Middle of the Night Problems

Melissa Dawn
By Melissa Dawn Latest Reply 2009-01-17 14:42:21 -0600
Started 2009-01-13 09:55:01 -0600

So the past couple of weeks I've been woken in the middle of the nights by EXTREME highs. I've tried doing planned tests to see if I can figure out whats going on (no real luck there). I've changed my basals to try and cover it better — but it will work for for a day or two and then be followed by yet another spike.

I left a message with my doctor this morning so hopefully I can get his input on it, but I was curious if anyone here has had problems with this. I used to always go low in the middle of the night — that was part of the reason I got an insulin pump so that I could dial back on the insulin in a major way at night. Now I seem to have reversed! I find that dealing with problems in the middle of the night is harder for me… I don't want to wake every hour to get a play by play.

So if you have suggestions or things that I might talk to my doctor about, let me know. I'd love to hear them.


10 replies

cammers
cammers 2009-01-17 14:42:21 -0600 Report

Have you monitored this trend against your menstrual cycle? I have about two weeks of every month where I go to bed with perfect blood sugars then wake up in the morning with the BG through the roof.

Debe Pendice
Debe Pendice 2009-01-13 18:39:25 -0600 Report

I usually have 2 graham cracker squares and peanut butter. My sugars have been good lately. I was waking up really low in the mornings too, you don't have to eat much but I do some kind of protein like, peanut butter or cheese, and some kind of carb, like crackers or 1 slice light bread toasted. Hope that helps…Debe

John Crowley
John CrowleyCA 2009-01-13 11:41:51 -0600 Report

Melissa,
That is a strange occurrence. Especially because you used to run low.

Do you have good hypoglycemia awareness? If you drop low, does it wake you up? If not, one thing that could be happening is that you are dropping low and then your liver releases its stored sugars. There's a name for this. I think it's something like the somogyi effect.

Have you tried having a night snack with a little bit of carbs and some protein? Then at least you have some bolus insulin on board and the protein will help you not drop low in the night.

MeiMei
MeiMei 2009-01-13 12:11:35 -0600 Report

This is a good habit to get into, a nutritious bedtime snack. I have actually tried a Glucerna shake at bedtime and it helped keep my blood sugar on an even keel, not too high or too low. A little pricey tho.

Melissa Dawn
Melissa Dawn 2009-01-13 18:27:53 -0600 Report

I did used to drink a glass of milk before going to bed prior to getting my pump — the past week while this has been going on I've tried eating various small snacks before going to bed without much success. I've usually been pretty good at detecting my lows and waking up when I go low. I had caught a couple at the beginning of this, but now I can't find them even when I've tried doing planned wake-ups to look and see if that's what is happening.

I'm going to see what my doctor suggests (I faxed him my numbers this afternoon). If we can't figure it out soon I may push for him to set me up with a CGMS. I know he once mentioned that they can set you up with one for a day or two to check trends. That may be the only way I can find those lows if they are happening.

MeiMei
MeiMei 2009-01-13 11:18:23 -0600 Report

Recent studies show that red wine contains resveratrol and compound that is currently being used in human testing in diabetes for blood sugar control. It is also considered a "longitivity drug", meaning it will help with other problems of ageing supposedly Alzheimers, Parkinsons, heart disease as well as diabetes. So cheers, here's to that glass of red wine for dinner.

Melissa Dawn
Melissa Dawn 2009-01-13 18:28:42 -0600 Report

Alas, I do not drink wine nor do I plan to start. But thank you for the suggestion! I had never heard of such a thing working.

Anonymous
Anonymous 2009-01-13 11:14:08 -0600 Report

I asked my doctor about this and he said this was fine as I am on insulin too. I used to wake up at night and in the mornings with highs. I started drinking 1/2 glass of red wine at bedtime and it helped alot. No more highs. There are several discussion on here about red wine. This is where I got the information and asked my doctor. But I am type 2 so maybe it is different for type 1s. but I thought I would add my comments.

fun2u2007
fun2u2007 2009-01-13 10:26:42 -0600 Report

I was having the same problem, so I started taking my Januvia later in the day and that cured my problem. Now I am awake in the middle of the night because I can't sleep. Have to talk to my doctor about this when I see him next month. Hopefully you can get your highs under control so you can sleep. Lisa

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