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Although it may vary based on different circumstances for you, on a typical night, in which of these blood glucose level ranges would you most prefer to be before going to sleep?
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On present MDI using split dose glargine and bolus with lispro before meals, evening glargine causes bg to go lower in morning before dawn effect. So to be safe I chose 100-109.
The answer is 110-119. However, I struggled with this question mightily.
Control IQ compels a complete flat line for me from 22:00 to 05:30. I am enslaved to an algorithm regardless of what I do.
But I have this deep-seated fear of going to bed ātoo low,ā which compels me to enter anything up to 200. I suppose Sigmund Freud would have a field day about this subconscious compulsion.
However, it forces me to ask, āIs this a mathematical question or a psychological question?ā We are human beings, you know. We are analog, not digital, regardless of what tech mavens do. ŹT//į“„//T Ź
@Ahh Life- I’ve been Type1 for 25 years. I will always rather err on the side of high than low. I have had the tslim for 7 months, and I am thankful to have a flatline at sleep hours. Before the pump, lantus would make me drop frequently. It was never fun waking up with lows.
**I concur with 110-119 š
Definitely a psychological answer, for me. (110 to 119)
I relate to this so well! I’m on a closed-loop system and still have a huge psychological hurdle going to bed below 110.
Ahhh! Freud! š
After all my years of being a T1D, my injection sites are questionable. I prefer to be a little high, so as by the time I awake it’s in a good range to start the day.
110-120 would be optimal for me. Seems like thats where Control IQ has me. Wiggle room to get out of a low and not too high. Control IQ, I love you!ššā¤ļø
I picked 110-119. If I paid more attention to where I started at bedtime compared to the nights I get waked up by a low alarm, I might change that.
I said 10O-109 with my finger hovering over 90-99. I have known people totally out of control going blind, dying, having limbs cut off. It scares me more than most lows. I have been fortunate that I have never had any negative ramifications from a low, and Iāve been as low as 19 and stayed on my feet and conscious (Iām a LADA so that might have something to do with it). Perhaps I am damaging other body parts I donāt know about. But for the most part I am eliminating lows at night. Not on a CGM yet. Retiring in 2 years and then I can focus on that new item.
If my bedtime BG reading is 120 or higher, I will take a correction bolus, but I lower the suggested correction bolus by 1 unit.
My CGM/Pump has made this 90-100 range possible for me. Prior to that, when I was injecting, i would never feel comfortable with a BG under 140 at bedtime. The CGM/Pump has been a game changer.
I always shoot for 100. Anywhere from 80-100 will be generally ok if I have not had a glass of wine with dinner. Some dinners can change things as well as other variables.
Currently, I like to go to bed between 120-129 because I drop in the wee hours. Still working in basal rates to get it to where I can go to bed between 90-110 and be good for the night.
I have had too many episodes at night, so I’m quite comfortable to be over 160 before bed. If the level is still high in the early morning, I can always lower it for breakfast.
I like to aim for around 100 at bedtime as well as before meals. Since starting control IQ a couple of months ago any hypoglycemia is extremely rare due to the pumps ability to lower basal rates and stop insulin delivery as needed. Itās really Great to be able to sleep again without worry and being awoken by alarms.
I actually cannot get to sleep unless my BG is about 119 or higher. I would prefer to aim lower, but cannot. Somehow no matter how tired I am I cannot sleep. Unless I am on an airplane. Once I am asleep, if I wake up to go to the bathroom, sometimes my BG has fallen below 100, but I have to have some glucose to get back to sleep. When I was younger, I had nightmares that would wake me up when my BG went below 50 or 60, but I have hypoglycemic unawareness now, so I rely on the Dexcom to wake me up instead. It can take a couple hours to get my sugar back up high enough before falling back to sleep. Normally, I do sleep just fine and low sugars do not wake me up. But sometimes I think I must underestimate the effect of some late activity, say doing laundry or packing a suitcase, and that pushes me low at night.
Another good example how this disease trats us all differently and that there are no hard and fast rules in dealing with it.
I also had nightmares that I was lost and couldnāt find my way back home or couldnāt figure the answer to something during my first few years when my sugar was low during the night. Itās interesting how we all had the same experiences but thought it was weird before we had the means like now to know what others experienced.
It was very difficult for me to answer. As was mentioned in the question, there are so many variables that can affect what your blood sugar does over night. Control IQ is very effective. Even if I start out a little high (125), I will usually wake up between 95 and 108.
T1D for over 30 years, I’ve been on a closed-loop system which does a decent job eliminating both overnight highs and lows – 90% of the time I’m flat all night. Still such a mental hurdle for me going to bed hovering anywhere near 100. Probably so many memories of waking up drenched in sweat with a BG of 40-50 make me reluctant! I also have a hard time falling back to sleep (regardless of why I wake up) so that’s part of it too.
Same thing happens to me. Very difficult going back to sleep. Anything can ruin my night, but the control IQ works quite well for me during the night.
100-109 works well for me, but if the range shown was 100-120 I’d have selected that range!
Anywhere between 110 and 140 is ok. Sounds like we all have the deep fear of the lows during the night it doesnāt matter what. Not pleasant waking up drenched in swear and confused. Have to grant it to Control IQ has improved my nights Tremendously tough.
It just doesnāt work well for me during the day.
I use tandem IQ so I just want to be in the 70-180 range. IQ will help keep me there.
Drastically lowering carbohydrates resulted in no need for industrial size insulin doses and no more terrible nighttime hypoglycemic episodes. The less insulin, the better. Iām still on MDI. Dexcom 6 is very helpful 24/7.
My selection was 120-129 mg/dL. I am a brittle diabetic and have always quickly dropped low about 3am. The 110 lower range is too low for a drop. My Tandem pump in Sleep Mode keeps me right at 120-129 all night providing I don’t load up on carbs or have a dropping BG before bed. LOL!