unsure what to do

laurafaye
By laurafaye Latest Reply 2014-10-13 10:56:49 -0500
Started 2014-07-19 12:22:08 -0500

Hi everyone im new to the site and new to being a type 2 diabetic. And have a question that i cantnot seem to get have my dr able to help ke with. During the nighty bs drops low to 70 or below so then i eat and a short time afterwards as in only an hour my level drops again so i eat again this happens most nights so i sleep very little i have 15 or more grams of carbs for the snack at night and its always something healthy as in fruit and nuts or wheat crackers and peanutbutter. Please any help would be nice so i can get more then a few hours of sleep. Thank you!


17 replies

Naturalexpressions
Naturalexpressions 2014-10-13 10:56:49 -0500 Report

If you are not taking medication or insulin, pay attention to your activity level the previous day. I have learned that if my blood sugar is low at night, I engaged in a lot of physical activity that day. The activity carries over to night time.
I take a small amount of insulin once a day in the evening.

Little to no research has been done regarding the effect of activity on blood sugar. Do you do weight lifting? Weight lifting lowers blood sugar and carries through all day.

johio
johio 2014-07-26 20:43:45 -0500 Report

what time of day do you take your medications? i occasionally also have lows that wake me up-sweating and shaking. my doc suggested keeping track of when i take the diabetic meds to better tell how to manage what and when to eat later in the day. apparently, even so-called slow release meds do not provide an even level in the body. a little experimentation with timing might also help resolve the nighttime lows. don't know if that helps. don't know what meds you are taking. but i suspect it could make a difference.

Kats49
Kats49 2014-07-24 10:31:17 -0500 Report

DO you have an endocrinolgist? My primary care doc was unable to adequately help me when my BS dropped like that…now i have better control and the endo is my best friend. Taught me a whole lot on how and when to eat. Also, take a class with a registered dietician to help you learn how to cope with your T2. Specialists also take the time to listen to you and usually advise you to call them when you have unexplained lows. I had to learn that I needed protein to keep my sugars from dropping dangerously low, but what works for one may not work for all. Gabby had great suggestions. I test 4 to 5 times a day. Some people when they are just newbies need to test before and an hour after to get an understanding of how the body is adjusting to the meds. Unfortunately there isn't any one way to handle this disease except to realize that each person is different in the way their body processes. Keep coming to this site…it is the best in my humble opinion.

artqween
artqween 2014-07-23 15:20:47 -0500 Report

wow… what do u eat for dinner? Minimal sugar in your meal as well as low in fats is also recommended? Do u know why ur bs drops like that at night? Let's of vege.s is recommended? Can you walk before u go to sleep maybe in place in ur home? Dance in ur home for an hour possibly? Drinking plenty of water?
Good luck…

robinsab
robinsab 2014-07-21 23:02:10 -0500 Report

I would highly recommend seeing an endocrinologist, regardless of what your general doctor says. An endocrinologist can also work closely with the dietician and see what changes need to be made to suit you specifically. I've been type 1 for 31 years and I believe it is pivotal to see a person who specializes in the disease as opposed to a general doctor. It is common for blood sugars to drop overnight, as I know mine does and I adjust my insulin pump accordingly.

Gabby
GabbyPA 2014-07-20 06:02:16 -0500 Report

You seem to be eating what would "traditionally" work for keeping levels up at night. Do you journal your food intake? If not, what I might suggest is writing down these things for a week and see if you can find a pattern.
1. time you ate
2. glucose level before you ate
3. What you ate as specifically as possible
4. Carbs, Fats, Proteins and Fiber in what you ate.
5. What happened...test your levels, low at night, high??? Those kinds of things.

Perhaps try to have a little higher number before going to bed to see if that will take you through the night?

If you are not on meds then dropping that low at night is kind of unusual. (Not that anything is the same for any two people) But you may want to see if an increase in portion or carbs might help. As many have said, talking to your diabetic educator might help if your doctor is unable.

Just Joyce
Just Joyce 2014-07-19 20:27:18 -0500 Report

Perhaps you are eating the wrong kind of snack. Peanut butter would be a help with some crackers. Since you have seen a dietitian, you may want to contact her/him again and look at what you are eating. I opt for a protein snack before bed which could be left over chicken, boiled egg or you can go for some of these:

250 mL (1 cup) strawberries with 125 mL (½ cup) skim milk
30 grams (1 ounce) low-fat cheese and 4 whole-grain crackers
250 mL (1 cup) blueberries
175 mL (¾ cup) sugar-free, low-fat plain yogurt or vegetable raita
750 mL (3 cups) air-popped popcorn
250 mL (1 cup) skim milk with 2 small low-fat cookies (arrowroot or graham crackers)
1 slice whole grain bread with 40 g (¼ can) tuna and 1 tsp light mayonnaise

Hope these ideas help you. Also read what haoleboy posted.

haoleboy
haoleboy 2014-07-19 14:31:24 -0500 Report

Hi Laura, welcome.

Here's a thought … perhaps try including a bit more fat in your evening meal or snack such as egg, cheese, avocado or maybe even some dark chocolate.
Fat (lipids) are digested slowly and as they are released into your blood you become insulin resistant. As you become insulin resistant your liver releases more glucose into the blood stream

Just a thought … and certainly should not be mistaken for medical advice.

Steve

diabeticdummy
diabeticdummy 2014-07-19 12:35:56 -0500 Report

Are you taking any meds before going to sleep like insulin and your dr are they a diabetes specialist if not look for one and also check on a diabetes educator and diatician then take a diabetes class usually offered thru your local hospital if not the above mentioned people will know of one

laurafaye
laurafaye 2014-07-19 13:20:42 -0500 Report

No i am not on amything for my diabetes i have been through the classes and talked to a diaticain the dr i see is my family dr but have request to see a specialist but was told that she didnt want to send me to one yet

Glucerna
Glucerna 2014-07-19 14:12:19 -0500 Report

Ask to meet with the dietitian again, and she can help you figure out why your blood sugar is dropping in the middle of the night. Since you're not on any diabetes medications, she should be able to review your food intake in the evening and make suggestions. Also, ask about diabetes education classes at your local hospital. ~Lynn @Glucerna

jayabee52
jayabee52 2014-07-19 12:35:04 -0500 Report

Howdy Laura
WELCOME to DC!
Perhaps what may be more useful to you at night (once you have treated for a hypo [low] using the 15/15 rule see ~ http://www.diabeticconnect.com/diabetes-discu...) Then you eat a protein, which remains in you tummy for most of the night.

Try that to see if you still have the problem.

Praying that helps you get some sleep!

James

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