Night nightmare

Hello

I lived with DT1Bd from 60 years ago.4 years ago I empoper to use the glucose sensor and until just 4 months ago, it was very easy for me to stay above 78% in the range reaching even 90%

In May we moved to Spain and I have approximately 4 months that at night I lose control, sometimes 2 hours after dinner, the sugar level is something low to go to bed and end up eating something to adjust, and in others even eating the same, rather, glucose has reached more than 250 and that worries me a lot and I have to inject quick insulin before sleeping and sleep badly with the fear of a low night sugar.

I do not know if it is for the winter that I was not used to and capable of food, or the digestion has become slower, but if my digestion has changed and I no longer know what to eat to bed calmly without having to eat something or inject myself beforeSleep

I use three units when I lift and novorapid throughout the day.My hemoglobin GL was in 6.3 but it has risen to 6.6 and worries me, I have also had urine infection.

They have dinner to help them stay more stable.

Hi @Valenpon

Welcome to Spain and the forum!I perfectly understand your concern, especially after having had good control so much time and now meet these night variations.

Country, climate and food changes can influence more than it seems in glucose.Winter can affect insulin sensitivity, and if your digestion has changed, carbohydrates may be different.In addition, move stress can also play a role in these changes.

For dinner, some strategies that could help you stabilize night glucose without eating extra or injecting fast insulin before sleeping:

🔹 Opt for slower absorption carbohydrates: foods such as legumes, whole wheat bread, quinoa or oats can help avoid abrupt declines.

🔹 Always accompany with healthy proteins and fats: for example, Greek yogurt with nuts, cheese with whole wheat bread or an avocado tortilla can make digestion more stable and avoid sudden peaks or declines.

🔹 Try earlier dinners and monitor the answer: maybe a little dinner or adjust the novorapid dose can help.

🔹 Explore the slower digestion: If you notice that your digestion has changed, you could try smaller portions and observe how your glucose responds with a more frequent monitoring.

If you continue to see many variations, it may be worth checking with your endocrine if you need to adjust the dose of three -tresiba or novorapid for the night.I hope you soon find the ideal combination to sleep quietly!

A hug and here we are to support you.

Hello .

Valenpon, I think you don't have to worry about a 6,6thto fulfill the 70 and G.A D. (and to science) I do not have sequels for this time. Although the controls were a bit to the good of God. Someone can say that my GL is high but each person isA world. I sleep quietly ....... well I sleep with the meter hanging from the head of the bed and sometimes I already whistle and everything is customary. I always know at 9 pm, I put 17 u.From Toujeo Solostar and 5-6 of Novorapid Flexpen (with the rapid it depends on how it comes from spending the afternoon) at 11pm.I look at her and according to the trend and my experience can be left or compensated with 1 O2U.fasting. My endocrine says that 1u.It's like putting water but it depends, in my case and if it is night or early morning it usually gets off 25-30. Well, I am bullfighting the diabetes.

@Fer said:

Hi @Valenpon

Welcome to Spain and the forum!I perfectly understand your concern, especially after having had good control so much time and now meet these night variations.

Country, climate and food changes can influence more than it seems in glucose.Winter can affect insulin sensitivity, and if your digestion has changed, carbohydrates may be different.In addition, move stress can also play a role in these changes.

For dinner, some strategies that could help you stabilize night glucose without eating extra or injecting fast insulin before sleeping:

🔹 Opt for slower absorption carbohydrates: foods such as legumes, whole wheat bread, quinoa or oats can help avoid abrupt declines.

🔹 Always accompany with healthy proteins and fats: for example, Greek yogurt with nuts, cheese with whole wheat bread or an avocado tortilla can make digestion more stable and avoid sudden peaks or declines.

🔹 Try earlier dinners and monitor the answer: maybe a little dinner or adjust the novorapid dose can help.

🔹 Explore the slower digestion: If you notice that your digestion has changed, you could try smaller portions and observe how your glucose responds with a more frequent monitoring.

If you continue to see many variations, it may be worth checking with your endocrine if you need to adjust the dose of three -tresiba or novorapid for the night.I hope you soon find the ideal combination to sleep quietly!

A hug and here we are to support you.

Thank you so much

Your tips have helped me a lot

Sometimes better and sometimes regulate, but more stable.

Greetings

@Cacharo said:

Hello .

Valenpon, I think you don't have to worry about a 6,6thto fulfill the 70 and G.A D. (and to science) I do not have sequels for this time. Although the controls were a bit to the good of God. Someone can say that my GL is high but each person isA world. I sleep quietly ....... well I sleep with the meter hanging from the head of the bed and sometimes I already whistle and everything is customary. I always know at 9 pm, I put 17 u.From Toujeo Solostar and 5-6 of Novorapid Flexpen (with the rapid it depends on how it comes from spending the afternoon) at 11pm.I look at her and according to the trend and my experience can be left or compensated with 1 O2U.fasting. My endocrine says that 1u.It's like putting water but it depends, in my case and if it is night or early morning it usually gets off 25-30. Well, I am bullfighting the diabetes.

Thank you very much for your mood.

I hope at least maintain glycosilada at that level or a little less,

Greetings

@Valenpon walking before dinner can help you to make the nights and lower the basal insulin.

A glycosylated below 7 is the general norm, the lower the better, like everything else, if you approximate to Normovalores, much better, but each one does what it can.

@Cacharo Your Guideline is similar to mine, 20 from Toujeo and 4-5 Novorapid is food and dinner.I play the fats at night, Toujeo is extraplam and does not absorb my fats, the cited cheese is my passion and on the other hand it gives me hypoglycemia if I pass by gap (buttocks-abdomen-piernas), and asI am not regular with the sport, not low basal, so my endo tells me I'm a case!But my glyc is always below 6 and I still produce an insulin misery, 0.15 after 10 years of DT1-cala.

Well, I had a occasion that I had below 6 and my endocrine made me anger telling me that I had to have hypos at night and I did not know until one day something could happen. So that, what each person said is aworld.

At my age and being ok how I am ... not meneallo.

Greetings.

Below 6 for example 5.9 is still high and should not involve hypos.

Paradoxically, the roller coaster occurs more with high variability indices which come with high doses of insulin and high HC, then the most common hypos.

Doctors are very conservative, there are few endocrine very endocrine who know and understand the DM well.

The hypos with less than 6 is the bias of the point of view.As many nightlife often implies A1C & Lt; 6 then A1C & LT; 6 implies night hypos.

@pinkman That is why time now is seen in rank and variability.More than glycosylated hemoglobin

Yes it's true @ruthbia

valenpon said:
@Valenpon said:

Hello

I lived with DT1Bd from 60 years ago.4 years ago EMPOKS TO Use the glucose sensor and even (...)

They have dinner to help them stay more stable.

If my case serves you, I was for years with problems at night and the end of the afternoons, in my case it was the phenomenon of dawn or something else .. I could only remedy it more or less, clicking between 20 and 30 min before dinnerand eat only fruits and vegetables.Although it didn't always serve either.

In the end I had to put on the insulin pump (glucomen day Pump) and the freestyle2 sensor and now it is much easier because I carry everything automatic.When he goes up, he injected me and when he goes down he stops the pump.

Alms can now sleep almost always.

I hope it helps you and a hug to all!

cacharro said:
@Cacharo said:

Hello .

Valenpon, I think you don't have to worry about a 6,6thto fulfill the 70 and G.A D. (and to science) I do not have sequels for this time. Although the controls were a bit to the good of God. Someone can say that my GL is high but each person isA world. I sleep quietly ....... well I sleep with the meter hanging from the head of the bed and sometimes I already whistle and everything is customary. I always know at 9 pm, I put 17 u.From Toujeo Solostar and 5-6 of Novorapid Flexpen (with the rapid it depends on how it comes from spending the afternoon) at 11pm.I look at her and according to the trend and my experience can be left or compensated with 1 O2U.fasting. My endocrine says that 1u.It's like putting water but it depends, in my case and if it is night or early morning it usually gets off 25-30. Well, I am bullfighting the diabetes.

Hello.

Yes, I am diabetic since the age of 25, I married and blah blah etc.I have an already older child and I just met ....... 70 tacos !!!Control and here I am more or less "drinkable" hahaha. Well ..... I touch wood ... ah!After "settle your head" work a lot.

Greetings.