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What Is A Good Bedtime Snack For A Diabetic

Sleep Safe & Sound: Avoiding Overnight Low Blood Sugars

Sleep Safe & Sound: Avoiding Overnight Low Blood Sugars

An Essential Blood Glucose Reading Sleep should be restful, yet for people with diabetes it can be stressful. Many factors can affect glucose levels when you sleep. For starters: your body's varied need for insulin, how much glucose the liver produces, what and when you eat before bed, and how much and what type of exercise you've done during the day and near bedtime. It's essential to check blood glucose an hour or so before bedtime. "This is the most important reading of the day," says Gary Scheiner, M.S., CDE, owner and director of Integrated Diabetes Services in Wynnewood, Pennsylvania. "If you take insulin and you check at least three or four hours after dinner, you'll learn how well your dinnertime insulin covered the rise of your blood glucose from dinner." If you eat late, this bedtime reading may really reflect your after-meal level. If your bedtime glucose reading is low, treat the low. If you use insulin as part of your regular blood glucose control, and your blood sugar is high three or more hours after your dinner, you may need to take a few units of rapid-acting insulin. {C} How to Prevent Going Low In addition to monitoring glucose levels right before bedtime, other steps can prevent low blood glucose while you sleep. Snack Smart: If you typically eat a snack before bed to prevent hypoglycemia and keep your blood glucose on an even keel, experiment with different types of snacks. Get a feel for which ones help your blood glucose readings stay within target goals during sleep. Spencer Bond, an active teen PWD type 1, usually eats peanut butter with apple slices or crackers. Because peanut butter contains both protein and fat, it's absorbed and metabolized more slowly than carbohydrate, so it helps to keep his blood glucose stable overnight. "Sometimes I ha Continue reading >>

How To Snack Smart At Bedtime

How To Snack Smart At Bedtime

Im hungry, I said to my husband. He sighed then asked what I needed to eat. We had just crawled into bed when my stomach grumbled. He was used to this because it happens to me often. I need to learn to be proactive about my bedtime snacking, though, and eat something before we go to bed. Late-night snacking has pros and cons for people with diabetes, depending on the type of diabetes and the type of snack. Well look at who should be having a snack and what kinds of snacks are good for different types of problems. How You Can Tell What Kind of Bedtime Snack Is Okay? So, how can you tell if its okay to snack at all and, if so, how many carbs that snack should have? One of your clues is your fasting morning blood glucose levels. See what happens to your numbers the morning after snacking and on mornings after you dont snack. How do they compare? Unfortunately, its not often that simple. Your fasting blood glucose reading is only the start. To get a better sense of your overall patterns, try testing before you go to bed at night, and again around 3 a.m., in addition to your morning test. Do this for several days in a row and you will begin to see your bodys typical nighttime blood sugar cycle. Armed with this information, you may want to consult with your doctor, nutritionist, and/or diabetes educator about how best to work with whatever pattern you discovered. However, we give some tips and ideas below to help you figure out what kinds of snacks you can indulge in, depending on the particular diabetes challenge youre dealing with. Bedtime Snacks Can Add Weight, Not Good for Diabetics Snacking at night can lead to weight gain because we dont always choose carefully when we have the post-dinner munchies. And we sit in front of the television or hang out with friends and don Continue reading >>

6 Smart Bedtime Snacks For Diabetics

6 Smart Bedtime Snacks For Diabetics

Many people with diabetes deliberately nosh at night to keep glucose levels from plummeting while they sleep. A snack before bed isn’t a bad impulse, says Fran Cogen, M.D., director of the childhood and adolescent diabetes program at Children’s National Health System. But the wrong kind of snack can actually make things worse. Instead of high-carb fare like chips, “aim for a bedtime snack of protein plus carbohydrate,” she says. Also keep in mind that blood sugar levels are highly individual and will vary based on how active you are each day. So before you hit the kitchen, it’s best to test your glucose level. The Best Bedtime Snacks 10 Goldfish crackers + 1/2 cup skim milk String cheese + whole-grain crackers Apple slices + peanut butter 1 slice whole wheat bread + 2 oz turkey Hummus + raw veggies 1/4 cup cottage cheese + 1/2 cup berries Continue reading >>

Nighttime Snack- A Blood Sugar Must

Nighttime Snack- A Blood Sugar Must

Over and over again, I have heard people say “Don’t eat after 8pm, its bad for your health” with no evidence to back up this supposed claim. Your body will not magically turn all calories into fat if you eat a piece of fruit, a cracker or even your dinner the second the clock strikes 8pm, but for those with type 2 diabetes, not eating a nighttime snack may actually be contributing to high blood sugars in the morning. Medications for diabetes-especially insulin – work by helping glucose enter the cells and lowering blood sugar values. This medication is adjusted specifically for each individual in order to make sure that blood sugars don’t stay too high or drop too low. However, insulin may act in your body for an extended period of time, depending on the type. During the day, we are constantly providing our body with sources of carbohydrates either by eating three distinct meals every several hours or grazing throughout the day. For those who choose not to eat anything between dinner and breakfast the next morning, this provides a window of potentially twelve hours with no carbohydrates entering the bloodstream. As mentioned before, insulin often works over an extended period of time, and may still be helping lower your blood sugar at night when you are sleeping and will cause a low blood sugar at night. You might be wondering how this will lead to high blood sugars in the morning right about now. Our bodies have a unique system of storing some extra glucose in our liver, and these stores are called glycogen. When we eat foods that are turned into glucose as they are digested, a limited amount of this glucose is stored in the liver for emergency purposes in case we need a boost of energy to run away from a bear that is about to eat us. For the average American Continue reading >>

Eating With Diabetes: Smart Snacking

Eating With Diabetes: Smart Snacking

Whether you want to lose weight or simply eat healthier, enjoying a couple of snacks each day is a smart habit for many people. Eating a planned snack between meals can help curb your hunger (and therefore prevent overeating at mealtime) and also increase your energy levels when you need a boost. Snacks offer an additional benefit for people with type 2 diabetes: They can help optimize your blood glucose control. So if you haven't incorporated snacks into your diabetes meal plan yet, now may be the time to start. Here's what you need to know to snack smart, along with some carbohydrate-controlled snack ideas you can try today! Our Best Articles, Delivered Get expert advice on Diabetes from our coaches and trainers The number of snacks a person with diabetes should eat during the day depends largely on your eating preferences, your weight-management goals, and the timing of your major meals. People with diabetes can eat snacks throughout the day for a number of reasonssimply enjoying a mid-morning snack or planning them into their day for better blood glucose control. Exactly how many snacks you should eatand when you eat themis very individualized. Meeting with a registered dietitian or certified diabetes educator is the best way to make sure your diabetes meal plan meets your needs. However, here are a few basic guidelines that can be helpful when planning snacks. How many hours pass between your meals? In general, people with diabetes who want to optimize blood glucose control should not go longer than five hours without eating. If you consistently eat your main meals every 4 to 5 hours, then you may not need any snacks between meals. However, if your main meals are generally spaced out at longer intervals, snacking between meals can help you achieve your best blood Continue reading >>

The Best Midnight Snacks For Diabetes Management

The Best Midnight Snacks For Diabetes Management

1 / 7 Midnight Snacking Isn't Off Limits If You Have Diabetes Midnight snacking doesn’t typically have the healthiest connotations. But being hungry late at night doesn’t mean you have to derail your diabetes diet by standing in front of the refrigerator spooning ice cream out of the tub, as delicious as that may sound. In fact, satisfying a late-night craving with a healthy snack may be good for diabetes. That’s because fasting for too long can, in some cases, make the liver overproduce glucose, which can raise blood sugar — an effect that can be harmful for people with type 2 diabetes, says Lori Chong, RDN, CDE, at The Ohio State University Wexner Medical Center in Columbus. Next time you have a hankering for something salty, savory, or sweet, get your hands on one of these diabetes-friendly snacks to ward off hunger and help you get back to sleep. Continue reading >>

Diabetes-friendly Snacking Options

Diabetes-friendly Snacking Options

Today’s Dietitian Vol. 12 No. 9 P. 12 Grabbing a quick bite between meals isn’t off-limits for people with diabetes. “Snacking can really contribute to a healthy diet. It ensures that our body gets the fuel that it needs regularly throughout the day—and that’s true for everybody, diabetes or not,” says Beverley Manganelli, RD, BS, CDE, manager of community nutrition services at Hunterdon Medical Center in Flemington, N.J. “What’s different for someone with diabetes is, obviously, what kind of medications they’re on and their blood sugar control. Snacking can definitely impact that, so you need to pay a little more attention to the things that you choose. Although there are no ‘never’ foods, you do want to get a nutritious bang for your buck.” Because carbohydrate is the nutrient that impacts blood sugar the most, monitoring intake is crucial. “Generally, snacks can be between 15 and 30 g [of carbohydrate], but that’s based on individual needs and what that patient works out with their registered dietitian,” says Manganelli. Caloric intake needs to be addressed as well, especially since many people with type 2 diabetes need to lose weight. However, a patient already at a good weight who works at an active job may need more carbohydrates. Older patients with long-standing diabetes often struggle with the idea that they can work sugar into their food plan. “They’re used to the old way of thinking,” says Lindsay Fortman, RD, CDE, of Memorial Healthcare’s Diabetes & Outpatient Nutrition Counseling Center in Owosso, Mich. “But with being allowed to eat anything—it’s portion size that matters—we are seeing better compliance.” Time It Right Grazing throughout the day, however, may negatively impact blood sugar. Constantly taking i Continue reading >>

Diabetic Bedtime Snack Ideas

Diabetic Bedtime Snack Ideas

Low blood sugar during the night can be a concern for people with diabetes, especially those on insulin. A 2003 study published in "Diabetes Care" investigated the impact of snack composition on nightly blood sugars in adults with Type 1 diabetes. The researchers concluded that bedtime snacks consisting of a carbohydrate and protein worked best in preventing low blood sugars when the bedtime blood sugar was less than 126 mg/dL. Video of the Day Most bedtime snacks contain about 15 to 30 g of carbohydrate, or two servings of a carbohydrate-containing food, and a serving of protein. It is not quite understood why protein helps to prevent nightly hypoglycemia, according to the authors of the "Diabetes Care" study, but it is believed to be related to the way protein is metabolized. Cereal and milk provides both carbohydrate and protein. A good bedtime snack consists of 3/4-cup serving of whole-grain cereal and 1-cup of low-fat milk. During cold months, you can try 1/2 cup of hot cereal with 2 tbsp. of raisins and 1 cup of skim milk as a cereal bedtime snack. Crackers and Peanut Butter Crackers provide the carbohydrate and peanut butter provides the protein. Spread 12 whole-grain crackers with 3 tsp. of peanut butter or you can also try six whole-grain crackers with 3 tsp. of peanut butter and 1-cup of skim milk. Each of these snacks contain 30 g of carbohydrate. Sandwiches also make a good bedtime snack for diabetics. Choose lean sources of meat to decrease your intake of saturated fat. Too much saturated fat in the diet increases blood cholesterol levels, another risk factor for heart disease. Bedtime sandwich ideas include two slices of whole wheat bread with 1 oz. of turkey, 1 oz. of lean ham, 1oz. of low-fat cheese or 1 oz. of canned tuna packed in water mixed with 1 ts Continue reading >>

Late-night Eating: Ok If You Have Diabetes?

Late-night Eating: Ok If You Have Diabetes?

Are late-night snacks a no-no for people who have diabetes? Answers from M. Regina Castro, M.D. If you have diabetes, late-night snacks aren't necessarily off-limits — but it's important to make wise choices. Late-night snacks add extra calories, which can lead to weight gain. And if you snack after your evening meal — especially if the foods contain carbohydrates — you may wake up the next morning with a high blood sugar level. If you're hungry after dinner, choose a "free" food, such as: One sugar-free frozen cream pop Five baby carrots One cup of light popcorn A small handful of goldfish-style crackers A can of diet soda Or swap the snack for a piece of gum or small hard candy. These "free" foods have few, if any, carbohydrates and calories, so they won't contribute to weight gain or increased blood sugar. If you take insulin or other diabetes medications and feel that you must snack before bedtime to prevent low blood sugar (hypoglycemia) during the night, talk to your doctor. He or she may recommend adjusting the dose of your medications to prevent the need for a late-night snack. Continue reading >>

Bedtime Snacks For Diabetics Type 2

Bedtime Snacks For Diabetics Type 2

One of the struggles that come with being diagnosed with Type 2 diabetes is that youve got to fill in some hunger gaps during the day and sometimes at night without causing your blood sugar levels to spike. At bedtime especially, this hunger gap can cause problems because stomachs will rumble and the desire to eat can even overwhelm the desire to sleep. Did you know that a quick snack could help to regulate your blood sugar levels instead of raise them? As long as you choose a snack that fits into your meal plan, youll be a-ok to resolve those hunger pains so you can get to sleep. Lets take a look at your options: Limit snacks to 15 carbohydrates or less. The amount of carbohydrates that are in your system at bedtime will make or break your blood sugar for the morning. If youre having a small snack right before bed, then limiting the amount of carbs to what youd get from an apple or maybe a slice of bread will help you stabilize without spiking too much. As an added benefit, these will provide you with a boost of nutrition you might need too. The problem with the bedtime snack is that many people lean toward the sugary, high calorie foods that have a low nutritional density. Its not as harmful if you can keep your pastries or candy bars down to 15 carbs or less, but it still isnt going to really help you out that much. Look to have something like vegetable or whole grains like oatmeal, or even brown rice that will make your body work to digest it and help you feel fuller for longer. When suffering from diabetes Type 2, it can be difficult to manage blood sugars overnight while still getting enough calories to feel full. Limiting your caloric count for a snack to 150 calories is important because otherwise you can cause a spike that can make your on-the-go become dont-f Continue reading >>

Healthy Snack Ideas For People With Type 2 Diabetes Small Snacks

Healthy Snack Ideas For People With Type 2 Diabetes Small Snacks

Healthy snack ideas for people with type 2 diabetes Small Snacks If you have type 2 diabetes, a snack can help you manage your blood glucose levels. If your Registered Dietitian suggests that a small snack fits into your diabetes meal plan, youll find many healthy ideas below. Your snack choices should be based on the four food groups in Canadas Food Guide . The amount of carbohydrate in your snack is very important since carbohydrate-rich foods make the biggest difference to blood glucose levels. Smaller snacks should have about 15 grams of carbohydrate. This is the amount found in one slice of bread or one small apple. Carbohydrates are also found in sugary sweets like pastries, chocolate bars and candy. Because they are not very nutritious, they should be chosen less often, if at all. Heres a good rule to remember when choosing carbohydrate -rich foods: Choose more vegetables, fruit, legumes and whole grains like oats , barley, brown rice and whole wheat. Choose fewer products that are made from sugar, white flour and white rice. The smaller snacks listed below have about 15 grams of carbohydrate each. They each have 85-150 calories. Your eating plan may include a snack in the morning or the mid-afternoon. Here are some delicious options. 1 slice whole grain bread with 10 mL (2 tsp) peanut butter 1 small orange and 175 mL ( cup) edamame (green soybeans in the pod) 250 mL (1 cup) latte, cappuccino, unsweetened cocoa or chai tea made with skim milk 250 mL (1 cup) cantaloupe with 125 mL ( cup) low fat cottage cheese 15 baby carrots with 30 mL (2 tbsp) hummus These snacks can be left in your briefcase, knapsack, car or your desk drawer. They will come in handy when you have a very busy day and need to grab a quick snack. 1 single-serve (125 mL) unsweetened applesauce sp Continue reading >>

Impact Of Bedtime Snacks On Glucose Control In Type 2 Diabetes

Impact Of Bedtime Snacks On Glucose Control In Type 2 Diabetes

Approximately 3 million Canadians have type 2 diabetes, a condition where the blood sugar levels are too high, uncontrolled blood sugars lead to cardiovascular disease and other complications. Patients with type 2 diabetes are often advised to consume a snack before bed in order to help control morning blood sugar levels. However, scientific evidence for this dietary approach is limited and there is no data to help elucidate what the ideal bedtime snack is. We hypothesize that a high protein, high fat snack with very little carbohydrate, will be an effective bedtime snack for lowering morning glucose without spiking glucose levels in the night. In this study we will determine if a bedtime snack that is high in protein and fat but low in carbohydrate can help improve morning glucose control in people with type 2 diabetes. This information will provide scientific evidence for the potential health benefits of strategically-timed high protein, high fat snack consumption in people with type 2 diabetes. Fifteen patients with physician diagnosed type 2 diabetes (HbA1c 6.5-9%), between the ages of 30-80 years, and not on exogenous insulin therapy, will complete three, 3-day intervention periods (proof-of-concept randomized trial). Participants will consume a standardized diet for three days with either i) two hard-boiled eggs, ii) fruit yogurt; or iii) control no-bedtime snack, thirty minutes prior to bedtime. Fasting blood samples will be obtained on Day 4 in the morning after following each 3-day dietary intervention. Blood glucose will be monitored continuously across the intervention period using continuous glucose monitoring (CGM). CGM allows for the moment-to-moment changes in blood glucose to be examined for several days, allowing the unique opportunity to examine the gl Continue reading >>

How To Snack In The Right Way If You Have Type 2 Diabetes

How To Snack In The Right Way If You Have Type 2 Diabetes

If it fits your meal plan, yogurt with fruit can be a good snack.Getty Images If you have type 2 diabetes, you don't need to include snacks in your daily diet, unless you're on a type of medication, such as insulin or sulfonylureas, that can cause hypoglycemia. However, snacksif they are healthy and part of the meal plan developed by your diabetes educator or dietitiancan help prevent blood glucose peaks and valleys, as well as overeating at mealtime. The trick is knowing which foods make a "good" snack, the right portion size, and how often you should eat between meals. Calculate snack carbohydrates and calories A good snack consists of 15 to 30 grams of carbohydrates and 100 to 200 calories (depending on the individual's meal plan and medication), according to Rosalia Doyle, RD, a nutritionist at the Gerald J. Friedman Diabetes Institute at Beth Israel Medical Center in New York City. Just like meals, snacks should aim for a combination of fat, protein, and carbohydrates (read the food label to get all the details). "At our clinic, every type 2 diabetic gets an individual meal plan when they see one of the registered dietitians. And snacking is important for some people because it helps to prevent the blood sugar from fluctuating," says Doyle. Doyle likes to incorporate snacks her clients enjoy, like yogurt with fruit, popcorn without butter, and berries. Despite the nutritional value of such snacks, this eating must also be monitored. Inappropriate snacking can contribute to obesity. One way to avoid harmful snacking is to understand portion sizes for both your snacks and meals, and to stick to the parameters. "Three cups of popcorn is the same serving as one slice of bread, and a great snack," says Doyle. Other snack ideas include high fiber cereal with soy milk, a Continue reading >>

A Bedtime Snack And Blood Sugar: Diabetes Questions & Answers

A Bedtime Snack And Blood Sugar: Diabetes Questions & Answers

A Bedtime Snack and Blood Sugar: Diabetes Questions & Answers Q: Does a bedtime snack help or hurt the wake-up blood sugar reading? A: Like most things having to do with diabetes, it depends. If you are not taking insulin, bedtime snacks can either cause your wake-up reading to be elevated or force your pancreas to produce extra insulin during the night to offset the effects of the snack neither of which is a good thing. If you take insulin, a bedtime snack may be needed if your blood sugar tends to drop overnight.This is often a sign that your basal insulin dose (via injection or a pump) is a bit too high.Basal insulins job is to keep your blood sugar steady overnight.So if youre dropping, you may be getting too much basal insulin.In this case, without a snack, you might wind up with low blood sugar in the middle of the night. And if you overeat or rebound from the low, your wake-up reading could wind up too high.So with basal insulin doses that are a bit too high, a snack at night may be necessary. However, it would be better to get the basal insulin dose set properly. If your basal insulin dose is correct and your blood sugar holds steady through the night without a snack, a bedtime snack will make your blood sugar rise.A dose of rapid-acting insulin would likely be needed to offset the effects of the carbohydrates in the snack. While we sleep, the body produces a hormone called leptin that curbs appetite. So if youre trying to shed some body fat, a bedtime snack may be counterproductive. And since excess body fat leads to insulin resistance , all those extra bedtime snacks can lead to higher-than-desired blood sugars in the morning that persist around the clock. Want to learn more about maintaining target blood sugar levels during sleep? Read Exorcising the Specter Continue reading >>

Impact Of Bedtime Snack Composition On Prevention Of Nocturnal Hypoglycemia In Adults With Type 1 Diabetes Undergoing Intensive Insulin Management Using Lispro Insulin Before Meals

Impact Of Bedtime Snack Composition On Prevention Of Nocturnal Hypoglycemia In Adults With Type 1 Diabetes Undergoing Intensive Insulin Management Using Lispro Insulin Before Meals

OBJECTIVE—To determine the impact of four bedtime (HS) snack compositions on nocturnal glycemic control, including frequency of hypoglycemia (<4 mmol/l) and morning hyperglycemia (>10 mmol/l), in adults with type 1 diabetes using lispro insulin before meals and NPH insulin at bedtime. RESEARCH DESIGN AND METHODS—Substitutions of 15 g carbohydrate (one starch exchange) for an equivalent amount of uncooked cornstarch or pure protein were compared to a standard snack (control: two starch + one protein exchange) and to no snack (placebo) in 15 adults using a randomized, cross-over design. All snacks were equivalent in kcal, fat, and total available glucose. An intravenous facilitated hourly blood glucose sampling during the night (11:00 p.m. to 7:00 a.m.). RESULTS—The glycemic level at bedtime (<7, 7–10, and >10 mmol/l) mediated the effects observed. A total of 14 hypoglycemic episodes, in 60% of patients, and 23 morning hyperglycemic episodes occurred over 50 nights. Most hypoglycemic episodes (10 of 14, 71%) occurred with no snack compared to any snack (P < 0.001) and at HS levels of <7 mmol/l (P = 0.05). The standard and protein snacks resulted in no nocturnal hypoglycemia at all HS glucose levels (P < 0.001). Only HS glucose >10 mmol/l was protective against hypoglycemia, even in the absence of a snack (P = 0.05); 46% of morning hyperglycemic episodes were associated (r = 0.37, P = 0.07) with this HS glucose level. CONCLUSIONS—The need for and composition of an HS snack depends on the HS glucose such that no snack is necessary at levels >10 mmol/l. At levels between 7 and 10 mmol/l, any snack is advised, and at <7 mmol/l, a standard or protein snack is recommended. The study, undertaken at the Clinical Investigation Unit of The Royal Victoria Hospital (Montrea Continue reading >>

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