Controling blood sugar levels working nights(10 pm to 6 am)

william58
By william58 Latest Reply 2011-04-07 10:29:55 -0500
Started 2011-04-04 18:17:29 -0500

I am Type 2 but insulin(Novolag 70/30) dependent, having trouble getting too high(300's or higher), overdosing half way through my shift then going too low(50's or lower).
Does anyone have any ideas or suggustions for dosing or snacks to maintain good levelsin the middle of the night?
I'm 185 #'s soaking wet, on my feet and active my whole shift.
H E L P …


4 replies

rentintin
rentintin 2011-04-07 10:29:55 -0500 Report

I had this problem so the doctor added a shot at nite of Lantus long acting isulin at nite instead of Novalog with a high protein snack of cheese or peanut butter, milk. You are working so a few extra checks of your bg might be helpful it was for me;. to figure how many carbs i needed to get me through the nite.

kdroberts
kdroberts 2011-04-07 10:23:57 -0500 Report

Talk to your doctor about a different type of insulin. There are several different ones and it may be that a different one or a combination will work better for you. Something like a Lantus and Novolog combination for instance. The lantus will last for close to 24 hours and give you a good base while the novolog at meals will act quickly and stop acting quicker than your 70/30. It will make correcting highs much easier but should help you avoid the highs in the first place. You may also want to consider apidra as it might be even quicker for you than novolog. The other plus with separate insulin compare to a mix is you can dose independently. If you correct a high with the "30" part of the insulin (the actual novolog insulin) you run the risk of overdosing with the "70" part (NPH insulin) which will be working for a lot longer.

wrmjw1
wrmjw1 2011-04-07 10:16:18 -0500 Report

I had the same problem at night, mysugar would be fine at 10pm but then when I would wake up its 54 or even lower. I usually keep some snacks in my room just for that situation. I either snack a little at night,depending how high my sugar is, or I eat some snacks in the morning before breakfast. My snacks arent really the healthy kind, chips, and chocolate covered granola bars, as well as pringles. I weigh140lbs. and Ive never been a big person so it might be a little easier for me to maintain my blood sugar, but still if I were you I would try something like fruit at night.

Harlen
Harlen 2011-04-04 19:57:34 -0500 Report

Hello and welcome
You may wish to chat with your doc on when and how much insulin to give
It seams to me that you may be giving tomuch at the rong time ??
Best wishes
Harlen