Overnight Sugar control

[Guest guest]

I generally have good sugar control during the day using a combination of

Metformin, Glyburide and one Lisinopril taken in the evening. The biggest

battle I have is controlling sugars overnight, so I'm looking for your

thoughts on this. What I typically find is that I have a good sugar level

near bedtime, and on average my fasting sugar is 80, but sometime during the

night I must bottom out, which causes me to sweat a lot. A very early

morning fasting (say, 4:30 a.m.) is around 78, but on days I wake up later,

like 7:00 a.m., my fasting is more like 92-98. That said, does this indicate

that my body is still producing its own insulin, or what else would cause

the progressive level before medication and eating?

If my theory is then correct that my body is producing some of its own

insulin, I then am always fighting the rollercoaster battle every night. If

I have a light snack usually 3 hours before bedtime, it has minimal

difference in fasting sugars. I would not snack before bedtime because I

think we all know that's a setup for high sugars. But the question begs to

be asked then, how to keep from bottoming out during the night (which just

might diminish the sweating problem, too).

Keep in mind I take one Metformin before bedtime. So I'm taking Metformin,

Glyburide, Plendil and Triamterene in the morning, Metformin at noon,

Metform, Glyburide and Lisinopril at dinner and then Metformin at bedtime.

My current doctor worked on this with me to get to this point and except for

the overnight problem, the plan seems to work OK for me.

I will be seeing him shortly and will ask for his input, but thought I'd

bring it to the list and see what your thoughts are.

And in light of talking about insulin, I am very curious to know if I could

attain more constant control using insulin than with pills.

Obviously, big pharma wants us all on pills for the rest of our lives, but I

just don't see that in my plans. Not if insulin will make me healthier.

Bill Powers