Early morning crash

By Dean0868 Latest Reply 2012-06-23 07:40:55 -0500
Started 2012-06-21 06:12:15 -0500

Hi! I am new here and new to this disease. I was diagnosed last October with an a1c of 10. After starting insulin, but still fine tuning, my next a1c was 7.5. I had my second a1c check in April and it was at 5.9. Yeah me!

On to my question. Several times a month, I have been waking up feeling shaky, like I'm having a low. When I check my fasting BG after waking up this way, my readings are between 100 and 115. The shaky feeling lasts until lunch.

Is it possible that I am having a low while I am sleeping?

Thanks in advance for your help and guidance!


12 replies

Set apart
Set apart 2012-06-23 07:40:55 -0500 Report

Welcome to DC! You are right you may be experiencing a low when you're sleeping. Protein snacks have helped me with this. When I was not sure what was going on I would set the alarm to check my BG during the night. It's kind of a pain but gave me the okay to sleep better knowing I was okay! I always check my BG before bed since I have tendency to have lows!

red flower lady
red flower lady 2012-06-23 01:29:20 -0500 Report

It is also possible that if you had been having really high numbers for awhile, then when you drop into the normal range your body feels like it is too low when it is fine. You know it was use to functioning high so in range takes some getting use to. Also you maybe low and by the time you wake you have had the dawn effect, going up.

It does take some trial and error when using insulin and meals. Try eating some protein before bed.

mackwhite 2012-06-22 04:53:47 -0500 Report

Yes it can be possible while sleeping your sugar can get low. If you are mangging your diabetes then as per doctors decision take a diabetese control medicine instead of insuline.

Dean0868 2012-06-21 13:27:18 -0500 Report

I often have natural popcorn as a night time snack but of course, no protein in that. I LOVE my peanut butter and low sugar jelly! Sounds like a good snack to me. I will give it a try.

Nick1962-As soon as I posted my question, I saw that there was information on dawn effect. I agree with the natural diet (whole foods vs. highly processed)

Thanks for all the help everyone!!! I appreciate the warm welcome.

Nick1962 2012-06-21 08:08:30 -0500 Report

Most likely you are experiencing "dawn effect"
I'm hoping the insulin is only a temporary measure (I see you're T2). That's great progress you've made - congratulations!
Most often this can be combated by a higher protein snack before bed (peanut butter on celery, some form of meat, etc.). There are even some sugar free protein drinks that can be used, but I'd try them only temporarily because they're not cheap and i usually advocate control through natural diet measures.

gbc43 2012-06-21 07:32:15 -0500 Report

My support group is U. of M. and I did my class with them. We meet once a month and I have our group leader to call in I need to. I live in MI..

Dean0868 2012-06-21 07:18:12 -0500 Report

I am trying to find a local support group. I will be contacting the local ADA chapter this morning to find out what they offer. And yes, I have had classes.

I am also a Medical Assistant, (retired), and have worked with other diabetics in a clinic setting. I thought that I knew about diabetes because I dealt with so many patients that had diabetes. I was WRONG! It is so different when it becomes personal.

Thanks for the help!!

gbc43 2012-06-21 07:05:19 -0500 Report

Have you taken the class yet and do you have a support group in your area? Welcome to the group.

Dean0868 2012-06-21 06:35:16 -0500 Report

I talked with my diabetic education nurse and she suggested waking up between 3a and 4a for about a week to see if this might be the cause of my shaky feeling.

I didn't think about checking my BG before I went to bed! Duh! Before I go to bed, I do 65 units of Lantus. Perhaps I should find out what the "peak" time is with this med?

MAYS 2012-06-21 06:47:02 -0500 Report

Yes that would help out if you knew what the peak time of your insulin is.
By checking your blood glucose prior to bed time, you will see what numbers you are working with overnight.

Based on your carbohydrate consumption and your blood glucose level prior to bed time, an adjustment of your night time insulin may be necessary, or if that is not possible an adjustment in either your night time meals, time of consumption, or physical activity may be warranted to offset this.

My advice for you is to talk to your doctor(s) and nutritionist if you have one to devise a plan of action, you have made such great progress, keep it going.

MAYS 2012-06-21 06:25:27 -0500 Report

Hello, and Welcome to the Family!
Congratulations on the progress of lowering your A1c over the months!

Yes it it possible that you are experiencing a low blood glucose level while you are sleeping (you should discuss this with your doctor) it could be caused by any number of reasons.
Are you testing your blood glucose level prior to going to sleep?
Are you adjusting your insulin to compensate for this? (Talk to your doctor)
Speak to your medical team and let them know about your concerns, they should be able to address the issue and guide you further on this subject.


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