Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Why Does My Blood Sugar Go Low In The Evenings?
GOOD MORNING DOCTOR. MY NAME IS jhbj AND I LIVE IN ABUDHABI UAE. I AM TYPE 1 DIABETIC SINCE LAST 3 YEARS, I AM USING HUMALOG MIX50. THE QUERY WITH ME GOING ON NOW ADAYS IS THAT MY BLOOD SUGAR GOES LOW IN THE MID EVENING. DOSES SUGGESTED BY MY DOCTOR IN PAKISTAN(HOMETOWN) WERE 18-16-18. AT TIME WHEN IT WAS GOING LOW AFTER FIRST MEAL TOO , I MINIMIZED IT TO 14-12-16 OR 16-12-18. BY THIS ALSO, I AM OBSERVING LOW IN MIDNIGHT AND SOMETIMES IN THE OFFICE HOURS TOO. PLEASE GUIDE.
Wed, 3 Sep 2014
welcome to hcm,
short answer. hypoglycemia is due to your insulin regimen change the regimen.
In my opinion, the hypoglycemic episode you are now experiencing is due to the high intake of insulin intake in the evenings. and in the mornings after taking the insulin you have some physical activity and in the evenings you take the same amount of insulin and you go to bed with no physical activity that is the reason for mid night and evening hypoglycemia
convey with your treating physician and change the insulin regimen
if i were your treating physician i will ask you to do a fasting and postprandial blood sugar levels and i usually prescribe half of the insulin dosage you are using in the morning .if you have a low fasting blood sugar levels,my insulin regimen for you will be 18-14-9 try this .
short answer. hypoglycemia is due to your insulin regimen change the regimen.
In my opinion, the hypoglycemic episode you are now experiencing is due to the high intake of insulin intake in the evenings. and in the mornings after taking the insulin you have some physical activity and in the evenings you take the same amount of insulin and you go to bed with no physical activity that is the reason for mid night and evening hypoglycemia
convey with your treating physician and change the insulin regimen
if i were your treating physician i will ask you to do a fasting and postprandial blood sugar levels and i usually prescribe half of the insulin dosage you are using in the morning .if you have a low fasting blood sugar levels,my insulin regimen for you will be 18-14-9 try this .
I find this answer helpful
You can reduce the number of injection from 3 to 2 if your sugar is getting low.
Humalog Mix 50
18 units in morning before breakfast
16 units in evening before dinner.
Keep the timing of the injection fixed daily. i.e 9 am & 9 pm or 7 am & 7 pm.
Observe your blood sugar for three times a day for next 5 days.
For any episode of Low sugar level - immediately you should take sugar (sugar tab, 1 tsf sugar, chocolate).
Humalog Mix 50
18 units in morning before breakfast
16 units in evening before dinner.
Keep the timing of the injection fixed daily. i.e 9 am & 9 pm or 7 am & 7 pm.
Observe your blood sugar for three times a day for next 5 days.
For any episode of Low sugar level - immediately you should take sugar (sugar tab, 1 tsf sugar, chocolate).
I find this answer helpful
1 Doctor agrees with this answer
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Insulin lispro
Loading Online Doctors....