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The Question
06/28/09 10:29 PM

"I work 3-11 shift at a very physical job. when i return home at midnight my sugar is between 100 and 120. How low can i safely go to bed and not worry"
Asked By: jojo222  

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I am 55, female and my job is very physical with alot of walking and i work 3-11 busy up to end of shift. I am not always hungry when i return home and I go to bed at 3am. My numbers are steadly going down but i wonder what should be the lowest I could go to sleep with.

Expert Answers (1)

06/30/09 07:27 PM

First, I would check your blood glucose right before you go to sleep as there is a 3 hour time period between when you first arrive home, and when you go to sleep. In those three hours if you don't eat, your glucose levels can go down even lower . In addition, the activity you do at work can have an effect on your glucose level lowering it even more. I suggest you discuss this with your doctor and come up with a plan to determine what the lowest level your sugar should be prior to sleep and how to anticipate and avoid a potential problem. An important piece of information is missing and that is that I donot know what kind of oral medication you take. This is very important to know in order to counsel you properly since medications all work differently in your body. Some medications increase your insulin production and can lead to hypoglycemia or low blood glucose. It has been suggested that Individuals with a bedtime reading of less than 126 mg/dl were more likely to experience low blood glucose if they had not eaten a snack. However, these individuals were protected from low blood glucose by eating a bedtime standard snack or a protein-rich snack. A standard snack consists of two starch exchanges and one protein exchange (an example might be two slices of bread and 1 oz. of cheese). I hope this answered your question.
Accreditations: RD, CDE
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Community Answers (1)

05/22/10 11:06 PM

Answered By: sarah1234
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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