Hey All

Thanks to anyone who responded. You all gave me some really helpful tips. Today was my 1 week anniversary of getting diagnosed with type 1 …and oh boy it is not any easier. I do have a question though. For one thing…and my doctors say this should get better soon because I’m so newly diagnosed, but like, if my blood is anywhere 100-230 range before going to sleep my doc told me to eat a 2-3-4 carb snack depending on how low or high it is before going to bed.so i do eat a snack, like last night it was 220 before going to bed, i ate 2 piecies of toast, then when I wake up (usually in the middle of the night around 5 or 6), my blood is down to the 60-80 range which I know is too low. Should I lower lantus? or because my body is so recently diagnosed will it just take me awhile to figure out what I need to do?


Also another question...I am in college, and have already missed a week of school because of this and am about to miss another week because of more doctors appointments. Do you all think taking this semester off to try to learn and control this disease would be a good idea or should I try to go back to school? (About an hour and a half away from home). I want to go back but am nervous about going out with friends and trying to control it while dealing with tests and classes and such also. I just dont know. Its all very confusing.

Anyway, again, thanks to all who respond. Appreciate it.

The snack question I say give it a bit before lowering your lantus and never do it without asking your endo ( I only say this because you are still new to the dealing of dosing and what not )

As for college Don’t think of the diabetes as a hassle in the beginning we all struggled finding a schedule that worked even I did and I have had type 1 for over 16 yrs but it was new to be away from home with everything being in my hands mom and dad not around to remind me to check my sugars or pack a snack. so it will get easier as long as you figure out a schedule that works for you as for going out with friends if you don’t want them to know about it then use the restroom for shots and testing if you don’t mind them knowing then just do it where ever and answer the questions they will have. umm could you change your doc appts for like all in one day perhaps a day you only have class in the morning or no class at all? that is what I did so I didn’t miss out. if you think this is just all to much the take a break and get use to the diabetes thing first and then add college back into the mix. but either way diabetes and college are going to have to mix eventully so what ever you feel comfortable with then go for it.

I am in Grad school now I just signed up for 5 classes plus I work so if you need any college and diabetes tips I can help heck I started college when I was 18 and I am still going! lol non the less just hit me up with any questions.
Good Luck

Your Lantus dose is too high if you went to bed at 220 (which is way too high to begin with), ate over 30 carbs & were down to 60-80. How was your morning fasting? The role of Lantus is keep BG level between meals & overnight, not lower BG this much. Please call your doctor to adjust Lantus. The usual guideline is lower doses by 1 unit & keep this dose for 3 days before making further changes. But you shouldn’t be going to bed at 220 & needing to raise it further. Please also tell your doctor about the 220 reading to fine tune your rapid acting meal insulin also. Doctors are understandably cautious about newly diagnosed patients on insulin having overnight lows, but the goal is have the right doses to begin with.

What’s a 2-3-4 carb snack?

Are you seeing an endo? Is your doctor one who you can be in regular contact with during the next few months? Whether you’re home or at school, you need a doctor or CDE (certified diabetic educator) who’s available to answer questions & guide you. This is typically done by phone or email, so the distance shouldn’t matter. You don’t want to rely on any assistance from a student health center. Maybe you should drop a class or two until you feel more comfortable & stay in school. Like everyone, you’re going to learn with time & trial & error to find what works for you.

It is confusing & overwhelming. Hang in there! You’ll be fine.

I do not go to bed with a BG higher than 120; in fact, I can’t fall asleep if it is any higher. I have to go back to my comment in your first post, suggesting that you take your Lantus in two doses. IF you are taking your Lantus in one large dose at bedtime, perhaps that is the problem. A large bedtime dose can give a large low in the middle of the night, which would take care of a high BG or cause hypoglycemia. If you take two smaller doses, morning and night, you will have smaller lows. If the nightly Lantus peak occurs at 2:00-3:00 AM, it could work out just right, so you can go to bed with a more reasonable BG number. At least, that’s how it works out for me, taking my nightly dose around 9:30 to 10:00 PM. Good luck.