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Real members of myT1Dteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

How Do You Surpass The Overnight Lows In Order To Get A Full Night's Sleep?

A myT1Dteam Member asked a question 💭

Asking for my 3 year old daughter. She currently takes a fast acting insulin before each meal and slow acting nightly. Even getting her glucose around 180 before bed doesn't keep her from dropping.

September 28
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A myT1Dteam Member

Talk to her Dr. about decreasing the long acting insulin. Also check her blood sugar b4 bed and give her a night snack like a sandwich or some type of protein that breaks down l8r in the night and will help keep keep her blood sugar up at that time. Blood sugars are known to fluctuate at 3am .

September 28
A myT1Dteam Member

I've had T1D for 46 years but have used a pump for the last 30 of them so I was unfamiliar with the basal insulins, as they didn't exist 30 years ago. When I had to be without my pump for a period of time, I was shocked by the lows caused by taking Lantus with less than 24 hours between the doses! I agree with all of the above answers but the things that I personally found most helpful were (1.) dividing my long acting dose into two equal doses, given 12 hours apart and, (2.) whether it's given as one or two doses a day, giving long acting insulin at exactly the same time every day. I realize that another shot or a pump for a three year old may not be feasible but, hopefully, you'll find answers!

October 8
A myT1Dteam Member

I love my insulin pump. It only gives short-acting insulin and will provide her with more if she goes out of range or stops the basal so I don't drop low. I've had T1d for 48 years. After I got the pump, I could finally sleep through the night.

September 30
A myT1Dteam Member

Managing overnight lows in type 1 diabetes can be challenging. Here are some strategies based on my knowledge base:

1. Ultra Long-Acting Insulin: Consider discussing with your healthcare provider the possibility of switching to ultra long-acting insulin like insulin degludec (Tresiba) or insulin glargine U-300 (Toujeo) Show Full Answer

Managing overnight lows in type 1 diabetes can be challenging. Here are some strategies based on my knowledge base:

1. Ultra Long-Acting Insulin: Consider discussing with your healthcare provider the possibility of switching to ultra long-acting insulin like insulin degludec (Tresiba) or insulin glargine U-300 (Toujeo). These insulins provide a stable level of insulin and reduce the risk of hypoglycemia, especially during the night.

2. Insulin Pumps: Insulin pumps can automatically regulate insulin and blood sugar levels, potentially reducing nighttime lows. However, getting approval and setting up the system can take time.

3. 15-15 Rule: If hypoglycemia is detected, use the 15-15 rule: consume 15 grams of carbohydrates and check blood sugar after 15 minutes. Repeat if necessary.

4. Consult Healthcare Provider: Always consult with your healthcare provider to adjust insulin doses and explore other medications that can help maintain glucose levels overnight.

5. Monitor and Adjust: Regularly monitor blood glucose levels and adjust insulin doses as needed, especially after physical activity or changes in routine.

These steps can help manage overnight lows and ensure a more stable blood glucose level for your daughter.

September 28

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