Knowledge is Power and I finally took the plunge and did an overnight basal rate test (it’s been years) It also served as an excuse to not exercise…but since I have guests coming this weekend, I did clean, which can be exercise itself.
I had suspected from a few random middle of night checks and consistent lows in the morning that I had been dropping at some point in the night. My fasting blood sugar has more often than not been below 70 (often 40s and 50s), which is not a good place to start the day
Started in range at 11:30 (after meal bolus was over) and took Lantus at 12:00am. 1:00 109 and went to bed 3:00 83 dropped a bit but still in range 5:00 37 dropped significantly!
When the alarm went off I felt shaky but not extreme, I was expecting it to be in the 50 maybe upper 40s where it would stay until fasting check…so I ended up eating too much glucose (7-9 tabs) and woke up to 233. I took a correction bolus of 1 unit and 6 units of symlin
At the 1 hour mark it had dropped down to 67 (1.5 hours after correction bolus, 1 hour after eating).
At 2 hours (11:00am) 110
At 145(lunch) 99
Interestingly, when I wake up low, I treated, took symlin ate, injected bolus and would run high (anywhere between 150-250). However today w/ no bolus it’s been smooth -so far
I’m going to run more tests, but I suspect the lantus is too high. I also realized that I was dropping a lot lower than I expected so I’m guessing by the time I actually correct the low, my liver has probably dumped a lot of extra glucose into the system.
I think before anymore testing, I’m going to cut back on the lantus and then start over with the overnights then move onto various parts of day. Once I have that I want to retest the overnight and evening after normal exercise (since I exercise at early evening/night time)
So the lack of sleep has definitely been worth this piece of knowledge
Thanks for reading (even if just skimming) and if you have any advice or things I should take into consideration, let me now