Posted by: rafael | 2020/01/02


Blood sugar without bedtime snacks

How do I prevent nocturnal low blood sugars (below 4) without having to have snacks bedtime and midnight? Blood glucose drops dramatically at night regardless of how high the bedtime level has been. I am on insulatard 34 units in the early morning. Glucose levels well during the day but not overnight. Should I take different insulin (was on Toujeo before) or take insulatard at a different times of day re its peak effect? Thank you.

Expert's Reply


Diabetes expert
- 2020/01/10


The options to avoid snacks include 1) lower nighttime insulin dose...the risk is higher glucose levels in the morning 2) change to an insulin that has less variability...Toujeo, Levemir, Lantus, Optislulin, Basaglar) 3) Insulin pump
 4) trying the insulin at night...don't think that this will work.

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