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Question:
Many mornings I wake up covered in sweat. Could this be a sign of night time hypoglycemia?
Background:

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Asked by:
Amber T. | October 30, 2009
Categories:
Insulin & Pumps,Type 1

Answer:
  • Dr. Mariela Glandt Answered by: Dr. Mariela Glandt

    Nighttime hypoglycemia can certainly present like this. It happens much more with the older insulins like NPH, which have a peak in action, as compared to the newer long acting insulins like glargine (Lantus), or detemir (Levemir). Detemir does still have a peak, but not as much as NPH.
    One easy way of finding out if you are having nighttime hypoglycemia is to set your alarm for around 3 am and you can check your sugars. The body is particularly sensitive to insulin in the very early morning hours, like 2-3 am. This means that the insulin that is present is more effective at lowering blood sugars. This could be compounded by a peak in insulin action, if you are taking something like NPH.

    About the Expert:
    Dr. Mariela Glandt was born in Argentina, received her BA from the University of Pennsylvania, and attended the University of Texas-Houston Medical School. She continued on to a residency in internal medicine at Harvard's Beth Israel Deaconess Hospital in Boston. During residency Dr. Glandt did research on beta cell failure at the Joslin Diabetes Center. She then held an endocrinology fellowship at Columbia Presbyterian Hospital in New York, where her research focused on the reversal of Type I diabetes. Read full bio |



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