Ok I have to ask. Middle of the night testing ?

By BreC Latest Reply 2015-01-08 19:38:00 -0600
Started 2015-01-06 20:45:02 -0600

I have noticed many talking about middle of the night BS readings. I am a chronic insomniac. If I don't take my meds I will stay up for days at a time. As such, after taking my meds, I am out. No getting back up throughout the night. Yeah I have had to be woken up for emergencies but I don't hear my husbands alarm when it goes off at 3am. So is it really that big a deal to check BS in the middle of the night.

12 replies

Ralph 2015-01-08 19:38:00 -0600 Report

I am a type two and found that my blood sugar is higher in the morning before I eat if I do not eat something before I go to bed. My doctor told me that I must have low blood sugar during the night and my liver is pushing glucose into my system to get it back up.

GabbyPA 2015-01-07 14:08:01 -0600 Report

I have only done it when I am really struggling with knowing what my body is doing. The reason, generally is to help prevent a low. I did it to find out when my liver tends to dump.You don't really have to do it unless you are having issues.

BreC 2015-01-07 09:54:22 -0600 Report

I wouldn't hear an alarm clock during the night so wouldn't do any good for me to set one to check during the night. A fire alarm is a lot louder so hopefully I would wake for that.

Type1Lou 2015-01-07 07:11:43 -0600 Report

It depends…if you are experiencing high fasting blood sugars, testing in the middle of the night may help determine if the high fastings are due to something called "Dawn Phenomenon". I'm prone to this and testing at 3 am has helped me and my medical team to properly set my insulin pump's basal insulin delivery during the early morning morning hours to minimize the Dawn Phenomenon effect and get me closer to normal fasting BG's. Prior to pumping, when I was on MDI (Multiple Daily Injections), I frequently had many dangerously low BG's in the morning. If I tested in the middle of the night and found my BG was too low, I could catch and treat that before it became dangerously low. If your morning fastings are in an acceptable range, I can't see any reason to check your BG in the middle of the night.

RosalieM 2015-01-07 07:29:53 -0600 Report

Hi Lou,
Type one is different as you don't make insulin and are dependent on it.
Those of us who are type two do make some insulin. So what we may recommend as type 2s doesn't always apply to a type one.

Jibber Jabber
Jibber Jabber 2015-01-07 02:36:48 -0600 Report

Well I am newly diagnosed and am still trying to figure out what happens to "me"..at certain points of the day..I tested 115 after dinner today so I wanted to know how low I would go in the middle of the night…and if it would cause my blood sugar to actually end up higher than it was when I went to bed..when I woke up in the morning…I just rolled out of bed…I tested and I am 94..pretty happy with that..but it remains to be seen if I will go up by my usual 6am fasting check…You cant fix a problem if you do not know it exist..and since I am my own best advocate I like to stay on top of things…

RosalieM 2015-01-07 07:34:04 -0600 Report

What happens to your blood sugar during the night depends on what you ate the night before and to some degree how much exercise and activity you had the day before. If you make a note of what you ate from dinner to bedtime and how active you were. Your fasting blood sugar will tell the story. I do understand your curiosity though. I did those kind things at firs too.

Jibber Jabber
Jibber Jabber 2015-01-07 09:09:56 -0600 Report

I eat dinner the exact same time everyday…and I always eat the same amount of carbs every night for dinner..between 8-10 net carbs…always one serving of steamed veggies..if carrots 1/3 cup if broccoli or zucchini or a similar veggie 1/2 cup..along with a dark green salad with my favorite dressing.and six ounces of protein..chicken or beef most of the time.I do not deviate at all from my exercise routine. I swim for about an hour every morning..I walk for an hour everyday after dinner and I work out for 1/2 hour every other day with weights…I do it religiously…most of the time my levels are good ..BUT there are times my fasting sugars go higher than I want them to be…sometimes up to 120…so there is something else going on those days other than what I had for dinner.or my activity level…I am a full time college student and spend the majority of the rest of the day on my behind..either in school or home studying…diabetes is a very complicated foe..and to make blanket statement about anyone is not advisable..

RosalieM 2015-01-07 11:10:06 -0600 Report

That is true there are always exceptions and we don't always understand the reasons as diabetes is complicated I understand that. My purpose in making larger picture statements is to give those who have not been diabetic for long time somewhere to start. Dealing only with occasional exceptions to general rules does not give a new person a picture of what they are dealing with. I wish someone would have done that for me 20 years ago. I had to learn it all by trial and error without the internet or anyone in the medical professions telling me anything.
I see all life in the big picture, then I fill in the details and make adjustments to my big picture.
The only other option is to try to put the diabetic picture together from many misc. and often unrelated pieces. That what I had to do. It was a long and painful process. We all know carbohydrates raise blood sugar. So that is the first place to start any time blood sugar is too high.

kimfing 2015-01-06 22:32:28 -0600 Report

Only time I've actually woke myself up to do that is whenever I've changed night time basal rates on my pump.

notmaiden 2015-01-06 21:29:15 -0600 Report

I do check mine sometimes if I am up going to the bathroom and am awake enough to peel one eye open to check. I have alarms on my pump however it's in my bra all the time. If I'm laying on it I won't wake to it.

valentine lady
valentine lady 2015-01-06 21:19:12 -0600 Report

Hi BreC,
in my opinion this is not necessary. It would be necessary if you felt
like you were dropping into hypoglycemia. If you ate a good snack
in the evening prior to your bedtime there is no reason to check.
Undoubtedly your Dr. told you how much to test. To overdo is silly unless like I said you feel your dropping or going high. But your body
will.let you know first. I've been a diabetic for almost 8 years. As a new diabetic I used to double check myself. I don't now. It's up to you, just my opinion. Hugs to you,, VL