Prevent Hypoglycemia At Night

Question: I am 23 years old, weighs 46kg, BMI = 19. She was discovered to have diabetes since she was 16 years old. He is currently receiving insulin of 40 units / day (20-20). About 3 weeks now, when I wake up in the morning I feel very tired and have a headache, when the blood glucose level is high again. There were 2 times when I woke up in the middle of the night because I was so hungry and sweaty, I had to eat right away

. Please ask why? (Nguyen Phi Hong - Nam Dinh)
Reply:

During the treatment of diabetes, we encountered many cases of nocturnal hypoglycemia (about 1-3 hours) usually without symptoms typical due to the patient sleeping, but when asked, the patient often told are they often have headaches and have nightmares
However, when hypoglycemia occurs, the body will have a reaction to increase compensation later, so when testing the blood sugar in the morning, waking up is high (dawn phenomenon). Normally for a patient weighing 46kg, the insulin dose is only 20-25vv / day.
It is likely that your child may have nocturnal hypoglycemia due to the evening dose of insulin

In this case, it is best to have your blood sugar measured at midnight to see if you have true hypoglycemia.


Prevent Hypoglycemia At Night


Another way is to measure before bedtime, if blood sugar is less than 6.7mmol / l (120mg / dl), you should consult a physician immediately to reduce the dose of insulin injected in the evening. Immediately, he or she needs to re-examine to adjust the treatment dose accordingly..

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