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11/11/09 11:13 AM

"This morning I tested my BG and it was 300 concerned I tested in the opposite hand and it was 350. I did not eat during the night!- Why ?"
Asked By: totempole  

Background Info Hide
Dx'd with Type 1 DM four years ago at age 61, immediately on insulin. In Jan '09 I switched to an Aminas insulin pump. My A1Cs have been below 7.0 since 3 mos after dx. until 3 months ago and they are above 7.0. I exercise off/on and try to watch my carbs, I have had weight issues all my adult life.

Expert Answers (1)

12/16/09 10:20 AM

Hello TotemPole: Thank you for asking dLife and please accept my apology for the tardiness of the response. (If you have not discovered what the increases in the levels were caused by, I can offer some insight).

Good job with being conscientious to the factors that influence diabetes: Yes, the diet, activity and medications, are the variables that influence the reading, to mention those under normal-healthy circumstance.

Considering your age, history of diabetes, could the high numbers, ‘be a rebound of glucose release from the liver’ due to a hypoglycemic reaction during the night-referenced as ‘Hypoglycemia Unawareness’? Other circumstances which can cause the glucose numbers to rise unexpectedly :

  • if you become ill, (BG >250 mg/dl and rising-call the doctor), have an injury or experience some form of stress-(just normal life), the counter-regularity hormones kick in. Actually, the bodies response to stress, (illness, injury, physical, psychological stressors or a hypoglycemic reaction during the night), all can cause the glucose levels to escalate.
    Precautions, be sure to have your evening snack, (adequate carb and protein), you could check blood glucose levels at 3AM, and keep in contact with the PCP for an absolute answer. Hope this helps, regards Sue.
  • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
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