advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Altadena, California, USA:

Our seven year old daughter, diagnosed with type 1 diabetes about two months ago, is currently taking NPH only once a day (before breakfast) because of low fasting blood sugars, but we are confused about the bedtime snack. We usually have dinner at 6:00-6:30 pm, and her bedtime is 8:00 pm. We both work so having dinner any earlier is impossible. Since her blood sugar level is usually around 130 mg/dl [mmol/L] or at bedtime, we are concerned if we give a bedtime snack so soon after dinner, blood sugar might go even higher, but waking her up at 11:00 pm to give her a snack seems extreme. On the other hand, If we don't give her the snack her level will certainly be low. Is this the norm? We stopped her evening 1 unit of Regular because it was causing her to have low blood sugar levels in the morning. What can we do?

Answer:

I wouldn't suggest insisting on a bedtime snack if your dinnertime is later in the evening. The key is to provide what your daughter needs, avoiding hypoglycemia, and optimizing blood sugar levels. The bedtime snack is not an absolute rule. If you struggle with low blood sugars without the snack, then I would suggest changing her insulin dosing to avoid the lows. You may be interested in other long acting insulins such as Lantus (insulin glargine) rather than just using NPH in the morning. I would discuss this change and your current struggle with the bedtime snack with your daughter's diabetes team.

MSB

DTQ-20020108014251
Original posting 13 Jan 2002
Posted to Daily Care

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:30
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.