I haven’t slept a full night in three years since my son was diagnosed. The best thing was the cgm it helps me relax a little but my worst fear is him going low and me not knowing. I have the app on my phone and keep a receiver beside him too. 😅 he’s only six but he sleeps through the alarm which only fuels my anxiety about it.
I woke up to EMS at 6 a.m. reviving me from a near death coma from extremely low blood sugar this morning. I have no idea what triggered this but I was having seizures in my sleep and my wife felt that something probably wasn't right because of that. She couldn't wake me and I have no conscious recall of anything that happened. EMS couldn't find a vein for a very long time according to my wife and she was nearly about to have a panic attack because she thought I was dying.
@@bridgetware7572stay strong for your child,I am 24 and diagnose with type 1 diabetes.my parents so much worried but now they comfort me and tell not take too much stress,only a patient knows the pain of another patient (❤ from india)
I am not diabetic, but have been having night sweats and low sugar symptoms. I have tested my blood sugar for a week now, and I never went over 88, even postprandial. 😅
I'm 65 and never knew Hypoglycemia was a thing. Until a few years ago my blood sugar was high did my doctor said i need to do something. In middle and high school i used to ' crash ' in the afternoon. Didn't know that word back then. 50+ year ago Hypoglycemia didn't seem to be a health issue. Rose 🌹
Before wearing a CGM I didn't know I was having lows and would just wake up shaking like a leaf. I thought I had essential tremor like my mom. I feel better now that I know I'm low when my monitor wakes me up and can treat it.
On point on the uncomfortable and even comfusion and stress. Terrible. Eat fats in general and carbs for octane boost when energy for muscles is required. An organic internal combustion engine or motor (metal rotor).
I take Ozempic just got raised to one MG shot. Took it other night. Now just felt shaky really hungry and weird feeling so I grabbed some green grapes washed them, and started snacking on them and within a couple minutes to 6 minutes feeling way better :)
I'm really learning a lot from you. My Doctor basically told me nothing other than certain foods and drinks to limit or avoid. I knew nothing of Gloucose Tablets or Gel Pouches. I'm going to go buy some immediately. Can you tell me where you bought that fruit pouch on your nightstand? I can't find it. I'd like to try it.
I know for many low levels are an issue, day or night. Totally agree that a CGM is a good idea, the warning will go off and disturb you. The more it bothers you, the more you will be motivated to prevent the alarm. I don’t regard the low levels as an issue as much as an excuse to eat or drink something that I enjoyed from days preceding the type 2 problem. I always have some regular soda in my mini fridge and some salt water taffy handy. During the day there is no problem staying aware of where the sugar level is, and at night my bladder wakes me often enough to monitor the levels during the night. The alarm goes off only rarely. That may be due to my setting it to only happen at levels below 55 mg/dL. Time in range is 95% 79-180 5% 54-69. The 95% is a little misleading as average is 90 mg/dL. Managing to keep the graph quite flat. Love your willingness to help others.
I've been taking part in the Zoe study. I don't have diabetes and my blood sugar naturally dips down into the red for about half an hour or so during the night. It seems to be a normal pattern. It doesn't happen every night. There are one or two exceptions, but pretty much every night it dips down into the red zone for a while before coming back up. Other than that my sugar levels, according to the CGM, stay around the 5-6 level most of the day. So sugar "crashes" in the night are normal. If you have type 2 diabetes you likely have had then all your life, you're only learning about them now because you're monitoring your levels closely. I sleep through them and only realise I've had one when I check my CGM in the morning
My sugar goes low almost every single morning (between 50-70). It sucks but I'm getting better and better at it. I take usually 1 or 2 units of humalog around midnight or so because I usually eat at night. My sugar will be low by around 6AM. I use alarms on my Dexcom so I wake up and can correct it immediately usually. I really want to stay in range (right now I'm around 80%). Thanks for the video!
If your blood sugar goes low in the morning it’s probably more of a basal insulin issue. Might be worth considering adjusting it slightly. I’ve found that just moving when I take my evening dose made a difference
As ALWAYS, thank you for such excellent content. I’ve only been diagnosed 7 months now and I’ve learned so much watching your channel and getting your newsletter via email.
This has been a great help as I do wake up three to four hrs later after taking my lantis I havee adjusted my lantus from 30 units at night down to 10 units it was okay at first now I'm starting to wake up again in the middle of night My A1C is 5.5 now
You have to raise your blood sugar up to 140 to get a good nights sleep. I have had low blood sugar for a long time. You have to eat a half a turkey sandwich with cheese, lettuce, and tomatoes two peanut butter cups and a cup of oatmeal and you have to wait at least almost 45 minutes to check your sugar and it will go up but you have to go right to sleep right away, I am a certified nurse aid and I had to learn to take care of myself. Thanks to. GOD
Insomnia in the middle of the night and then awful anxious thoughts and worries is absolutely maddening. I can get up, drink about 4 oz of milk and take some Hylands sleep formula and then return to sleep but usually lose about one hour in the process.
Thank you for such a great content on this important issue. I gve you the credit for converting me to Dexcom G6 from Medtronic Guidian 3 CGM. I usually over eat when I get night lows and end up with high glucose in the mid 200s. I will follow one of your strategies rom now on. Thank you so much.
I just found out after years of testing for practically everything else that I have severely low blood sugar. My last check I was at 39, and this was after eating breakfast.
My sugars drop, I don't take meds. I do eat an hour or so before bed. I woke up around 3am with a level of 2.9. I ate again to bring it up. End up going to sleep again only to be woke up with a low sugar resting and hour and a half later. I'm new to this. Very new. I'm scared but tonight's my first night on trying to eat oatmeal before bed every night until Tuesday when I get to see my dietitian and diabetes specialist. I need something to help stabilize throughout the night but I don't know how to. I don't exercise or drink alcohol. I did thankfully get a sensor yesterday but it keeps going off. Or it'll go up to 5 or 6 throughout the night but drop just as quick. Quicker more when I sleep
I am a carnivour in ketosis 24/7 with 4.8 Alc. I consume no more than 1 gram of sugar per day from cheeze. My glucose goes down when I have a meal. My daily high is tippically around 90 and can go briefly to 50 overnight. I experiance no problems with this at all, are athletically competitive with very high energy levels.
I'm just now learning that this is my situation as well. When it's at 50, I still feel fine... but I'm trying to understand if I should be concerned....
@@angelafritz4917 There are many doctors on U Tube who address this question. This is how I understand it, for a person who is not a type one diabetic. When fully fat adapted, on a carnivore diet, in ketosis, the body is using fat and ketones for fuel. Blood sugars will be low because none are ingested. In this state the body produces exactly the right amount of glucose it requires. It does not require ingested glucose. If my blood glucose goes down to 50 on occasion, usually overnight, that is exactly where it is supposed to be. I find myself feeling great with glucose at these levels. P.S. my hbALC is currently 4.6%, 14 day average blood pressure has come up to 112/72 with resting pulse rate 58bpm. I am very fit and healthy with all health markers excellent at 70 years old. This has come from not eating a single vegetable or fruit for several years.
I have reactive hypoglycemia, and when my glucose drops below 55 it'll knock me out for an entire day 😞 Even after I get my glucose back up, I feel very sluggish and it's difficult to focus for 24-36 hours. Any ideas on how to recover? All I know to do is eat right and sleep it off.
Oh man, that sounds exhausting. I'll occasionally have lows that completely wipe me out but not that often. I don't know if there's anything to do than eat and rest
A high fat diet also stabilizes blood sugar. I've personally found that the keto ratio (or lower carb) works best for me (50% fat, 25% protein, 25% carb), though I'm often closer to 65/25/10. I still use a CGM and am T2D, but I'm now completely off all diabetes medications (including insulin) with an A1c that fluctuates between 5.0 and 5.1 and very rare fluctuations outside of 90-130. Those outside events are always when some else has prepared the food I'm eating and has completely disregarded what I ordered (Sonic substituting the full-sugar regular cherry limeade for the diet version I ordered). I'm also just barely outside of my ideal weight range by carefully measuring every ingredient by weight as I'm cooking and every portion off the food. It's a bit more work overall, but I feel my health is worth the additional effort. The key to changing anything is to make the changes gradually and to look for the equilibrium point where your glucose readings are steady but still work with your lifestyle, whether it's active, sedentary, or somewhere in-between.
I also get numb mouth and jaw. My legs also go numb. I’ve been wearing a cgm and have discovered I have many lows ( in 50s!) at night. I’m on metformin, no insulin. I usually don’t eat after dinner.
@@mithidas4295 I thought I have type 2 but it looks like it may be type 1 now. I have a couple of autoimmune diseases. They say they come in 3s. I’m seeing a doc now to find out.
@@kathya1956Metformin was doing this to me too. When I was still taking it, I had to switch to taking it in the morning because it was causing too may hypo events at night; to the point that I was having to eat glucose tablets every 1 to 1-1/2 hours for the entire night. Going to a near keto diet (aka a traditional diabetic diet before modern medications were available) got me completely off metformin and all other diabetes medications, including insulin, while maintaining an A1C that fluctuates between 5.0 and 5.1 at each visit to the endocrinologist. I do measure both my glucose and b-ketones daily along with having a CGM for everything in-between.
I woke up to EMS at 6 a.m. reviving me from a near death coma from extremely low blood sugar this morning. I have no idea what triggered this but I was having seizures in my sleep and my wife felt that something probably wasn't right because of that. She couldn't wake me and I have no conscious recall of anything that happened. EMS couldn't find a vein for a very long time according to my wife and she was nearly about to have a panic attack because she thought I was dying.
I wish I could find a video or information on how to keep my sugars from going low with T2 diabetes. I'm unmediated since I became allergic to Metformin. Recently started wearing a CGM and am finding my sugars are going low around 10 PM and again around 4 AM.
Oh no 😕 If you’re not taking any medication to help lower your blood sugars you might want to check in with your doctor and discuss it so they can figure out what’s going on
@@DiabetesStrong Thank you, they are the worst. We figured it out, I had a bad sensor for my CGM. Whew, I was freaking as I had been doing everything right and suddenly it was all going wrong. Thanks again for responding.
Ideally, you should be able to go to sleep with a blood sugar in a healthy normal range. If you take medication the key is to work with your medical professional to adjust your meds so that you don't drop, or see an increase, overnight
If you don't mind me asking, how old were you when you were diagnosed? I think I was about eight and now I live on my own and have had t1d for 11 years ❤
If I overeat and my blood sugars go higher than my target I'll take more insulin. But generally the goal is to only eat enough to get back up to a safe level, so above 70 mg/dl
One boiled egg, a oatmeal cup and two peanut butter will shoot your sugar out very high so that you can go to sleep at night I work at a hospital and I have hypoglycemia and that’s what I learned so that I can have a good night sleep. The blood sugar goes up to 145 so that you can go to sleep.
I have quite a few videos about Dexcom G7 (this is the playlist ua-cam.com/play/PLP1_U1UAmvW7C2glGln9sd4nnQ8qrh7vb.html&si=YnoUAF07PJi2KGTN). I hope that helps
Hypothyroidism is associated with frequent hypoglycemic episodes.Again T1D and Hypothyroidism sometimes coexist.That should be diagnosed and treated accordingly.
I have been battling with severely low bs for about 6 months. My bs dropped rapidly to 40 and i could not get it to rise and stay for almost 2 hours. I called 911 because i was frightened. Of course, it shot up crazy high after that. This has happened several times since then however i have dropped my long lasting insulin significantly so i can manage the lows but i now run high. My doctor had no answers and he is the only endocrinologist in the area. Have you ever heard of this? Do you know who to see if it is somehow related to skin hardening/releasing insulin unusually? I have had diabetes for over 40 years and was not doing anything differently. I could use a guiding hand with a direction to point me in if possible. Thank you.
I'm sorry to hear that, that does sound scary. I would recommend that you get a glucagon kit, just for emergencies like that. Could you try and switch to a new injection site? For example your thighs or lower back? That might help with a more even insulin absorption
@@DiabetesStrong Yes, I do always have/carry glucagon. And I was giving insulin in my lower back when this all started. I do need to rotate my sites better. Is it possible to tell if the underlying areas of skin are damaged? It is the only thing I can think of as a reason. Thanks for your help and for replying.
@@the_tesser_act you can't necessarily tell if you have scar tissue which can make it a little harder to self-diagnose. But yeah, site rotation is the way to go
Watch Dr Ken Berry, Dr Anthony Chaffee, Dr Shawn Baker, Dr Jason Fung, and fix your diabetes. I was diabetic, now live a different lifestyle on carnivour diet with A1c at 4.8. I rarely go above 90 during the day and often as low as 50 at night. I am on zero meds and have zero problems with energy. I am athletic with a passion for CrossFit competitions.
Talk to his doctor about adjusting the evening dose. Depending on the duration of the long-acting you might want to consider adjusting it frequently depending on his activity levels
I'm new to being diabetic the Dr put me on the ozempic low dose along with my daily pill of glimipride 2mg. I only did the ozempic 1 week. I had a very low low, and it scared the heck out of me. I have anxiety and panic attacks, so this didn't help. I stopped the ozempic, which I shouldn't have done cause I spike high at dinner even if I'm watching what I eat very low carbs or none and with eating carbs late I go high when I'm asleep. My issue is that even without taking ozempic this moment. I go low every night cause I drink a lot of water. I'm trying to lose some weight, so I don't want to be eating carbs late at night to bring my sugar up, so my question is, really, what can I do? I don't want to eat a lot of carbs, then i walk up around 140-160 and like i said it spikes high when im sleeping at 250 or a little higher when i eat carbs, and I just got my glucose tablets today. I just need some serious advice with being new to all of this. Another ? When is the best time I should take my ozempic ? Am or In the evening or it doesn't matter? Please help. I need so much advice. I did sign up for your email newsletter, and I found you when I was Google searching for answers. Also, how many times should a diabetic eat? I never eat breakfast or lunch. My coffee with Splenda keeps my sugar up, so I'm not dropping. I just eat dinner and then of course I'm having water lots of it ill see a huge spike then it's down hill but I noticed if I do have carbs for dinner the spike is hrs later. Like when I had That scary low, the paramedics made me eat not 1 but 2 peanut butter and jelly sandwiches, and it went way high over 250 while I was asleep. Why does it take so long to see the effects of the carbs? Is this just because I'm diabetic? This whole thing is so SCARY ANY ADVICE FROM ANYONE GREATLY APPRECIATED THANKS 😊
Severe low blood sugar is scary, I’m glad you’re okay. Occasional low blood sugars can happen but if you’re having frequent low blood sugars your medication most likely need to be adjusted. The only reason for low blood sugar is too much insulin in the body. So the first step is to talk to your doctor, you shouldn’t have to eat before bed every night. That was something we had to do with the old types of drugs. Food can take some time to hit the bloodstream, especially if it’s a high-fat meal. For low blood sugars try picking a high glycemic food with as little fat/protein/fiber as possible. If you do have to eat before bed you might want to do it the other way around and choose something that’s higher in fat/protein/fiber so it will be released into the bloodstream slowly overnight. And diabetes isn’t easy, it’ll take some time to figure out 🙂
@DiabetesStrong Thanks so much for all the advice. I feel so much better that I have someone like you to talk to and to help me throw this difficult scary time.
I would recommend increasing the proportion of fat you're eating relative to carbs and protein, this can help stabilize blood sugars. Increasing your dietary fiber can help with this too. Smaller meals eaten more regularly can help too. I've personally found that skipping meals can throw my glucose readings off for several days afterwards. A CGM can help see what your glucose is doing throughout the day and help you better manage both your blood sugar and the associated symptoms of high/low events.
Just diagnosed with type 1 3 weeks ago. I’m 32, so this is a massive lifestyle change for me. I’ve been dealing with night time lows, but not treating them. I usually just take some vitamin c and magnesium and fall right back to sleep. However, I’ve come to the understanding that when your sugar drops too low, your body’s stress hormone (cortisol) is released by the adrenal glands, which then causes blood sugar to raise. This seems like the only explanation of my lows around 1-2am, then it just skyrockets and I right high for the next 8-10 hours or so. This even after dosing my basal and bolus correction for every 30mg above 180. I feel so foggy riding the high all morning. So, I have a couple of questions. Would treating the lows in the middle of the night with some fast acting carbs help prevent the extreme highs that I see for the next 10 hours? And do I need to dose insulin for the quick acting sugar to correct the low?
You might still be in the “honeymoon” phase which can make things a bit more unpredictable. I would try with 1-2 glucose tabs and see if that makes a difference. Coasting at 70 mg/dl or below isn’t healthy and you’ll feel exhausted. Maybe those few tabs will solve it for you, it’s worth a try
Hi dear my 16 year daighter is type 1 from 8 years ,last week during sleep she went into hypoglysemia , it was scary and tereible at the same time i was awake and checked by her noises anyway we called ambulance , and gave her juice the emergency kit , honey . She was fine afterwards bit sometimes she is complaining about back pain after that ,any idea? Why and what it could b .thanks@@DiabetesStrong
I have not been diagnosed with Diabetes. I do however wake up most nights around 3:00AM and can't fall back to sleep. I notice this more on days I work out and think I may have a cortisol spike. It still happens on days I don't work out . Could I be experiencing low blood sugar even though I am not diabetic ?
I have the same issue and just discovered today that I’m hypoglycaemic at 3am just before I wake up. I am wearing a CGM to get a baseline before I start mounjaro for weight loss. Maybe something to try so you can get data to share with your doctor.
Do you know why im feeling very angry towards everyone and not cooperating while im on low sugar, iam 22 yrs old and i hv type one diabetes, 2 days before it was very serious and got admitted in the hospital for first time , i dont know why iam angry towards everyone that time and not eating or drinking sugar my parents gave to me......i know my English is very much bad , but i hope you understand what im tried to say,...can you say why this is happening to me
When your blood sugar is low your body and brain aren’t getting enough glucose. One of the symptoms can be that you get angry. I don’t know if there’s anything you can do, but now you know. So if you start feeling angry you’ll know to measure your blood sugar and if it’s low you can quickly eat something
Please help advise, if you can. Related, but not exactly aligned with the content. Long story short - I attempted a bolus strategy today at breakfast to have a piece of cake for first time eating out of the ordinary in 2.5 years. Became fiasco when I accidentally bolused 100% up front rather than 1/2 intended. Brain fart after studying things too much. I hit 215, but walked it down. Some (literal walk). Ended up doing one unit insulin which then required apple juice. Got to lunch time and I had my usual lunch. Still had to eat and bolus more after being scared of low. So, last bolus was 1pm for lunch. Almost 5 hours. I am on MDI and took tresiba at 4:15 this morning (having, of all times, decided to move my time from 8pm each day to 7am since waking up low in am before exercise. So, skipped Tresiba last night and thus went 32 hours between sgots, which I didn’t think would be an issue, but rode 160s from 10pm on last night and usually low 100s. So, now it is 5 hours since insulin, I have my meal ready but I have been slowly going down from 130 at 4:35 - now 6pm. I have had to treat myself with 14 carbs since lunch trying to get balanced. What is a conservative way to approach supper? Should I just eat yogurt and not bolus at all? Bolus less for small bit of chicken, slice of Daves toast, one pro yogurt and salad. This is 37 carbs and a usual meal for me. My ratio is usually 1:14 for supper. I feel yucky and sad about how this day went, but am learning. Anybody have any help? I know I may not coincide time-wise, but will learn for the future if nothing else. I would be grateful for any wisdom. I am 2.5 years into this diagnosis, honeymoon over for about a year. Thanks in advance. Toughest day ever. Did weight training this am and may have tempered the mistake, but surely was not enough. I am sitting at 104 now, but seems slowly just going down. Maybe I should begin eating and then bolus when rise starts? Just clueless and worn out. Thanks in advance.
I realize you asked this question 17 hours ago, so you must have found a solution by now. From this it sounds like you might want to think about a different long acting dose. But you also had a lot of new things going on yesterday, and you might just have to disregard it, rather than trying to dissect exactly what was going on. For accidental over-bolusing you can consider something with a bit of fat and fiber. That will slow down how fast the food hits your blood stream, providing you with a steady increase
@@DiabetesStrong Thanks! It has been a long 24 plus hours. The worst roller-coaster ever, but things are better now. Too many variables. It felt like a tightrope of challenges trying to prevent lows and highs, trying to be conservative and then having unexpected magnitude of changes. Thanks so much for responding. Someday maybe you will consider making a video about how to handle mess-ups, experiments, or just plain ole how to tame the rollercoaster in as little time possible. I appreciate all you do and have your book about exercise in my ipad as we speak, but need to get to that important reading. Thanks!
I think it depends. If you're very low it might be hard to chew, and in the middle of the night drinking something is easier for me. Another thing to think about is the fiber content. You don't want too many fibers as they slow down how fast the glucose hits your bloodstream.
It's so bad i wake up at 3, then start waking up and when i try to sleep it's like I'm sleeping with my adrenal glands pumping. Restless sleep i don't even know im sleeping pure cortisol
@@DiabetesStrong Thanks for replying. Last few weeks I have been getting pins & needles/numbness in both hands and both feet, did blood tests and my blood sugar level was (2.2 mmol/L), very low, but the doctors said I dont have Diabetes. So im confused
@@martysmith2851 low blood sugars are most often due to too much blood sugar-lowering medication, such as for example insulin. They hopefully will do more tests to learn why yours run so low
I'm glad you made it; that had to have been a very harrowing event. I've had plenty of hypo events overnight, but never that low; and they were scary enough at about 60. This definitely sounds like you should have a CGM, if you don't already have one.
I haven’t slept a full night in three years since my son was diagnosed. The best thing was the cgm it helps me relax a little but my worst fear is him going low and me not knowing. I have the app on my phone and keep a receiver beside him too. 😅 he’s only six but he sleeps through the alarm which only fuels my anxiety about it.
My daughter is 9 years old, she was diagnosed with type 1 diabetes a month ago. I haven't had any sleep at night either !
I woke up to EMS at 6 a.m. reviving me from a near death coma from extremely low blood sugar this morning. I have no idea what triggered this but I was having seizures in my sleep and my wife felt that something probably wasn't right because of that.
She couldn't wake me and I have no conscious recall of anything that happened. EMS couldn't find a vein for a very long time according to my wife and she was nearly about to have a panic attack because she thought I was dying.
@@bridgetware7572stay strong for your child,I am 24 and diagnose with type 1 diabetes.my parents so much worried but now they comfort me and tell not take too much stress,only a patient knows the pain of another patient (❤ from india)
I am not diabetic, but have been having night sweats and low sugar symptoms. I have tested my blood sugar for a week now, and I never went over 88, even postprandial. 😅
it is probably caused by what is termed central sleep apnea
I'm 65 and never knew Hypoglycemia was a thing.
Until a few years ago my blood sugar was high did my doctor said i need to do something.
In middle and high school i used to ' crash ' in the afternoon. Didn't know that word back then. 50+ year ago Hypoglycemia didn't seem to be a health issue.
Rose 🌹
Before wearing a CGM I didn't know I was having lows and would just wake up shaking like a leaf. I thought I had essential tremor like my mom. I feel better now that I know I'm low when my monitor wakes me up and can treat it.
On point on the uncomfortable and even comfusion and stress. Terrible. Eat fats in general and carbs for octane boost when energy for muscles is required. An organic internal combustion engine or motor (metal rotor).
I take Ozempic just got raised to one MG shot. Took it other night. Now just felt shaky really hungry and weird feeling so I grabbed some green grapes washed them, and started snacking on them and within a couple minutes to 6 minutes feeling way better :)
I'm really learning a lot from you. My Doctor basically told me nothing other than certain foods and drinks to limit or avoid. I knew nothing of Gloucose Tablets or Gel Pouches. I'm going to go buy some immediately. Can you tell me where you bought that fruit pouch on your nightstand? I can't find it. I'd like to try it.
My cgm alarms me. I do as you do and keep things on my night stand like honey and fruit cups. Thank you for all of your videos!!
You are so welcome! Thank you for sharing
Good advice. . . After 47 yrs I still need coaching. . .hope straight lines for you always. . ❤
Thank you
I know for many low levels are an issue, day or night. Totally agree that a CGM is a good idea, the warning will go off and disturb you. The more it bothers you, the more you will be motivated to prevent the alarm.
I don’t regard the low levels as an issue as much as an excuse to eat or drink something that I enjoyed from days preceding the type 2 problem. I always have some regular soda in my mini fridge and some salt water taffy handy. During the day there is no problem staying aware of where the sugar level is, and at night my bladder wakes me often enough to monitor the levels during the night. The alarm goes off only rarely. That may be due to my setting it to only happen at levels below 55 mg/dL. Time in range is 95% 79-180 5% 54-69. The 95% is a little misleading as average is 90 mg/dL. Managing to keep the graph quite flat. Love your willingness to help others.
Thanks again for sharing information that is very helpful! Lows for me can be tingling around the mouth. Not always the same symptoms.
Thank you. My symptoms aren't the same every time either and they seem to change over time
I've been taking part in the Zoe study.
I don't have diabetes and my blood sugar naturally dips down into the red for about half an hour or so during the night. It seems to be a normal pattern. It doesn't happen every night. There are one or two exceptions, but pretty much every night it dips down into the red zone for a while before coming back up.
Other than that my sugar levels, according to the CGM, stay around the 5-6 level most of the day.
So sugar "crashes" in the night are normal. If you have type 2 diabetes you likely have had then all your life, you're only learning about them now because you're monitoring your levels closely.
I sleep through them and only realise I've had one when I check my CGM in the morning
Huh? The issue is that most of us can’t sleep through it. If you are drenched with sweat, starving and dizzzy. How can you stay asleep?
@@dazeja
I'm so sorry those things happen to you.
I was literally unaware of my sugar levels dipping during the night until I wore the cgm
I've been hypo tolerant for years. Thank God for CGM
You are not kidding cgm are lifesavers
Eat protein 5-10 minutes after the carb or sugar dump. It can help with over doing food.
My sugar goes low almost every single morning (between 50-70). It sucks but I'm getting better and better at it. I take usually 1 or 2 units of humalog around midnight or so because I usually eat at night. My sugar will be low by around 6AM. I use alarms on my Dexcom so I wake up and can correct it immediately usually. I really want to stay in range (right now I'm around 80%). Thanks for the video!
If your blood sugar goes low in the morning it’s probably more of a basal insulin issue. Might be worth considering adjusting it slightly. I’ve found that just moving when I take my evening dose made a difference
yep I moved my Lantus back one-two hours to avoid waking up too low. worked great.
I have type 1 Juvenile Diabetes since 2014. It runs in both side of my family
You are doing a great job providing us with insights.Take care dear.
Thank you for a clear, concise explanation!
Thnak you for this video, I've had quite a few close calls. Thankfully I have a CGM now.
As ALWAYS, thank you for such excellent content. I’ve only been diagnosed 7 months now and I’ve learned so much watching your channel and getting your newsletter via email.
You are so welcome!
This has been a great help as I do wake up three to four hrs later after taking my lantis I havee
adjusted my lantus from 30 units at night down to 10 units it was okay at first now I'm starting to wake up again in the middle of night My A1C is 5.5 now
Glad it helped
You have to raise your blood sugar up to 140 to get a good nights sleep. I have had low blood sugar for a long time. You have to eat a half a turkey sandwich with cheese, lettuce, and tomatoes two peanut butter cups and a cup of oatmeal and you have to wait at least almost 45 minutes to check your sugar and it will go up but you have to go right to sleep right away, I am a certified nurse aid and I had to learn to take care of myself. Thanks to. GOD
I’m a type 2. I’m gad that I never had any low blood sugars at night while I’m sleeping. I do have them during the day. I know the signs by now.
You do provide us with the best advice. Thank you. MikeS
Thank you
Insomnia in the middle of the night and then awful anxious thoughts and worries is absolutely maddening. I can get up, drink about 4 oz of milk and take some Hylands sleep formula and then return to sleep but usually lose about one hour in the process.
thank you, great tips!
Thanks for sharing.
You’re life saver, 💐🌵
Awesome content - love your solution focused strategies! 💙
Glad you like them!
Thank you for such a great content on this important issue. I gve you the credit for converting me to Dexcom G6 from Medtronic Guidian 3 CGM. I usually over eat when I get night lows and end up with high glucose in the mid 200s. I will follow one of your strategies rom now on. Thank you so much.
Thank you. Glad it has been helpful. And overnight hypos are challenging to manage so hopefully my strategies will work for you as well
I just found out after years of testing for practically everything else that I have severely low blood sugar. My last check I was at 39, and this was after eating breakfast.
Yikes, that’s very low. I don’t know what can cause that but hopefully, your medical team can be of help
What are they saying is the reason for such a low blood sugar level?
That's definitely quite serious. Did you test your ketone levels too?
Mine will be 40 occasionally with numb lips
😊😊okh8@@DiabetesStrong
My sugars drop, I don't take meds. I do eat an hour or so before bed. I woke up around 3am with a level of 2.9. I ate again to bring it up. End up going to sleep again only to be woke up with a low sugar resting and hour and a half later. I'm new to this. Very new. I'm scared but tonight's my first night on trying to eat oatmeal before bed every night until Tuesday when I get to see my dietitian and diabetes specialist. I need something to help stabilize throughout the night but I don't know how to. I don't exercise or drink alcohol. I did thankfully get a sensor yesterday but it keeps going off. Or it'll go up to 5 or 6 throughout the night but drop just as quick. Quicker more when I sleep
I hope your team can help you with a solution. That many low blood sugars will make you feel drained and the lack of sleep doesn’t help either
I am a carnivour in ketosis 24/7 with 4.8 Alc. I consume no more than 1 gram of sugar per day from cheeze. My glucose goes down when I have a meal. My daily high is tippically around 90 and can go briefly to 50 overnight. I experiance no problems with this at all, are athletically competitive with very high energy levels.
I'm just now learning that this is my situation as well. When it's at 50, I still feel fine... but I'm trying to understand if I should be concerned....
@@angelafritz4917 There are many doctors on U Tube who address this question. This is how I understand it, for a person who is not a type one diabetic. When fully fat adapted, on a carnivore diet, in ketosis, the body is using fat and ketones for fuel. Blood sugars will be low because none are ingested. In this state the body produces exactly the right amount of glucose it requires. It does not require ingested glucose. If my blood glucose goes down to 50 on occasion, usually overnight, that is exactly where it is supposed to be. I find myself feeling great with glucose at these levels. P.S. my hbALC is currently 4.6%, 14 day average blood pressure has come up to 112/72 with resting pulse rate 58bpm. I am very fit and healthy with all health markers excellent at 70 years old. This has come from not eating a single vegetable or fruit for several years.
I have reactive hypoglycemia, and when my glucose drops below 55 it'll knock me out for an entire day 😞 Even after I get my glucose back up, I feel very sluggish and it's difficult to focus for 24-36 hours. Any ideas on how to recover? All I know to do is eat right and sleep it off.
Oh man, that sounds exhausting. I'll occasionally have lows that completely wipe me out but not that often. I don't know if there's anything to do than eat and rest
Eat more proteins eggs and bacon avocado helps me and cashews cheese sticks helps me I’ve even ate hamburger meat lots of veggies
A high fat diet also stabilizes blood sugar. I've personally found that the keto ratio (or lower carb) works best for me (50% fat, 25% protein, 25% carb), though I'm often closer to 65/25/10. I still use a CGM and am T2D, but I'm now completely off all diabetes medications (including insulin) with an A1c that fluctuates between 5.0 and 5.1 and very rare fluctuations outside of 90-130. Those outside events are always when some else has prepared the food I'm eating and has completely disregarded what I ordered (Sonic substituting the full-sugar regular cherry limeade for the diet version I ordered).
I'm also just barely outside of my ideal weight range by carefully measuring every ingredient by weight as I'm cooking and every portion off the food. It's a bit more work overall, but I feel my health is worth the additional effort.
The key to changing anything is to make the changes gradually and to look for the equilibrium point where your glucose readings are steady but still work with your lifestyle, whether it's active, sedentary, or somewhere in-between.
When low hits me in my sleep, my dreams are like Groundhog Day, it keeps repeating the same scene... Very odd.
Sounds stressful 😬
I also get numb mouth and jaw. My legs also go numb.
I’ve been wearing a cgm and have discovered I have many lows ( in 50s!) at night. I’m on metformin, no insulin. I usually don’t eat after dinner.
Which type of Diabetes do you have?
@@mithidas4295 I thought I have type 2 but it looks like it may be type 1 now. I have a couple of autoimmune diseases. They say they come in 3s. I’m seeing a doc now to find out.
@@kathya1956Metformin was doing this to me too. When I was still taking it, I had to switch to taking it in the morning because it was causing too may hypo events at night; to the point that I was having to eat glucose tablets every 1 to 1-1/2 hours for the entire night. Going to a near keto diet (aka a traditional diabetic diet before modern medications were available) got me completely off metformin and all other diabetes medications, including insulin, while maintaining an A1C that fluctuates between 5.0 and 5.1 at each visit to the endocrinologist. I do measure both my glucose and b-ketones daily along with having a CGM for everything in-between.
@@thomasbonseì
My tongue gets numb when I get low. My legs also get rubbery.
My lips and tongue get numb
My legs get weal likewise but my back will itch as well but no rash.
For now, it’s only my face. Do the lows impact your ability to walk or do your legs just feel weird?
I woke up to EMS at 6 a.m. reviving me from a near death coma from extremely low blood sugar this morning. I have no idea what triggered this but I was having seizures in my sleep and my wife felt that something probably wasn't right because of that.
She couldn't wake me and I have no conscious recall of anything that happened. EMS couldn't find a vein for a very long time according to my wife and she was nearly about to have a panic attack because she thought I was dying.
That sounds incredibly scary. I’m glad you’re okay
I wish I could find a video or information on how to keep my sugars from going low with T2 diabetes. I'm unmediated since I became allergic to Metformin. Recently started wearing a CGM and am finding my sugars are going low around 10 PM and again around 4 AM.
Oh no 😕 If you’re not taking any medication to help lower your blood sugars you might want to check in with your doctor and discuss it so they can figure out what’s going on
@@DiabetesStrong Thank You, I am in close contact with my Dr. Have already messaged her and will be seeing her this week. Thank You for responding.
@@EasilyAmused42hopefully she can help figure it out. Constant lows are the worst
@@DiabetesStrong Thank you, they are the worst. We figured it out, I had a bad sensor for my CGM. Whew, I was freaking as I had been doing everything right and suddenly it was all going wrong. Thanks again for responding.
Another great content
Much appreciated
When it is time to go to bed what should the numbers be
Ideally, you should be able to go to sleep with a blood sugar in a healthy normal range. If you take medication the key is to work with your medical professional to adjust your meds so that you don't drop, or see an increase, overnight
If you don't mind me asking, how old were you when you were diagnosed? I think I was about eight and now I live on my own and have had t1d for 11 years ❤
I was 19 years old when diagnosed
Great video! Question say you’re low and you treat that low. Once your numbers go up to target range do you cover what you are eigh insulin or not?
If I overeat and my blood sugars go higher than my target I'll take more insulin. But generally the goal is to only eat enough to get back up to a safe level, so above 70 mg/dl
One boiled egg, a oatmeal cup and two peanut butter will shoot your sugar out very high so that you can go to sleep at night I work at a hospital and I have hypoglycemia and that’s what I learned so that I can have a good night sleep. The blood sugar goes up to 145 so that you can go to sleep.
Can you do dexcom g7 videos with low an high sugar’s feeling
I have quite a few videos about Dexcom G7 (this is the playlist ua-cam.com/play/PLP1_U1UAmvW7C2glGln9sd4nnQ8qrh7vb.html&si=YnoUAF07PJi2KGTN). I hope that helps
My liver 2 monitor is a godsend. Goes off when my sugar is going down. I keep glucose tablets or a sugary candy on the night table bear my bed.
Libre. Lol sorry about my spelling
@@robertceliberti7175 I understood. Thank you for sharing
Hypothyroidism is associated with frequent hypoglycemic episodes.Again T1D and Hypothyroidism sometimes coexist.That should be diagnosed and treated accordingly.
Good to know, thanks
I have been battling with severely low bs for about 6 months. My bs dropped rapidly to 40 and i could not get it to rise and stay for almost 2 hours. I called 911 because i was frightened. Of course, it shot up crazy high after that. This has happened several times since then however i have dropped my long lasting insulin significantly so i can manage the lows but i now run high. My doctor had no answers and he is the only endocrinologist in the area. Have you ever heard of this? Do you know who to see if it is somehow related to skin hardening/releasing insulin unusually? I have had diabetes for over 40 years and was not doing anything differently. I could use a guiding hand with a direction to point me in if possible. Thank you.
I'm sorry to hear that, that does sound scary. I would recommend that you get a glucagon kit, just for emergencies like that.
Could you try and switch to a new injection site? For example your thighs or lower back? That might help with a more even insulin absorption
@@DiabetesStrong Yes, I do always have/carry glucagon. And I was giving insulin in my lower back when this all started. I do need to rotate my sites better. Is it possible to tell if the underlying areas of skin are damaged? It is the only thing I can think of as a reason. Thanks for your help and for replying.
@@the_tesser_act you can't necessarily tell if you have scar tissue which can make it a little harder to self-diagnose. But yeah, site rotation is the way to go
Watch Dr Ken Berry, Dr Anthony Chaffee, Dr Shawn Baker, Dr Jason Fung, and fix your diabetes. I was diabetic, now live a different lifestyle on carnivour diet with A1c at 4.8. I rarely go above 90 during the day and often as low as 50 at night. I am on zero meds and have zero problems with energy. I am athletic with a passion for CrossFit competitions.
10 old my son, getting low sugar at night, long acting inj taking at night 8.30........how to manage regularly plz guide
Talk to his doctor about adjusting the evening dose. Depending on the duration of the long-acting you might want to consider adjusting it frequently depending on his activity levels
I'm new to being diabetic the Dr put me on the ozempic low dose along with my daily pill of glimipride 2mg. I only did the ozempic 1 week. I had a very low low, and it scared the heck out of me. I have anxiety and panic attacks, so this didn't help. I stopped the ozempic, which I shouldn't have done cause I spike high at dinner even if I'm watching what I eat very low carbs or none and with eating carbs late I go high when I'm asleep. My issue is that even without taking ozempic this moment. I go low every night cause I drink a lot of water. I'm trying to lose some weight, so I don't want to be eating carbs late at night to bring my sugar up, so my question is, really, what can I do? I don't want to eat a lot of carbs, then i walk up around 140-160 and like i said it spikes high when im sleeping at 250 or a little higher when i eat carbs, and I just got my glucose tablets today. I just need some serious advice with being new to all of this. Another ? When is the best time I should take my ozempic ? Am or In the evening or it doesn't matter? Please help. I need so much advice. I did sign up for your email newsletter, and I found you when I was Google searching for answers. Also, how many times should a diabetic eat? I never eat breakfast or lunch. My coffee with Splenda keeps my sugar up, so I'm not dropping. I just eat dinner and then of course I'm having water lots of it ill see a huge spike then it's down hill but I noticed if I do have carbs for dinner the spike is hrs later. Like when I had That scary low, the paramedics made me eat not 1 but 2 peanut butter and jelly sandwiches, and it went way high over 250 while I was asleep. Why does it take so long to see the effects of the carbs? Is this just because I'm diabetic? This whole thing is so SCARY ANY ADVICE FROM ANYONE GREATLY APPRECIATED THANKS 😊
Severe low blood sugar is scary, I’m glad you’re okay. Occasional low blood sugars can happen but if you’re having frequent low blood sugars your medication most likely need to be adjusted. The only reason for low blood sugar is too much insulin in the body. So the first step is to talk to your doctor, you shouldn’t have to eat before bed every night. That was something we had to do with the old types of drugs.
Food can take some time to hit the bloodstream, especially if it’s a high-fat meal. For low blood sugars try picking a high glycemic food with as little fat/protein/fiber as possible. If you do have to eat before bed you might want to do it the other way around and choose something that’s higher in fat/protein/fiber so it will be released into the bloodstream slowly overnight.
And diabetes isn’t easy, it’ll take some time to figure out 🙂
@DiabetesStrong Thanks so much for all the advice. I feel so much better that I have someone like you to talk to and to help me throw this difficult scary time.
I would recommend increasing the proportion of fat you're eating relative to carbs and protein, this can help stabilize blood sugars. Increasing your dietary fiber can help with this too. Smaller meals eaten more regularly can help too. I've personally found that skipping meals can throw my glucose readings off for several days afterwards. A CGM can help see what your glucose is doing throughout the day and help you better manage both your blood sugar and the associated symptoms of high/low events.
Just diagnosed with type 1 3 weeks ago. I’m 32, so this is a massive lifestyle change for me.
I’ve been dealing with night time lows, but not treating them. I usually just take some vitamin c and magnesium and fall right back to sleep. However, I’ve come to the understanding that when your sugar drops too low, your body’s stress hormone (cortisol) is released by the adrenal glands, which then causes blood sugar to raise. This seems like the only explanation of my lows around 1-2am, then it just skyrockets and I right high for the next 8-10 hours or so. This even after dosing my basal and bolus correction for every 30mg above 180. I feel so foggy riding the high all morning.
So, I have a couple of questions. Would treating the lows in the middle of the night with some fast acting carbs help prevent the extreme highs that I see for the next 10 hours? And do I need to dose insulin for the quick acting sugar to correct the low?
You might still be in the “honeymoon” phase which can make things a bit more unpredictable. I would try with 1-2 glucose tabs and see if that makes a difference. Coasting at 70 mg/dl or below isn’t healthy and you’ll feel exhausted. Maybe those few tabs will solve it for you, it’s worth a try
Hi dear my 16 year daighter is type 1 from 8 years ,last week during sleep she went into hypoglysemia , it was scary and tereible at the same time i was awake and checked by her noises anyway we called ambulance , and gave her juice the emergency kit , honey . She was fine afterwards bit sometimes she is complaining about back pain after that ,any idea? Why and what it could b .thanks@@DiabetesStrong
My young brother experiences feats at night due to low blood sugar wats the cause of this
Low blood sugar will activate the hunger hormones. Basically, your whole body is telling you to eat
I have not been diagnosed with Diabetes. I do however wake up most nights around 3:00AM and can't fall back to sleep. I notice this more on days I work out and think I may have a cortisol spike. It still happens on days I don't work out . Could I be experiencing low blood sugar even though I am not diabetic ?
The only way to really know is by measuring your blood sugar but you’re probably right that it’s a hormone spike
I have the same issue and just discovered today that I’m hypoglycaemic at 3am just before I wake up. I am wearing a CGM to get a baseline before I start mounjaro for weight loss. Maybe something to try so you can get data to share with your doctor.
When you finish eating and you get really hot is that a low or high?
A low blood sugar can make you really hot and sweaty. Could happen if you pre-bolus a bit too early
Do you know why im feeling very angry towards everyone and not cooperating while im on low sugar, iam 22 yrs old and i hv type one diabetes, 2 days before it was very serious and got admitted in the hospital for first time , i dont know why iam angry towards everyone that time and not eating or drinking sugar my parents gave to me......i know my English is very much bad , but i hope you understand what im tried to say,...can you say why this is happening to me
When your blood sugar is low your body and brain aren’t getting enough glucose. One of the symptoms can be that you get angry. I don’t know if there’s anything you can do, but now you know. So if you start feeling angry you’ll know to measure your blood sugar and if it’s low you can quickly eat something
@@DiabetesStrong ok thank you
Please help advise, if you can. Related, but not exactly aligned with the content. Long story short - I attempted a bolus strategy today at breakfast to have a piece of cake for first time eating out of the ordinary in 2.5 years. Became fiasco when I accidentally bolused 100% up front rather than 1/2 intended. Brain fart after studying things too much. I hit 215, but walked it down. Some (literal walk). Ended up doing one unit insulin which then required apple juice. Got to lunch time and I had my usual lunch. Still had to eat and bolus more after being scared of low. So, last bolus was 1pm for lunch. Almost 5 hours. I am on MDI and took tresiba at 4:15 this morning (having, of all times, decided to move my time from 8pm each day to 7am since waking up low in am before exercise. So, skipped Tresiba last night and thus went 32 hours between sgots, which I didn’t think would be an issue, but rode 160s from 10pm on last night and usually low 100s. So, now it is 5 hours since insulin, I have my meal ready but I have been slowly going down from 130 at 4:35 - now 6pm. I have had to treat myself with 14 carbs since lunch trying to get balanced. What is a conservative way to approach supper? Should I just eat yogurt and not bolus at all? Bolus less for small bit of chicken, slice of Daves toast, one pro yogurt and salad. This is 37 carbs and a usual meal for me. My ratio is usually 1:14 for supper. I feel yucky and sad about how this day went, but am learning. Anybody have any help? I know I may not coincide time-wise, but will learn for the future if nothing else. I would be grateful for any wisdom. I am 2.5 years into this diagnosis, honeymoon over for about a year. Thanks in advance. Toughest day ever. Did weight training this am and may have tempered the mistake, but surely was not enough. I am sitting at 104 now, but seems slowly just going down. Maybe I should begin eating and then bolus when rise starts? Just clueless and worn out. Thanks in advance.
I realize you asked this question 17 hours ago, so you must have found a solution by now. From this it sounds like you might want to think about a different long acting dose. But you also had a lot of new things going on yesterday, and you might just have to disregard it, rather than trying to dissect exactly what was going on.
For accidental over-bolusing you can consider something with a bit of fat and fiber. That will slow down how fast the food hits your blood stream, providing you with a steady increase
@@DiabetesStrong Thanks! It has been a long 24 plus hours. The worst roller-coaster ever, but things are better now. Too many variables. It felt like a tightrope of challenges trying to prevent lows and highs, trying to be conservative and then having unexpected magnitude of changes. Thanks so much for responding. Someday maybe you will consider making a video about how to handle mess-ups, experiments, or just plain ole how to tame the rollercoaster in as little time possible. I appreciate all you do and have your book about exercise in my ipad as we speak, but need to get to that important reading. Thanks!
Wouldn't raw honey, dates or dried fruit be better than fruit juice?
I think it depends. If you're very low it might be hard to chew, and in the middle of the night drinking something is easier for me. Another thing to think about is the fiber content. You don't want too many fibers as they slow down how fast the glucose hits your bloodstream.
i dream im flying then falling off a long slide that ends at the edge of a cliff...and thats when i wake up...
😬
It's so bad i wake up at 3, then start waking up and when i try to sleep it's like I'm sleeping with my adrenal glands pumping. Restless sleep i don't even know im sleeping pure cortisol
Yes! I completely agree. Falling asleep again after a 3 AM low is so hard
@@DiabetesStrong how do you do it? Like fall asleep past then?
@@SAMEntalhealth just keep trying 🤷♀
Why do I feel terrible, shaky, nauseous the next morning
I can’t explain that, but we all react differently
Disastrous. My dm t1 and hypoglycaemiac coma, 75% at night.
Isnt diabetes high blood sugar?
That is the symptom. Diabetes is generally either due to insulin resistance and/or insulin deficiency
@@DiabetesStrong Thanks for replying. Last few weeks I have been getting pins & needles/numbness in both hands and both feet, did blood tests and my blood sugar level was (2.2 mmol/L), very low, but the doctors said I dont have Diabetes. So im confused
@@martysmith2851 low blood sugars are most often due to too much blood sugar-lowering medication, such as for example insulin. They hopefully will do more tests to learn why yours run so low
I almost died last week at night while I’m sleeping,I feel low blood sugar symptoms when it’s too late like at 40mg or 50mg.
I’m sorry to hear that. That must have been scary
I'm glad you made it; that had to have been a very harrowing event. I've had plenty of hypo events overnight, but never that low; and they were scary enough at about 60.
This definitely sounds like you should have a CGM, if you don't already have one.
SKIP TO 10 MINUTE MARK IS WHEN SHE STARTS TO TALK ABOUT WHAT TO DO
A handful of nuts or two before bed helps
What kind of nuts
@@thatscorpionchic7875cashew and chickpea really work for me