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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low Blood Sugar Symptoms At Night While Sleeping. Have Diabetes 2, On Levemir 38 Units At Night. Possible Due To Intake Of Tomatoes?

I'am have diabetes 2 and using levemir about 38 unites before bed time, have low blood sugar symptoms at 1 or 2 AM to the point of waking me up ,when checking the blood it is 171 or 200 after eating some peanut butter it goes away, Is it possible eating a lot of tomatoes before bed time would this be a reaction? or what causes the problem?
Fri, 26 Jul 2013
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General & Family Physician 's  Response
Hi,

Based on the information you are taking levemir 38 units at bed time and have a issue of low blood sugar at 1-2 AM, and wanted to know the if you take lot of tomatoes at bedtime if it may cause a reaction.

Here is what I think is going on, the dose of the levemir given may be too high for your body or you might not had proper diet that night.

I need you to be consistent in your diet and monitor your sugar after 2 hours of meal at night, if the sugar goes below 100 then I need you to grab some sugar drink and consult to your physician next morning and let hime know about the problem.

The issue in medically known as "somogyi effect", that can be solved by reducing the insulin taken at bed time.

Now about the tomatoes , NO their is no know reaction for taking lot of tomatoes at bed time.

Thanks
Dr.JAY PATEL
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General & Family Physician Dr. Lohit K's  Response
Hi, Thanks for using HCM.

Sugar level of 171 - 200 is normal. Kindly put your blood sugar values(FBS, PPBS). If this value is very low compared to your other readings then this can cause hypoglycemic symptom then we need to adjust the dose of levemir. Hope I answered your question. Reduce weight with diet and regular exercises. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries.
Wish you good health. Take care.

Regards
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Low Blood Sugar Symptoms At Night While Sleeping. Have Diabetes 2, On Levemir 38 Units At Night. Possible Due To Intake Of Tomatoes?

Hi, Based on the information you are taking levemir 38 units at bed time and have a issue of low blood sugar at 1-2 AM, and wanted to know the if you take lot of tomatoes at bedtime if it may cause a reaction. Here is what I think is going on, the dose of the levemir given may be too high for your body or you might not had proper diet that night. I need you to be consistent in your diet and monitor your sugar after 2 hours of meal at night, if the sugar goes below 100 then I need you to grab some sugar drink and consult to your physician next morning and let hime know about the problem. The issue in medically known as somogyi effect , that can be solved by reducing the insulin taken at bed time. Now about the tomatoes , NO their is no know reaction for taking lot of tomatoes at bed time. Thanks Dr.JAY PATEL