Sugars rising in sleep

[Emmakeets]

So...

I’ve been trying really hard to get back on the wagon with taking my insulin. Gradually increased over the last month and then on Monday I put a libre sensor on to start monitoring.

Today I had my lunch at 1pm. I had salmon, half a packet of microwave rice and some salad. Took my insulin and the libre shows my sugars coming down.

I haven’t been sleeping well so at about 4pm I fell asleep, woke at 9pm and my blood sugars have been raising throughout my sleep.

I’ve got a splitting headache and terribly confused I don’t understand why they’ve risen?

I’m on tresiba which I take before bed and novorapid with meals

Any help appreciated!

 

[Inka]

Two things occur to me - the first is a possible basal issue. Could your basal be slightly wrong? The second is the nap/change of routine. Sometimes small changes to activity can have a suprisingly large affect, I’ve found.

Are you ok with having a moderate correction dose? That and plenty of water should help your headache (by moderate I mean aim for a slightly higher number than you would do during the day).

 

[Amity Island]

So...

I’ve been trying really hard to get back on the wagon with taking my insulin. Gradually increased over the last month and then on Monday I put a libre sensor on to start monitoring.

Today I had my lunch at 1pm. I had salmon, half a packet of microwave rice and some salad. Took my insulin and the libre shows my sugars coming down.

I haven’t been sleeping well so at about 4pm I fell asleep, woke at 9pm and my blood sugars have been raising throughout my sleep.

I’ve got a splitting headache and terribly confused I don’t understand why they’ve risen?

I’m on tresiba which I take before bed and novorapid with meals

Any help appreciated!

Emma,

To me, looks like a bounce back caused by lack of basal. It appears you've included a correction in your bolus which worked for a time then your background blood sugars have started rising again.

Only way to find out is by missing a meal and seeing if your background blood sugars are rising, staying flat or dropping.

Also worth noting that, for me at least. My bolus (mealtime) insulin routine starts from when I wake, e.g 2units to 10g carbs upon waking, 1.5units to 10g carbs at mid day and 1u to 10g in the evening. I've never had a sleep during the day, but if I did, i'd expect to start my routine ratios from the time I woke, which in your case would have been 9pm in the evening. Not an easy thing to manage, but I understand you needed the nap as you were really tired.

 

[trophywench]

Yep, nowhere near enough basal working at that time of day and/or needed a split bolus jab - salmon is a 'fatty' meat, as is trout and mackerel - maybe classed as good fat, but the fat still delays the absorption of the carbs - same as 'pizza effect' does - hence you get a later spike when you do eventually start digesting the carbs in the rice.

 

[Amity Island]

Yep, nowhere near enough basal working at that time of day

@trophywench

An interesting and valid point. As a non-pump user myself, that's something I wouldn't of thought about as my basal is in once a day and that's done. I suppose, if I had varying basal change problems, I might of also made a similar observation, but it's not something i've experienced in any problematic way.

 

[Emmakeets]

I haven’t done a basal check for years so could well be that although I was in hospital with DKA in November and they changed all my doses whilst I was in there for a week. Managed to get me to good levels but may be worth doing a basal check. Thanks 🙂

 

[trophywench]

It is always useful to do one Emma, when we get anything a bit weird. PITA though it is .....