Is There An Ideal Bedtime BG For You?

Young1s
By Young1s Latest Reply 2012-04-25 16:02:56 -0500
Started 2012-02-26 10:59:47 -0600

I've been struggling with finding what my ideal bedtime BG should be in order to have an acceptable fasting number within range; with no great success. My numbers are all over the place and it'is frustrating me to no end.

Here's a few examples:
Bedtime: 116 Fasting: 148
Bedtime: 145 Fasting: 115
Bedtime: 119 Fasting: 137
Bedtime: 97 Fasting: 147
Bedtime: 166 Fasting: 134

I'm aware that some of it has to do with liver dumping but at what point is the thing that's eluding me. And I'll admit that the "snack monster" can be one of my great nighttime demons, sometimes, but I never over do it and it's always a healthy snack.

So I'm wondering if you've been able to find the balance and how did you do it? I know that because we're all different what works for you may not necessarily work for me but any suggestions would be greatly appreciated.


59 replies

berrykins0
berrykins0 2012-02-29 16:49:39 -0600 Report

me between 80 to 100. and moring the same my ac1 is 5.1 currently still taking 1 metformin in the moring.i count calories and carbs according my meal plan

2012-02-28 13:49:26 -0600 Report

Ideally, I would like to have my bedtime B/G reading be between 125-150. But in the past few months it's been 250+ before calling it a night. And that's after taking 1000mgs of Metformin.

jayabee52
jayabee52 2012-02-28 13:53:10 -0600 Report

Lisa, I know from other postings how you struggle with your BG numbers. I wish I had answers for you to help you with your struggles.

Lizardfan
Lizardfan 2012-02-27 18:40:07 -0600 Report

I do best @ bedtime, if my blood sugar level is below 140. Ideally, I like it to be no higher than 120 for it to be below 110 fasting the next day. Depending on what my reading is how I decide on what to eat for a bedtime snack. This works great for me!

red flower lady
red flower lady 2012-02-27 15:53:35 -0600 Report

I don't remember if you use insulin or not? If you do adjust the night dose a smidge so as not to go too low, if not and only do pills or nothing, I can't help you there:( I only know insulin life.

Young1s
Young1s 2012-02-27 20:44:52 -0600 Report

I do use insulin but I take my one dose in the morning. But thanks to some great suggestion, I'm weighing my options as to how I can make it more effective.

red flower lady
red flower lady 2012-02-27 20:49:45 -0600 Report

I wish I could help you, but my daily life is full of insulin and I don't know the life of pills or diet and exercise options. I know there are plenty of members out there to help:)

Hey, try ask the expert here? Then let us know the answer!

Young1s
Young1s 2012-02-27 21:00:55 -0600 Report

Another good suggestion. I'll let you know if I do. I say if because the stubborn side of me is saying, "Come on…you can figure this out on your own!" But I'm certainly open to the option. Thanks Red.

red flower lady
red flower lady 2012-02-27 21:05:23 -0600 Report

Well, tell the stubborn side the common sense side is collecting info to decide from and then compare the expert advice from all the member advice and see how it all works out.

jayabee52
jayabee52 2012-02-27 21:03:22 -0600 Report

Patricia, if you REALLY thought you could figure this out on your own, why did you post this discussion? Couldn't hurt to ask the experts!

nzingha
nzingha 2012-02-27 10:49:25 -0600 Report

i usually try to eat at a certain time in the evenings.. no later than 7pm dont eat anything after dinner.. in the am's now my numbers are quite good.. 85 to
110…when i get up… i do my breakfast and i'm good till 10am when i do a snack..usually fruit and nuts.. i have to watch the after lunch period tho

Young1s
Young1s 2012-02-27 10:56:51 -0600 Report

Me too! It's just something about that middle of the day period that makes my levels crazy. I can't have anything heavy for lunch, even if it's fiber or protein packed, or my levels will skyrocket. BTW: Those are excellent morning numbers. Can't wait till I'm there…and I will get there.

Set apart
Set apart 2012-02-27 06:08:02 -0600 Report

I am also on Lantus andnovolog, (which I hardly take unless I plan for over 40 g of carbs). I was startin to spike about one month ago was taking my Lantus about 7:30pm. My D nurse and I did some problem solving and cut my dosag in 1/2 to be taken every 12 hours, I had also increased my dosage by 2 units. This has worked for the spikes for me, although lately have had some lows about 1:00am, when I set the alarm to check my BG. This is a pain because I'm walking around half asleep eating when I am not hungry, so am going try to decrease my dosage again. My BG was 92 thus morning with a snack at 1:30 (pb with celery). I am also still in the honeymoon period, so lately my pancreas seems to be have woken up again! Good Luck!

Young1s
Young1s 2012-02-27 09:37:22 -0600 Report

Thanks Louise, same to you. Seems like we both still have some figuring to do but we'll do it. I thought about splitting my dosage but it's so low (16 units) that I'd be afraid to eat anything.

jigsaw
jigsaw 2012-02-26 18:58:24 -0600 Report

Might as well get my 2 cents in. I had the dawn effect also. I read every reply here and tried most of those mentioned. I spoke with doctors and two pharmacists to no avail. Tried a carb snack before bedtime, and did the opposite, no carbs before bedtime, but no cigar! I did find one thing that worked, but I'm not gonna tell.
Just kidding, the thing that worked for me was exercise (cardio) in the evening. This contradicted the explanation of increasing my bg before bedtime to slow the liver dump in the AM. In my case, and before I started eve cardio after rising in the AM and taking my meds, my bg would normalize by 10:30AM -11:00AM. Around 5pm I would take my second dose of meds and have dinner. By bedtime my bg would slowly rise to about 130 or so depending on what I ate. By 3am it would be between 140 and 160 and I was also wide awake and felt ready to do jumping jacks. Eve exercise is what worked for me and got my AM fasting bg within normal range. The factors that I suspect aside from our individuality that come into play are also the type meds you are taking, when you take them and what stage of diabetes you are at. Obviously, some oral meds work on the liver, some work on the pancreas, and some work on both the pancreas and liver!
In my case, I really disliked exercising in the eve, but I did. Since I started taking lantus close to bedtime, the problem of hi AM bg is gone. My morning bg is currently 85 to 100. I also sleep much better.

Young1s
Young1s 2012-02-26 19:12:09 -0600 Report

You know, I never even thought of that. The only D med I'm on right now is long-acting Lantus, which I take in the morning. So by evening it's on the down slope of running it's course. Certainly worth a little investigation. Thanks Al.

As for evening exercise. No way!…at least not for now, anyways. ;)

Old-n-Grey-n-Wiser
Old-n-Grey-n-Wiser 2012-02-27 12:05:05 -0600 Report

Pat how many units are you taking?
Tom

Young1s
Young1s 2012-02-27 13:51:54 -0600 Report

I'm on 16 units. Thought about splitting it, as Louise suggested above, but I would be afraid to eat much on 8 units per 12 hours stretch.

Old-n-Grey-n-Wiser
Old-n-Grey-n-Wiser 2012-02-27 18:12:34 -0600 Report

The idea of splitting it is that it stays more equal in your system, less chance of lows, I split mine but I am taking 80 units split into to two shots 12 hours apart, along with splitting Apidra 12 units with breakfast and 10-12 units with supper depending on meal.
Tom

jigsaw
jigsaw 2012-02-26 19:42:33 -0600 Report

By the way, since I got my bg normalized again (the dawn effect was temporary) I no longer exercise in the eve. The tough part for me was finding a doctor that was able to help. No exaggeration, I went through about 5 or 6 doctors including endos and so called diabetes specialists, before I found the real deal ! There is an answer for you, and I have no doubt that you will find it!!

Nick1962
Nick1962 2012-02-26 18:45:58 -0600 Report

As has already been mentioned, there seems to be a pattern with a high night number and a low dawn effect. I know when I started my diet it was my plan to eat nothing between meals. While that was great weight loss theory, it was murder on my morning numbers - 12 hours without food hit me bad. I started just doing unsalted nuts or beef jerky or half a protein shake before bed figuring I'd trim any extra carbs/calories from the next day's feeding. It helped, and when I got my daytime BG numbers fairly consistent, my dawn effect lessened also. Depended a lot on what I had for dinner too. If it was protein rich, I seemed to be set all night, otherwise I had to "supplement" before bed. A 116 bedtime number for me could have been the end of a spike, or the middle of a good level (at the time). Spent months doing the 3:00 a.m. test.

Jeanae
Jeanae 2012-02-27 21:07:14 -0600 Report

In the beginning I had to eat 1 whole grain cracker and 1 piece of cheese at bedtime to avoid lows in the morning. Now I do not have to have a snack before bed and I do stop eating before 7 pm. Good luck working it out. btw- I also took 3 am readings for about 2 weeks to see what was going on with my numbers. My doctor and dietician said it helped them to see what was going with me as well.

Young1s
Young1s 2012-02-26 19:04:13 -0600 Report

Months?…really? Not liking the sound of that at all. But I understand what you're saying. Like with all BG testing, it takes time to adjust and adapt.

Nick1962
Nick1962 2012-02-26 19:14:34 -0600 Report

I was really trying to determine what foods stuck with me the best. I probably could have shortened it up - but most nights my bladder woke me anyway.

flipmom
flipmom 2012-02-26 15:30:10 -0600 Report

I fast (fasting for bedtime) for 6 to 8 hours and its on average range.. anytime longer, my bg gets higher.. so I try to be on schedule every morning to eat a little.

Young1s
Young1s 2012-02-26 17:02:33 -0600 Report

Good for you for being able to stick with it faithfully. It just darned on me that when I said to Tom (below) that I don't know why I stopped noting when I eat that that isn't entirely true. I typically try to eat all of my meals around the same time every day so decided there wasn't a need to do it anymore. But given the fact that I some days just don't go according to plan, I guess I should at least go back to marking the times when I get off schedule.

granniesophie
granniesophie 2012-02-26 13:17:55 -0600 Report

I've never been able to check my bedtime BG because i usually go to bed less than 2 hours after dinner! Then I wake up at 3:30, so I just take my fasting BG between then and 4AM.
I usually wake up once at night to go to the bathroom-but lately I kind of think my liver dump coincides with my normally waking up anyway. My BG at that time in the AM hasn't been over 127 in the past 3 months, and usually alot closer to 100 and under. I think if I knew what it was after dinner or at bedtime I'd have a better picture, but don't even know how that would work with my timing!

Laura500
Laura500 2012-04-25 15:06:01 -0500 Report

i have been trying to figure this out as a newbie and this sounds like me! i eat dinner at around 6:30 or 7 and two hours later test and it's about bedtime for me too! so i get up at 6:30 and wonder if it's been too long of a fast. I too get up around 3 every night so i think i'll test to see at that time! thank you!

Young1s
Young1s 2012-02-26 14:05:39 -0600 Report

Wow, that's a clear example of early to bed early to rise right there. I wish I had consistent morning levels like that. Whatever you're doing is working so if it ain't broke why fix it, right? Good for you!

Old-n-Grey-n-Wiser
Old-n-Grey-n-Wiser 2012-02-26 12:26:33 -0600 Report

Pat have you ever checked it around three am, this will tell you if you are getting low prompting a liver dump.
Tom

lacat87
lacat87 2012-02-26 12:53:08 -0600 Report

I just to check my bgs at 3 am and what a pain it is! I started doing this when I started using Lantus. Very good suggestion, Old-n-grey…!

lacat87
lacat87 2012-02-26 12:58:04 -0600 Report

I too am a snack monster! Really messes up my fasting bgs, but at the time of snacking it feels so good to be eating! And my snacks are usually not the healthy kind either. Have we met before?! So far a lot of similarities!

Young1s
Young1s 2012-02-26 13:02:47 -0600 Report

Yeah, it never fails to start creeping in my mind around the 11pm hour. Maybe it's psychological because this is when I'm watching the evening news. We all know how depressing that can be sometimes…most of the time!

Young1s
Young1s 2012-02-26 12:43:13 -0600 Report

I haven't tried that but only because I assumed that was something that was only necessary to do if you're Type I. Plus because I'm a light sleeper, when my sleep patterns are interrupted (like for a bathroom run, tending to a sick child, etc), I feel like crap most of the next morning. But for the sake of better control, I guess it's worth a shot. Thanks for the suggestion.

lacat87
lacat87 2012-02-26 12:55:41 -0600 Report

I also am a lite sleeper so checking my bgs at 3 am was torture! I also felt like crap the next day, even if I went back to bed. I am a type 1 diabetic too.

jayabee52
jayabee52 2012-02-26 12:24:09 -0600 Report

Patricia, When I went through the time when I had the dawn effect with higher BGs for my fasting reading in the AM, I asked Dr about it and he recommended if have a BG less than 140 I eat a small snack to raise my BG just a bit. I tried it and it worked well for me. I note in your 2nd example Bed 145 —- Fasting 115. Most other of the examples, except the last, seem to indicate to me that about 145 may be your (no pun intended) "sweet spot" for having your fasting bgs be in a normal range. Your last example: all I can say there is whatever you're doing to manage your Diabetes, seems to be working, but being that high at HS (hour of sleep - leftover from my days as a CNA) is not a good BG to be at if you want a fasting BG which may be considered "normal".

Nick1962
Nick1962 2012-02-26 18:31:49 -0600 Report

Isn't that hora somni (HS) James? Spent a good many years sending patients graham crackers at 8:00 p.m. myself. :)

jayabee52
jayabee52 2012-02-26 18:38:31 -0600 Report

you may well be right, Nick, I was not up on the Latin when going tjrpigj CNA class, and "hour of sleep" is the way it was explained to me. Same initials different languages.

Nick1962
Nick1962 2012-02-26 19:11:34 -0600 Report

We had one physician who spouted Latin every chance he got - that's the only reason I know it. Otherwise we called it hour of sleep as well.

Young1s
Young1s 2012-02-26 12:53:52 -0600 Report

Maybe it is my "sweet spot". In going back through my journal, there have been two other times recently where my levels were in the 140-145 range at HS and were down within the 110-115 range at fasting. But 145 still seems too high to shoot for. Ideally, I would feel much better with something below 130.

Old-n-Grey-n-Wiser
Old-n-Grey-n-Wiser 2012-02-26 13:06:41 -0600 Report

Pat do you keep track of how you are feeling and your stress level in your journal, also if your meal time varies for the usual time, all will contribute to your numbers.
Tom

Young1s
Young1s 2012-02-26 14:08:48 -0600 Report

I forgot to mention that last night, my level before bed was 129 and this morning it was 144. Had dinner around 6:30 and all I had was a glass of water after checking my bedtime level.

jayabee52
jayabee52 2012-02-26 16:19:08 -0600 Report

Try a graham cracker, or celery sticks or an apple each with 2 teaspoons of PB (without the "J"). to give you a long digestion time. That will keep your BGs up enough to keep you through the night without your liver dumping and you waking up with a high fasting BG.

Young1s
Young1s 2012-02-26 13:12:40 -0600 Report

You know…I keep track of what I eat but stopped noting when I eat. Don't ask me why because I don't have a good reason for it. I guess I need to reread my discussion about tips for the newly diagnosed and start listening to my own advice, eh. ;)

wvmtngrl
wvmtngrl 2012-02-27 12:19:12 -0600 Report

I am no longer on medication but am trying to control with good food choices and exercise. I find this discussion very interesting. I can't figure out the ups and downs of my FBS in the morning.Or if I should snack based on my evening BS so I was looking here for guidance.

I do suffer with nightmares. I was taking Actos and had frequent nightmares. Now off that I still have them once in a while. No clear guide from my doc on when to snack in relation to bedtime BS. He told me to snack every night no matter what and protein only since he wants me to eat a very, very low carb diet. I could not eat very long on the low carb plan.

That said, I started eating beans, greens and 4 fruits a day..mostly apples, pears and maybe a banana which I would only eat first thing in morning. My FBS were getting better until I stopped and went back to eating less fruit more protein at his request. Now they are in the mid 130s again and creeping higher.

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