[Diabetes-talk] question

[eileen scrivani]

Hi Debbie:

It sounds like you are on a very similar insulin regiment to what I use.  I 
do Novolog before each meal and Lantus at bedtime.  If I recall, I think 
there was a time when you were having very low numbers upon waking in the 
morning.  This was a problem I was having for a while as well, but it has 
also in the last few years gone in the opposite direction.

Originally, to curb the low numbers, I was instructed to have a light snack 
of approx 15 grams of carbs and a bit of protein or protein/fat (like peanut 
butter) before going to bed.  This had worked, but now in the last few years 
I more often than not do not have a snack before bedtime.  I know it is very 
confusing.  It sounds to me like you might possibly be having about 30 grams 
of carbs as your snack before bed.  Could it be that your snack is more like 
a little half meal and a bit too heavy on the carbs?  Maybe your numbers 
would improve in the morning if you either just had milk only, or only had 
the 1 graham cracker instead of both?  If I've miss-understood, and you are 
only having one of those snack foods, perhaps, like me you would be better 
off eliminating the bed time snack and go back to checking your sugar level 
in the middle of the night so you don't drop too low and see how that works 
out for you.

I had switched for a very short time from my "old" diabetic doctor to a 
different specialist in diabetes, and the new guy told me to use bedtime 
food like medicine.  If I felt my number at bedtime was in the lower range 
and I thought I'd have a drop during the night or early morning, then to 
have a very small snack maybe only 7 grams of carbs.  If the number was 
running good and my Lantus was at the correct number I should be able to get 
through the night without incident and without food. His advice to me was 
that if I was not taking novolog, then the food intake should be very low or 
none.  He said if I was eating because of hunger than to have the snack, but 
take a unit or two of the fast acting to cover it.

I'm not an expert ... certainly not a doctor, but your situation sounds very 
similar to what I have been experiencing since I've moved into the well-over 
40 year old range! <SMILE>

Good luck.

Eileen
----- Original Message ----- 
From: "Debbie Fredericks" <catdancing at sbcglobal.net>
To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org>
Sent: Wednesday, March 31, 2010 7:24 PM
Subject: Re: [Diabetes-talk] question


she asked me to send her my blood sugars (which i did for a week) and said 
not to worry about it a week of high blood sugars wouldn't hurt anything. 
but i never heard from her so i am taking just enough insulin in the middle 
of the night to lower the blood sugars. To be honest this doc scares me.
I do take lantus and novolog. At 2a.m. the blood sugar varies sometimes it's 
over 300 other times it's 160. i happen to know one unit of insulin lowers 
my blood sugar 40 points but because i also take 22 lantus a day i calculate 
an approximate of how much insulin i need.i guess i could raise the lantus 
but once again that doctor told me to lower the lantus to 16 i did not do 
that this woman scares me.
i usually have a glass of milk and a graham cracker for a snack at night.
Debbie
Debbie




________________________________
From: Tamera <fidano at comcast.net>
To: Diabetes Talk for the Blind <diabetes-talk at nfbnet.org>
Sent: Wed, March 31, 2010 2:57:10 PM
Subject: Re: [Diabetes-talk] question

first, what did your doctor advise you do about the early morning rise?
What is your glucose level when you take a 2AM dose?
What long lasting insulin are you taking?

My bedtime snack can have a lot to do with it as well.
Tamera
----- Original Message ----- From: "Debbie Fredericks" 
<catdancing at sbcglobal.net>
To: <diabetes-talk at nfbnet.org>
Sent: Wednesday, March 31, 2010 12:21 PM
Subject: [Diabetes-talk] question


> i have been diabetic for 43 years. i recently got a new doctor in St. 
> Louis I tend to have very high glucose readings in the morning, they r 
> normal all day and high in the morning. To prevent this i was getting up 
> around 2:30 or 3:00 a.m. and taking insulin to lower the a.m. blood sugar 
> and it worked very well.
> When i told this new doctor i did this she told me not to, now my blood 
> sugars are high in the morning.
> Has anyone any idea what i should do. my choice is to keep taking the 
> insulin at2:30 or 3:00 a.m.
> Debbie
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