So the latest issue? I head to bed between 10 and 11 pm each night, thus making my evening snack time around 9:30 pm or so. My snacks vary, but generally include some sort of protein source (per what I’ve been reading, is necessary), and less than 15 grams of carbs. (Or if it’s my fancy pants greek yogurt, under 20.) And I give my bolus for the snack and head to bed a short time later.
For the last week, I’ve been waking up between 12 and 1 am in a cold sweat with my heartbeat thudding in my ears. The ol’ meter has recorded sugars starting at about 56 and, last night, hit 34. And then I treat the low enthusiastically (read: I raid the fridge), thus making my morning sugar 250+. (Today was 313…) Even though I generally do a good job of surveying the damage after my midnight snacking and bolus for the extra carbs. But – that’ll only counterbalance the food… not the pending re-bound.
I have no idea why this is happening now. (Or, scary – it’s happening nightly and I’m only more aware of it now.) I generally eat the same dang thing for snacks because I’ve pretty much sworn off ever eating ice cream in my house ever again. Usually it’s greek yogurt of some variety, or a graham cracker with PB, almonds (my new “favorite snack”), or something else. Cheese or whatnot. Anyway. And I have been bolusing for the full carb amounts just because that’s what you’d think you are supposed to do, right?
I see my new CDE (Certified Diabetes Educator) right before Thanksgiving. I’m wondering if this week is kind of an anomaly or if my boluses at bedtime are too damn high. (I am still on a 1:4 ratio until about midnight.) So I made a new ratio of 1:6 from 8:30 pm on to midnight.
My old endo used to blame it on my basal rates, but never really moved forward with fixing it. (And honestly, I never really sent her the results.) But my basals actually are really small at that time of night. But a 1:4 carb ratio is HUGE when you are only consuming a small amount of fast acting carbs. No? (Obviously I’ll ask my CDE this question later; not expecting anyone here to.)
So we’ll see how this goes. Of course, today is date night with the hubs and we’re going to sushi. Which… is not ideal for the pump, but my favorite type of meal. (And will be the first thing to get nixed next year.) Might as well enjoy it while I can.