Occacionally my duaghter has night time highs that are not alleviated with boluses throughout the night. Last night she was very high at bedtime and we boluses her before bed. 1.5 hrs later rechecked still very high and bolused again. this pattern continued throughout the night, 4 boluses through out the night and her sugar did come down but only to 266 at 6 am.
We are using a pump, MM Revel, and I/m thinking a dual bolus might have done the trick. She did have kind of a larger meal. Also, maybe I could have fed her a little earlier so her sugar would have been lowwer before bed time.
It seems like the insulin is not as effective while she is sleeping.
I have the same problem. If I take a correction bolus before bed, I generally wake up with the same blood sugar I went to bed with–no change. And that correction bolus comes 3 1/2 hours after I ate my last meal.
Sorry I have no answer for you, but I certainly hope someone else does!
Same thing happens to me!! Usually this happens after going out to eat…everything might look pretty before bed, but then I raise and every couple hours take a correction and basically i just stay where i am at until i eat in the morning and take a correction on top of it! Very annoying, I know but I think you’re right…the dual wave might work well, however that is something that takes a lot of trial and error! The only thing I use that feature for is pasta, which took me probably about 7 times before I figured out the right way!
I don’t know much about a pump, so maybe this advice is off, but isn’t it still unsafe to take several boluses during the night??
Yes, it’s best to eat 3 or 4 hours before bedtime. Perhaps she needs a change in her basal rate if this is a regular occurance. If not than perhaps she was just eating too high carb possibly also with fat (such as pizza) which means the highs occur hours later? If it is an infrequent occurance I wouldn’t worry about it too much as occasional unexplained highs come with the territory. Do check with your endo about the safety of taking boluses in the middle of the night and then going to sleep.
This happens to me sometimes when I either eat more than I should (like thanksgiving) or I eat a meal or snack with a higher protein:carb ratio. When I eat higher carb meals there’s probably enough insulin hanging out later to cover the protein, but when I eat lower carbs with more protein and am not bolusing as much then that protein hits me like a truck! In addition to what I take to cover carbs, I bolus for protein at about 50% what I would for carbs per g and put it on a 4-5 hour wave.
