Diabetic Night Snack

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Late Night Snack And Insulin Glargine

Twenty patient with Type 1 diabetes, using insulin glargine as basal insulin, participated in a prospective, controlled crossover trial comparing blood glucose profiles over two 24 h periods with and without a late night snack (a slice of rye bread, 20 g carbohydrates, at 10 p.m.), in randomized order. The main endpoint was the number of hypoglycemic episodes with a confirmed laboratory blood glucose ≤ 50 mg/dl between 10 p.m. and 8 p.m. the following day. Secondary endpoint was the blood glucose profile during this period. The order of studies (with and without a late night snack) was determined by randomization. Study-related procedures started at 6 p.m. (standard blood glucose profiles with determinations at 6, 8, and 10 p.m, at midnight, at 2, 4, 6:45, 8:45 a.m., and at noon and 2, 6, and 8 p.m. of the following day). At 10 p.m. a late night snack (one slice of whole meal rye bread containing approximately 20 g of carbohydrate) was eaten or no nutrients were consumed, as determined by the randomization protocol. After one day without study-related activities, the study was repeated with the complementary protocol (crossover design). Patients were instructed to use fast-acting Continue reading >>

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Popular Questions

  1. Claire Bear

    Can a Bedtime Snack Help Morning Highs?

    This is really interesting.
    I'm diet controlled T2. I can go to bed at 5.5 (99 i think) but I'll always wake up higher 7.8 (140ish) and absolutely starving. Would I be better to have a small snack before bed? Could that actually even my numbers out a little?

  2. Richard157

    Claire, if you do not eat a bedtime snack then your liver will start producing carbs in the middle of your night ang give you a morning high. This is called the Dawn Phenomenon. Many diabetics are frustrated by this at one time or another. The liver can produce more glucose than you really need. To keep this from happening just eat a bedtime snack consisting of something that will last well into the night. Peanut butter and a few crackers works well for many people. An Extend Bar or Solo Bar works well. These bars digest slowly and last throughout the night. They will produce glucose in small amounts at the time the liver might otherwise be producing much larger amounts. Your morning highs should improve greatly. If these bars cannot be found in the UK then you can use suitable substitutes that contain protein that digests slowly. Cheese or peanut butter is appropriate.
    Here is a site dealing with this problem:
    Good luck!

  3. Claire Bear

    Hi Richard,
    I just tried the link and it comes up ' Page cannot be displayed' . Sorry but I seem to be having one of those be totally dumb, stupid , airhead days. Any suggestions (other than a frontal lobotomy)?? (I mean't for the link)

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