In the past if I woke at night and I was high (like over 16mmol/288mL) I would always bolus to get it down. The main reason being of course that I wasn’t able to sleep, being very restless, and with very high BG. in the morning when I woke I was frequently low, or most times would be in an acceptable range, at least a decent number to get my day started.
Recently though, after starting with a new nurse and she realized I was doing this, she FREAKED out, bigtime, and made me swear that I would never do it, and gave me a medical reasoning about the body is resting and shouldn’t be processing glucose and that it basically goes against your body’s pattern. Or something like that.
Thankfully I have been hard at work at control and have not had a high during the night for quite some time, and can proudly say I have not bolused at night for a high - until last night.
Thats when the delicious hot Indian curry and Naan bread decided to give me a late onset rush of glucose and resulting high. I awoke at 3am with a BG of 16mmol/288mL and was tossing and turning, and I sheepishly decided I need to bolus. My bolus wizard calculated a 3.5u bolus but I decided to rather go for 2.2u, keeping in mind my nurse’s words.
I awoke with a 7mmol/126mL reading and was quite chuffed, so what I basically want to ask is - DO YOU BOLUS AT NIGHT if you’re high?
Do you rather not due to risk of hypo, or rather up your basal to treat the high? What is your action plan if you wake with a high?