Ive always felt that knowledge is power therefore shared knowledge is even more powerful. We all have a fear of night time hypos so I wanted to start a thread about some ideas on reducing the risks of nighttime lows. These are things that people have tried that have worked or things that you may have read about that have been recommended.
Some things that we've done over the years with Steven are:
Steven is on lantus and gets one shot per day right now. We give that shot at night around 8:30. This way if hes had a very active day I will cut back on his basal shot, sometimes by as much as 2 units if hes been very active.
With the good weather Steven is going to be out alot more and active more including after supper so I will cut back on his bolus insulin for supper if hes going out after. Activity really affects Stevens BGs and he will have delayed hypos from it often
Speaking of delayed hypos, if Steven is real active during the day I will be very cautious about giving him much humolog for supper or his bedtime snack as it will cause him to go low early in the night. Hes gotten up several times at 10:00PM to tell me he felt low and sure enough was in the 60s or 70s even though he'd been over 100 at 7:30 snack
We have always given Steven a bedtime snack since dxd. He was on NPH for 4 years and had to have something to catch that peak that happens with NPH. I still give him 1/2 cup of low fat ice cream. If hes been very active during the day I will increase the snack and add a couple peanut butter crackers or a handful of potato chips. Things like ice cream and chips digest slowly so they dont make BGs spike and hopefully will keep them from dropping.
In Dr Ragnar Hanas's book he recommends mixing raw cornstarch with milk for young children. The cornstarch breaks down very slowly. I would imagine this mixed with some chocolate or strawberry milk would be really tasty.
If Steven has severe lows we tend to run him higher for a few days including at night in order to allow his liver to recupe what it may have lost during the low