From Budapest, Hungary:
I have had diabetes for the past nine years, and my morning readings are high as well as my hemoglobin A1c. To find out why the morning readings are high, I tried checking my sugar in the middle of the night, However, each night before I go to sleep my blood sugar condition is different. What should I eat every night before I go to bed to create the best conditions to find out the cause of my high readings in the morning? Every small bit of food that I eat in the morning results in a drastic increase of my blood glucose. Is that related?
I would recommend you spend some time with a dietitian. The basic meal plan should be split into three meals with a variable number of snacks, usually including a bedtime snack. Hopefully, the bedtime blood sugar can be stabilized with a consistent intake at supper with an appropriate amount of rapid-acting insulin. A usual bedtime snack would be two-three carbohydrate servings. If you do not know what this means, it is further evidence you need more instruction.
The sugar should then be checked around 3:00 am. The target should be 80-150 mg/dl [4/4-8.3 mmol/L]. If this is not the case, your physician needs to work with you to change your insulin dosing. If your sugars are so labile that a small amount of food sends the sugars very high, you probably need more insulin for the food you are eating.
Original posting 29 May 2003
Posted to Daily Care
Last Updated: Tuesday April 06, 2010 15:09:44
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