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Practice makes near perfect at bedtime

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The Question
Wed May 28 11:26:30 UTC 2014

Woke up last night around 2:30 AM & sweating. I checked my BG and it was 31. If I didn't wake up, would my have BG increased during the night?
Asked By: davet32  

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Woke up due to a loud sound; might have slept through the night if it hadn't. Drank some OJ and had a cookie and in the morning BG around 200.
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Expert Answers (1)
2014-05-31 11:05:13.0

Dear Davet32:

That was a frightening experience for sure! What would have happened had you not awakened is uncertain. Your liver MAY have kicked into gear, releasing sugar and raising your blood sugar, thus side stepping any serious problem, OR your blood sugar could have continued to drop, taking you into a SEVERE hypoglycemic state leading to seizures, coma, or even death. Gracious! We DO have a lot to worry about, don't we?

On the brighter side, these serious hypoglycemic states should be rare and preventable. With the right insulin proportions for you, carful testing of blood sugar before bed EVERY NIGHT, and appropriate bedtime snacks when/if needed you should be able sleep soundly and securely.

I recommend a can, box, or pouch of juice at bedside that you can quickly drink should you awake with low blood sugar. Another option is glucose tablets at your bedside. Having a glass of water to to drink while chewing the tablets will help them dissolve more quickly. Personally, I find the juice the quickest and easiest to swallow, and l generally awake with an appropriate blood sugar level in the morning.

Glucagon is a prescription you should get and keep by your bedside. It is to be used in extreme circumstances: when you re unable to eat or drink, due to low blood sugar extremes. If you live alone it may be unnecessary, as you would not be ale to give it to yourself if you needed it. If that is the case, I would STRONGLY encourage you to look into getting a continuous glucose monitoring system, which will warn you when your blood sugar reaches a self-prescribed low number.

Good luck as you work with your diabetes health care team to keep you safe and healthy.

Answered By: Anne Carroll
Accreditations: RN, CDE
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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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