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I guess I should be thankful that my body is waking itself up. Seems the past few weeks, I awake in the middle of the night several times a week due to low blood sugar. Just a half hour ago, it read 65.
After the second time, I sent my results to my doctor and he reduced my dosage of Tresiba, (slow-release insulin). We've lowered it three times since that first time. At least I have an appointment with him first think on Monday. Maybe he/we can figure out what's going on. Only recent change is that I've ramped up my exercise routine. Even so, I didn't exercise yesterday, so I'm befuddled as to why my latest reading is so low.
Eat some carbs before going to bed eg a cookie or slice of bread with peanut butter, hope you are keeping a roll of sugar pills close by your bed at night.
Do you eat a little snack with protein before going to bed?
I actually did last night. Been trying to shed a few pounds, so am not "pigging out" anymore. I think what I need to do is eat smaller meals, but more frequently. And jambo101, a pb on toast sounds like something I'll try. Good suggestion.
Weight loss and exercise both reduce your insulin requirement. You and your doc are on the right track. Hi BS will take 20 yrs to kill you; low BS will take 20 seconds to kill you. It sounds like you need to be more aggressive in reducing doses. You can always go back up if you reduce too fast.
I actually did last night. Been trying to shed a few pounds, so am not "pigging out" anymore. I think what I need to do is eat smaller meals, but more frequently. And jambo101, a pb on toast sounds like something I'll try. Good suggestion.
You hit the nail right on the head. Without something to raise your blood sugar, the thing that normally lowers it will bring it down too low. The treatment should suit the diet. If you eat lower carb you need a lower dose. That being said, sometimes things don't go as planned.
Just got back from the doc for my quarterly checkup. Met the goal for A1C, so I'm on the right track. (But I sure do miss ice cream.) Waking up with low blood sugar happened again last night. I didn't wake up because of the low bs, but because of a "bad dream", (and I "never" remember dreams upon waking - ever since my Navy days.). Out of curiosity, checked my bs and it was low, but not dangerously low like recently.
The doctor agreed with me lowering my dosage on my own to the current level, but he also did something else. He lowered my Glipizide dosage. I've been on 20mg twice a day and we're going to go to 10mg twice a day. He surprised me when he said that "nobody" likes prescribing Glipizide! A well-known side effect is that it can drive blood sugar too low. He said that doctors go ahead and prescribe it, even though they don't like to, because it is so inexpensive.
I asked why we don't just get rid of it and he said that it still has beneficial effects. So, lower we go. He also signed me up for an education class. I've had those before, and usually turn the suggestion down, but this time he wants me to find out what type of snacks I should have before exercising.
- - -
I'm really getting to like this doctor. Had a terrible time finding a doctor who accepts new Medicare patients. Finally found this one through a neighbor referral who is only accepting new diabetic patients. At first, I didn't like his style at all. He started changing things all over.
But now, I really feel like he is letting me be part of the team on managing my health. My blood pressure runs a little high, (family history of hypertension). I've been on a low dose med for a couple of years now, but the numbers still run a bit high. In discussing what to do, he actually let me make the decision about starting a new medicine to help control the blood pressure. After taking a moment to consider my reflecting on my family's health history, I agreed to try this new medicine. But I really felt he left the decision up to me. That makes me feel "good".
- - -
p.s. Thanks all for the help and suggestions. I don't normally hang out here in this sub-forum. You "guys" are helpful, unlike a lot of the C-D forums. A collective kudos to you all.
I guess I should be thankful that my body is waking itself up. Seems the past few weeks, I awake in the middle of the night several times a week due to low blood sugar. Just a half hour ago, it read 65.
After the second time, I sent my results to my doctor and he reduced my dosage of Tresiba, (slow-release insulin). We've lowered it three times since that first time. At least I have an appointment with him first think on Monday. Maybe he/we can figure out what's going on. Only recent change is that I've ramped up my exercise routine. Even so, I didn't exercise yesterday, so I'm befuddled as to why my latest reading is so low.
Soda crackers and cheese before bed. Because your physical health is improving you will not need as much medication to control your BG. I learned a lot about this by reading books about how to manage diabetes
which I recommend you do.
Just got back from the doc for my quarterly checkup. Met the goal for A1C, so I'm on the right track. (But I sure do miss ice cream.) Waking up with low blood sugar happened again last night. I didn't wake up because of the low bs, but because of a "bad dream", (and I "never" remember dreams upon waking - ever since my Navy days.). Out of curiosity, checked my bs and it was low, but not dangerously low like recently.
The doctor agreed with me lowering my dosage on my own to the current level, but he also did something else. He lowered my Glipizide dosage. I've been on 20mg twice a day and we're going to go to 10mg twice a day. He surprised me when he said that "nobody" likes prescribing Glipizide! A well-known side effect is that it can drive blood sugar too low. He said that doctors go ahead and prescribe it, even though they don't like to, because it is so inexpensive.
I asked why we don't just get rid of it and he said that it still has beneficial effects. So, lower we go. He also signed me up for an education class. I've had those before, and usually turn the suggestion down, but this time he wants me to find out what type of snacks I should have before exercising.
- - -
I'm really getting to like this doctor. Had a terrible time finding a doctor who accepts new Medicare patients. Finally found this one through a neighbor referral who is only accepting new diabetic patients. At first, I didn't like his style at all. He started changing things all over.
But now, I really feel like he is letting me be part of the team on managing my health. My blood pressure runs a little high, (family history of hypertension). I've been on a low dose med for a couple of years now, but the numbers still run a bit high. In discussing what to do, he actually let me make the decision about starting a new medicine to help control the blood pressure. After taking a moment to consider my reflecting on my family's health history, I agreed to try this new medicine. But I really felt he left the decision up to me. That makes me feel "good".
- - -
p.s. Thanks all for the help and suggestions. I don't normally hang out here in this sub-forum. You "guys" are helpful, unlike a lot of the C-D forums. A collective kudos to you all.
Just a word of advice. You should be looking at reducing carbohydrate intake AND medications/insulin. That is the proper way to manage diabetes long-term. Diabetes is a progressive disease and will only get worse if not properly managed. Eating whatever you want and gradually increasing insulin and medications will only lead to more problems. In other words, treating the symptoms instead of the cause will only work for so long.
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