My daughter was diagnosed about 2 months back - so far we haven’t had many issues staying in control but we do have one puzzling issue.
Whenever she sleeps, her BG immediately rises and then descends 3 hours later - mostly see this at night but also with naps. Doesn’t matter what she ate for dinner or when she ate dinner or if she was low at dinner or high at dinner.
She’s on an omnipod, her basal is .05 during the day so at night we’ve been upping it to .4 / .45 / .5 per hour for the hour before sleep up thru 3 hours post sleep but doesn’t seem be having a huge impact (in terms of highs we are still seeing 250-275).
I’m just concerned that she’s getting such a huge % of her basal in these 3 hours and that it’s not really having much impact. At first I thought it was just a liver dump similar to dawn phenomenon but I’m also wondering if it could be a resistance to insulin at that time. We’ve also tried to correct at night and that doesn’t seem to make a lot of difference either.
Anyone seen anything like this? Most of what I have read of DP refers to it happening much later in the sleep cycle. (with my daughter when you look at her dexacom you can see exactly when she fell asleep and a steady BG rise for about 3hours and then a steady march down.