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Adjusting Overnight Basals.

Hoping I hit a balance as lovely and even as depicted in this here clip art from 1994.I do not enjoy basal testing.  Even though I sometimes go six hour clips without having a snack (thanks, Birdy and your busy ways), something about knowing I can't eat or exercise makes me want to do a 5K while simultaneously chomping down on some soft serve.

But when I noticed that I was going to bed at a completely normal blood sugar, but waking up in the 180 - 220 mg/dl range for three days in a row, I knew I needed to do some basal tweaking.  

Making adjustments to my overnight basal rates always skeeves me out.  I'm a very deep sleeper (as evidenced by the fact that Siah prowling around on the bed all night doesn't wake me in the slightest, but makes Chris say "We're sleeping with the door SHUT tonight," in the morning), and I have a very healthy fear of overnight low blood sugars.  My symptoms of a low on the overnights used to be this body-drenching sweat, but since the birth of my daughter, that symptom has all but disappeared.  Now, I don't have any symptoms at all.  Blood sugars of 60, 50, and lower don't even register until I prick my finger and go, "Oh.  I guess I'm low?"

So the idea of raising my basal rates, even though I'm doing it to make a preemptive strike against highs, makes me nervous.  Thankfully, I have my Dexcom, but I'm still a little on edge. 

This morning, I made some small adjustments to my complicated overnight basal (I have three very modest rates in an eight hour span, so each 0.01u counts), and tonight will begin the mad scientist experimentation that is diabetes.  I'll have to get up and test around 3 am, because while I trust the Dex to give me the gist of things, i want my meter to confirm I've made a good change.  Oh you, basal testing!  You want me to sleep even less than my kid does!

Even though I'm traveling for the rest of the week (and then again in two weeks - it's going to be a very busy month), I can't let these highs permeate my overnights.  Sometimes I feel like those precious hours of sleep are the only moments I'm securely in range (I do so love that Dexcom graph flatline of 108 mg/dl overnight ... or at least the flatlines I used to see, until a few days ago), and I want to return to that level of overnight control.

I do not enjoy basal testing, but I understand why it's important to nail these rates.  I just hope I got it right on the first try.  Because I need all the sleep I can get!

(Thank God for iced coffee.)

Comments

I'm finally starting to understand how all this basal stuff works, but enjoyed hearing your perspective. Amazing how we d-people are so fascinated by basals, where other people's eyes would just glaze over!

I understand your concern. We will be going through the same thing with my four-year-old tonight, as he has had numbers above 270 the last couple of nights. But night time lows are something that continue to haunt me each night. I can't stand adusting night-time basals.

Oooooohhhhh I love a good overnight basal rate. G has had her latest (of which she has three different rates) carry her from a bedtime of 120 to a wake up, 10 hours later, of 108. I honestly feel like for these past two weeks, I have won the lottery!!!
Good luck with your testing hon!

Basal testing is the bane of my existence. Every time I see the endo, he wants me to do 2 each of morning, afternoon, and overnight basal testing on 2 separate days.

The dinner/overnights suck the most. Can't eat until 10 PM? Test my sugars every ungodly hour?? KILLMEPLZTHX.

But you're right, they do tell a lot and these tests do help tighten control. Sigh. Blast you, diabetes!

I am not a fan of basal testing either. I am in need of doing the same thing.

You are inspiring me yet again.

Basal testing ALWAYS sucks. Ugh, but it's always so useful.

My insulin sensitivity is not so great that I'm willing to trust Dexcom to give me the big picture. I make adjustments based on his downloads, but do small incremental changes till I dial them in. If I happen to wake, I'll do a finger stick just to be sure though.

Adjusting overnight basals are rough...worth it, but those few nights of even less sleep to make sure things are going OK are rough!

Good luck Kerri

Do you have any great ideas for how to get that 3am number? B/c I slept through my alarm clock going off every last time I tried doing it in the last 6 months! (Note: I have slept through the medavac plane landing in the parking lot outside my bedroom window)

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