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How often do you worry about nighttime hypoglycemia?


Every night






Most nights






Some nights


















Total votes: 28


How often do you worry about nighttime hypoglycemia?

Poll dates: January 17 - 24, 2018
Total Votes: 28

While not often discussed during clinic visits, with the growing use of continuous glucose sensors, the true extent of nocturnal hypoglycemia has become clear -- it occurs often and for long periods of time. In November 2017, when we asked our readers about time time of day in which they were most worried about hypoglycemia, 81% reported the overnight period. The extent of nighttime glucose monitoring bears this out -- see our poll on this topic from March 2017. In addition, hypoglycemia and the fear of going low is rated as the hardest part of diabetes by CWD readers (see our poll on this topic from April 2017).

Given the growing awareness of nocturnal hypoglycemia, we asked our readers about how often they worry about it. A significant majority -- 64% -- report that they always worry -- essentially ever night. So how do we balance the fear of nighttime lows with the need for sleep? Not well, based on our poll in February 2017, in which 90% of parents and caregivers and 70% of people with diabetes report not sleeping as well as they did before diabetes.

The advent of continuous glucose sensors have finally given us a tool to help identify and reduce the impact of nocturnal hypoglycemia. While not perfect, alarms in response to low blood sugar can make a difference. New technologies that combine insulin pumps and sensors, with pumps stopping insulin delivery in response to lows or predicted lows, are very effective in reducing the incidence of overnight lows.

Selected studies:

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Last Updated: Wednesday January 24, 2018 15:09:18
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