bottoming out in the night

By brendajoslyn Latest Reply 2012-03-22 00:08:58 -0500
Started 2012-03-19 08:46:46 -0500

My mom's sugar will go too low in the night even if it is high when she goes to bed.
It can drop as much as 200 points in the night. She is 87 and in great health other than this.
any one have a suggestion?????

17 replies

Graylin Bee
Graylin Bee 2012-03-22 00:08:58 -0500 Report

I work mainly nights at an assisted living residence. There have been several residets that needed a snack during the middle of the night. We would wake them around midnight for a snack, otherwise they would have sudden drops. This worked when adjusting insulin and orals didn't. During the day they, or staff could monitor and manage with snacks. But at night they were not able to sense a drop. We had several extreme low issues with them before we adopted the nighttime snacks.

Type1Lou 2012-03-20 18:33:48 -0500 Report

Dear Brenda,
When I was on Lantus and Novolog, I started getting scary morning lows. My endo changed the time of day I was taking my Lantus from bedtime to morning. That helped me. I have no experience with the oral meds, so can't help there. Hoping you get this under control because lows are no fun and dangerous to boot!

cecemomma 2012-03-19 08:56:25 -0500 Report

Maybe a snack before bed, this may help.

Caliafiosgram62 2012-03-19 18:12:23 -0500 Report

I agree - I bottom out in the middle of the night also. Now I have a CGM system and it wakes my husband and I up with it's raucous two tone beeping. Sometimes if I eat something before I go to bed - with about 17 grams of carbs I can get through

brendajoslyn 2012-03-19 09:25:40 -0500 Report

Thanks, she eats before bed every night. some night awhole lot!

cecemomma 2012-03-19 11:16:20 -0500 Report

What type of insulin or meds is she taking? Maybe she should ask her Dr. to adjust her meds.

brendajoslyn 2012-03-19 11:27:42 -0500 Report

lantis, metforman, glaberaide sorry about the spelling and yes we have talked to the dr. there seems to be no answers. The Dietition didn't know either. Soooooo I thought I'd blog and see if someone else had this problem and had a suggestion.

Caroltoo 2012-03-19 09:29:11 -0500 Report

That could be the issue. "A whole lot" will send her BGs higher in response to the food, then way low in compensation for the high.

A snack (small amount) of a balance of protein and carbohydrate could help stabilize her.

It's a question of how much to snack and what needs to be in the snack … not just having food before bed.

Nick1962 2012-03-19 10:52:29 -0500 Report

I think you're onto something here Carol. If you can have a drop of 200 at any one time, to me that is a spike result. I would need to eat half a large pizza to do that, and for me at least, the resulting drop would produce a dangerously low bottom number. I think I would recommend smaller feedings more often during the day to try to flatten out that BG rollercoaster.

brendajoslyn 2012-03-19 10:55:44 -0500 Report

she stays pretty constant during the day under 200 some days around 150 all day but if she goes to be at 150 she will be 50 in the night

KarynCandy29 2012-03-19 11:57:54 -0500 Report

Brendajoslyn…I have a very odd question,does your mom live alone,if so is someone with her all day long, then she is on her own in the late evening?

Nick1962 2012-03-19 16:22:37 -0500 Report

Then i suspect she is eating way too much late in the evening, or too high in carbs or sugar. I have the same problem like Carol stated) that i bottom out seriously depending on how high i spike. Also, the medication may be working against her food as well. Might not hurt to get that evaluated. Best of luck!

Caroltoo 2012-03-19 16:33:02 -0500 Report

I'd suggest monitoring her evening intake and or taking her a snack of appropriate size and content, also talking with her about the problem and the fact that what she is eating in the evening may be the cause. Offer to work together with her because of your concern, but try to let her feel she still has the power, but you will help her find a solution. (My husband is older and infirm: independence and their value of self determination is so important to respect in this process.)

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