Store hours? I wish.
I wish that diabetes management had like store hours or something. Like maybe Joe's beta cells could "magically" come back to life from 9pm to like 8am. Ya know? Like every night Joe's glucometer and insulin pump and CGM could put up a "CLOSED" sign.
What is 8/24?
I believe it is one third.
I believe it is one third of our 24 hour day.
If it is one third of our day~in~the~life of living with diabetes, guess what? It is one third of our A1C. I guess I shouldn't say "our"...it is one third of my child's A1C. One third is a big hunk of my child's well being.
I am not going to be wishy-washy here. I am not going to say do what works for you and your family. I am not going to. I am going to say that I think night checks are part of managing diabetes. I don't do night checks solely out of fear of lows and out of fear of the dreadfully named "Dead In Bed Syndrome". I also do them for trending blood sugars and adjusting basals accordingly. And. I do them for correcting highs as well.
It is a third of one's A1C during a chunk of time that would normally have "predictable activity" (sleeping), with "predictable carbohydrate intake" (not eating, because sleeping), and with, for the most part, a "predictable amount of insulin" (no carb intake, because not eating, because sleeping) on board.
Our nightly routine here is:
Dave checks Joe's blood sugar @ 11pm (the following assumes no IOB and no CGM):
- If Joe's blood sugar is less than 70, we treat by using the rule of 15s.
- If Joe's blood sugar is 71-100, we give 8 grams of CHO
- If Joe's blood sugar is 100-250, we do nothing.
- If Joe's blood sugar is greater than 250, we correct and then set an alarm to check Joe's blood sugar in 2 hours.
A day~in~the~life of managing my son, Joe's, blood sugar at night.