bit of glucose first thing in the morning, to basically give you energy after you've fasted overnight. The only way to treat it, is to cover it with insulin.</p><p></p><p>Finally, there are some phone apps that work with CGMs to alert you when your BGs are dropping. You could use these in the night by the sound of it.</p></blockquote><p></p>
[QUOTE="SamJB, post: 1879145, member: 45322"] A few things here... Regarding the overnight swings, is your basal correct? Usually, you'd test this by doing an overnight test, but in your case this is not possible. Can you do a fasted test? Do this by measuring your BGs in between meals; if there is significant change, then your basal will need to be changed. Regarding hypo unawareness. This is common and is caused by frequent hypos. The only way to get it back is by avoiding hypos. Regarding rebounding BGs after a hypo. This is often caused by your liver dumping a load of glucose into your BGs when it detects really low BGs. It's called "liver dumping", or "hypo rebound". The morning insulin resistence that you are experiencing is common and is known as the Dawn Phenomenon. This is where the liver produces a bit of glucose first thing in the morning, to basically give you energy after you've fasted overnight. The only way to treat it, is to cover it with insulin. Finally, there are some phone apps that work with CGMs to alert you when your BGs are dropping. You could use these in the night by the sound of it. [/QUOTE]
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