Question from Fairfax, Virginia, USA:
I am a new RN working nights, 7 p.m. to 7:30 a.m. and on an insulin pump. I have had diabetes since age 12 and am now 25 and have used a pump for the past six years. Since I now work three or four nights a week, my testing schedule is very different than it was before when I could test four to six times a day and sleep through the night. I'm finding that I can test at 7 p.m., about 4 a.m., then at 7:30 a.m. Because of how busy my patient load can be, I am eating dinner at about 5 p.m., eating a small snack at about 1 a.m., a small meal at 4 a.m., and breakfast at 9 a.m. My husband wants me to push for a day schedule so I can sleep better and stay on a regular schedule with diabetes, but I do not have the option to work days. I am very healthy otherwise, no diabetes complications. I experience lows only once or twice a week and maintain levels between 80 and 160 mg/dl [4.4 and 8.9 mmol/L], with levels up to the 250s mg/dl [13.9 to 14.3 mmol/L] sometimes. Can I remain healthy with diabetes while having no consistency in my sleep/wake schedule? Can working nights be detrimental to my long-term health?