[wacre]

Hi,

I had been advised by my new physician to test for blood sugar at least 2 hours after meals since my pre-meal sugar reading was already ok (about an average of 105). I had noticed that for the last 2 days the reading that I am getting for my post-dinner test is in the range of 85-87. I am concerned that I would suffer a hypo while in my sleep.

Any inputs?

[Real4]

Please give us more info on what treatment you are taking. If you are on insulin and getting those reading, there is likely a dosing problem. The more info the better. Good luck to you.

P.S. Getting a hypo during sleep is not necessarily a big deal, you'd just wake up. A hypo while driving, for example, is far more dangerous.

[wacre]

I'm on Humulin 70/30 (35 u in AM; 17 u in PM) and metformin 500 mg (3x a day).

The first time that I got the reading, I ate a cup of oatmeal. But the next day, I felt I was just feeding my disease so I went to bed without taking anything except water. Was it wise?

[xMenace]

Maybe, maybe not. When I'm in an unknown situation, I haul out the meter(s) and test frequently, say every half hour, to build a profile or graph. I have done this many times to build on my understanding of my behavior.

[Bunkins]

I think it just depends on you, what happens to your BG at night... I personally dont worry about being in the 80's, I sit around 80-90's all day.. Some nights I'll wake up with a low being in the 80's before bed, some nights I dont. But I prefer being in the mid 80's at bed time because my morning numbers are much better. But I know that if I go low, 95% of the time it's between 2 am and 4 am, which are the times I typically wake up to test anyways, so I normally catch them.. If your worried about it, eat a small snack before bed to bump you up to 100 or so... But the best way to tell is waking up several times at night and testing to see whats going on..

[RobiJo]

Those numbers would be great for me. Waking up to check in the middle of the night is the only way to know for sure. I'd stick with some type of protein with your snack rather than carb loaded oatmeal. A few crackers with cheese, 1/2 an apple with some peanut butter. The protein will help keep things steady overnight.

[wacre]

Follow-up question:

As I had mentioned, I am injecting 35 units in AM and 17 units in PM. I really don't have any issues with this except that I work the night shift (9 pm to 6 am). I am advised to just reverse my dose, that is, treat my waking hours as my day and vice versa. This is still not a problem except there would be times like today (it is is 4:40 am in the Philippines and I had injected 35 units yesterday @ 7 pm) when I would be seeing my doctor at 10 am. If I were to follow my sched, I would need to inject 17 units at 7 am before I have my dinner (which is supposedly my last meal of the day). However, since I won't be in bed before 12 noon, I would be forced to eat another meal (on a regular sched, this would be lunch). Now I am concerned whether I would need another 17 units for this meal or should I inject 35 units at 7 am to cover the meal at midday.