Diabetes : Night time hypos
Discussion
Hello all.
Type two diabetic, insulin controlled, balus bosal regime
I have the added complication of obstructive sleep apnoea, which is why night time hypos are such an issue when they happen.
I have recently been suffering from night time hypos quite badly, apart from the very occasional one, this is very new to me, I had three in a row which made me feel quite unwell, but last week a "massive" one, which is the closest I've ever come to needing paramedic assistance, and to be honest I think I'd left it too late to summon help, I thought my family were going to find me in a diabetic coma come the morning.
I am not new to diabetes, I've had the condition for over 25 years, most of that time on various insulin mix regimes, going to balus bosal about ten years ago.
I have made an appointment with my team, but my nurse is on leave, so it'll be another week before I can see her, and I'm not dying, so happy to wait.
I've received good advice from here before , so thought I'd run it past the forum.
Bedtime blood sugars of 8 to 9 mmol, approx 2 to 3am hypos of at worst 2.3 mmol.
Any ideas/ experiences ?
Type two diabetic, insulin controlled, balus bosal regime
I have the added complication of obstructive sleep apnoea, which is why night time hypos are such an issue when they happen.
I have recently been suffering from night time hypos quite badly, apart from the very occasional one, this is very new to me, I had three in a row which made me feel quite unwell, but last week a "massive" one, which is the closest I've ever come to needing paramedic assistance, and to be honest I think I'd left it too late to summon help, I thought my family were going to find me in a diabetic coma come the morning.
I am not new to diabetes, I've had the condition for over 25 years, most of that time on various insulin mix regimes, going to balus bosal about ten years ago.
I have made an appointment with my team, but my nurse is on leave, so it'll be another week before I can see her, and I'm not dying, so happy to wait.
I've received good advice from here before , so thought I'd run it past the forum.
Bedtime blood sugars of 8 to 9 mmol, approx 2 to 3am hypos of at worst 2.3 mmol.
Any ideas/ experiences ?
I'm type one so a different insulin regium (I have nova rapid with meals and a big injevtion of insultard before bed). If I have night time hypos I reduce my insultard a bit.
Keep a monitor and some hypostop by your bedside. Orange juice is the best thing but that means going to the fridge.
Keep a monitor and some hypostop by your bedside. Orange juice is the best thing but that means going to the fridge.
OldBuoy said:
I'm type one so a different insulin regium (I have nova rapid with meals and a big injevtion of insultard before bed). If I have night time hypos I reduce my insultard a bit.
Keep a monitor and some hypostop by your bedside. Orange juice is the best thing but that means going to the fridge.
We have the same insulin regime.Keep a monitor and some hypostop by your bedside. Orange juice is the best thing but that means going to the fridge.
Thank you for the comment, I could reduce the insultard a tad (being type two my dosage may be larger than yours anyway, I currently, and have for years, injected 70 units at night, what amount do you use ?).
Like I said, my dosage will be much higher, one of my grandmothers and a brother were type one.
I take 70 units of slow at night, and 1 unit of rapid for every five units of carbs.
This is the major difference, you don't make insulin, whilst I also don't, but I reject most of what I inject.
I take 70 units of slow at night, and 1 unit of rapid for every five units of carbs.
This is the major difference, you don't make insulin, whilst I also don't, but I reject most of what I inject.
Type 1 diabetic here, went to a DAFNE course a couple of years ago - if you can get on one, I'd strongly recommend it, although it's really designed for type 1s.
Whatever your long lasting insulin is should only be countering the sugar your liver naturally releases throughout the day. If you are going up or down without intaking carbs (i.e. overnight or after a carb-free meal) then the dose is wrong.
Take less of the basal and once that's sorted, you'll probably find you'll have to adjust the doses for bolus pretty significantly to counter the weaker basal.
May take a while to get the balance right though as changing the basal dose can have a lag effect where it takes a few days to sort itself out. You can't just get it right for one night and then say it's sorted, unfortunately.
Whatever your long lasting insulin is should only be countering the sugar your liver naturally releases throughout the day. If you are going up or down without intaking carbs (i.e. overnight or after a carb-free meal) then the dose is wrong.
Take less of the basal and once that's sorted, you'll probably find you'll have to adjust the doses for bolus pretty significantly to counter the weaker basal.
May take a while to get the balance right though as changing the basal dose can have a lag effect where it takes a few days to sort itself out. You can't just get it right for one night and then say it's sorted, unfortunately.
It will seem huge to a type one, but it has been at that level for years.
My sugars aren't low at bedtime, and I'm not hungry, so rather than eat, I'll drop the slow acting by 10 units, and see what happens.
I'll get to see my nurse a week Monday, if my daytime sugars rise, I'm free to up the fast acting.
I could also move my slow dose from night time to morning.
My sugars aren't low at bedtime, and I'm not hungry, so rather than eat, I'll drop the slow acting by 10 units, and see what happens.
I'll get to see my nurse a week Monday, if my daytime sugars rise, I'm free to up the fast acting.
I could also move my slow dose from night time to morning.
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