My little one Santi 2.5 yrs old w/ Type 1 once in a while has lows (70-80s range) around 3-4 am. His endo has worked out the night basals & made some adjustments to his late meals to prevent lows at night. However, once in a while -- as many of you have experienced with honeymoon periods-- he goes low while sleeping.
I wonder what others have used with similar situation to counter the low? He's so sleep he won't drink or eat easily. One thing is worked is giving him yogurt with a spoon, but yogurt does not wor as fast as juice.
Maybe give him something as a snack before bed with higher fat content- like nuts or cheese. That should help keep the glucose levels elevated longer. Does he drink juice with a straw or in a sippy cup? That works easily also.
They sell a glucose drink that is only 2 oz instead of the 4 for juice - they are not cheap $2.00+ a bottle (every pharmacy sells them by the glucose tablets) but they are quicker than juice and even if he is not taking much of it - it is twice as strong as juice - we keep a couple in the house for the difficult nighttime lows. My daughter was diagnosed at 2 so she was around the same age as your son during her “honeymoon”. My husband and I always thought they should call it a divorce (divorcing from her pancreas) because it certainly wasn’t pleasant like a honeymoon! Good Luck
gucose gel can be put in his mouth (just enough ti keep him from going too low, not choke, it disoved pretty fast) I found that peanut butter toast as a bed time snack let my (then 2 now almose 5) yr maintain his numbers most nights, just try different foods, maybe later dinner or different bolus rate at bed time snack. hope this helps.
If my son’s very low, I just keep trying to wake him to drink juice…one sip at a time
if he’s not too low, I suspend or lower his basal for a while to bring his numbers up on their own.
For my daughter who is now 3 yrs old we use reece’s peanut butter cups. The small bite size ones. It brings her up just enough and a little bit of milk to drink with it. For my son who is 19 months, I use juice and sometimes can get him to wake up enough to have a cracker or two. I always try to let them have a snack at bedtime. I always worry about the lows and I feel for you. My daughter comes into our room when she doesn’t feel good and it usually means she is low.
My 14 year old (who was diagnosed 7 months ago) will wake up if he is low and comes into our room. I keep small juice boxes on his bedside table and have him drink one. It usually does the trick. He is going on the Omnipod in a few weeks. I am looking forward to him being able to eat anytime he wants and not have to give himself shots.
Thanks Emily, we’ll try that too… thanks for the link, very useful information. I think in the following months, we’ll be working on lowering his A1C of 8.5%. We maybe overacting to every low
PS - the liquid drinks are Dex-4 Liquid Blasts. We use them for daytime lows - they work great. But at night the only thing I can get my son to drink is a 4oz apple juice box.
