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high before bed

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bev

Well-Known Member
Relationship to Diabetes
Parent of person with diabetes
Hi all!

Latest problem is: Last night Alexs level was 18! Just before bed at 9.30pm he wanted to eat something as he was hungry - but with his level that high i didnt want him to - so he didnt - is this the right thing to do? The night before we changed his levemere to 8.5 units from 8 to try to bring his daytime levels down - so i didnt want to 'add' to his already high levels. I am waiting for his DN to ring back but what would you have done?Thanks. Bev
 
Talk to the DN, but also keep an eye on things too. How active had Alex been during the day and how much had he eaten? It is half term so things will be a little different from normal school day routine. The high reading might be a one off.

It was explained to me that I feel more hungry when my readings are high because my body is struggling to get enough energy from the food I'm eating and asks for more. I am not sure how this works for children as theyalso have growth to take into account too.

I hope Alex is well.
 
Has the nurse/doctor told you how to adjust Alex's short acting insulin? Usually 1 unit brings you down 2 mmols but it depends on the person and I can see why you might not want to do it before bed, especially if you are not confident about it. But in that situation I would give myself a corrective short acting dose. I think it was right not to give him food, maybe he could have had a (sugar-free) drink instead so his stomach did not feel so empty and also to help with the dehydration which can occur with high levels.
 
Thanks! Alex has been 'high' for about 5 days now - no idea why - we are carb counting etc- and are dealing with any activites with extra cereal bars etc - but he hasnt been active every day - he was 20 the night before last after a huge amount of exercise! This is why the DN suggested increasing his levermere. I havent been told about 'correction' doses yet although i have read about them on here. The thing i would worry about is getting the dose wrong - how is that worked out? Also sometimes he has been high but then maybe an hour later he is within normal range - wouldnt it be safer to wait in case he goes hypo after a dose? Sorry for all the questions. Thanks. Bev
 
Waiting for DN to phone back sounds like the best plan, then you can work out a solution together. I'm not going to suggest anything, because I've never been a newly diagnosed child, nor parent of one. Hope it goes well for you and Alex.
 
Hello again Bev

Something we've been dealing with this end is the possibility of splitting my son's long-acting dose. We haven't quite decided, but his *tendency* is to rise toward the end of the day, and we and docs are presuming levermir is running out. This is very common, apparently.

We have had several days of lots of high after lunch, no idea why either except that levemir may be running out. We find that if he's high, the insulin isn't as effective anyway, so it's a bit of a cycle. We are not giving corrections yet between meals, but do give them at meals, and that can sometimes break the pattern.

We have also had highs last thing at night when the evening meal has contained some amount of the long-digesting stuff like pasta and rice! In which case we've left it and keep our fingers crossed for a pump soon, when we can better take account of it...But we've also now in these instances when we can started splitting his dose, half ish with meal, and half ish 2 hours later. This works reasonably well, but we are a little worried so make sure to give second dose at least two hours before bed so we can see effect...All so complicated!
 
bev if he was high after alot of exercise it could be the livers natural response to the exersion. in this case you dont want to give him a corrective dose as his level will drop an once his liver starts to recoupe the glucose it released earlier. (assuming he didnt then stock up on glucose after the exercise).

The DN should be explaing all this to you, so make sure you quiz them about the things you been told here, so she can advise doses and what to do etc..
 
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