Hypo's in the morning

Wondering why you can go to bed with a BG of 11 and still get the alarm go off early in the morning?

Also, in the morning, if levels are ok after a couple of hours from eating, you get a dramatic drop in levels necessitating taking carbs on board

Finally, how do you avoid bruising your skin when injecting? Additionally, how do you know if you have lipohyopertrophy?

Hi,
Losts of questions there . Will try to answer them all....

Overnight drops, this could be a couple fo things. You don't say when you last did a QA, but remember that the profile of most insulins is they last for around 5 hours. This is not an exact figure , the insulin might not last that long or might last longer. If you have given too much insulin , the remaining insulin can cause you to drop. If thats not the case and you don't do any QA from early evening around 6pm, then its more likely that your background insulin is too high. If its right you should stay around level overnight if you don't inject any QA. This also depends on how you do BI, it could be a once a day, a twice a day and again it varies from person to person. You might need to speak to your Diabetes Support Team or consultant.

It's the same answer for the post meal drop, it could be either of the above. Also exercise WILL cause a drop if you still have 'extra' insulin in your system.

The answer to bruising is you can't avoid it. You are hitting small capilaries in the outer layers of your skin. Its random if you hit one or not. In terms of lipohyopertrophy, again you can't really tell, you need to see a diabetes nurse. I had it and had no idea, everything looked completely normal to me. However the DSN took one look at it and said 'oh, you have a lot of Lipo's'

Regards

MarkE