Is it safe to go to sleep with my blood sugar this high?!


Question: Is it safe to go to sleep with my blood sugar this high?
I'm a 17 year old female and I'm a type 1 diabetic and my blood sugar is high, the only thing is I'm scared because my blood sugar is 524 and I'm really thirsty, but I don't have any ketone strips, so I don't know if I have ketones. I've lost 3 friends who also had type one diabetes who died in there sleep from their blood sugar so I'm kinda scared. I just want to sleep, but this is always happening, and I always just stay up until it is down again, wich usually takes about 3-4 hours.

Answers:

To be honest Katie - I know everyone's telling you it's not safe, but I'd take some insulin and set an alarm for about an hour, wake up and test, and keep doing that every hour for the rest of the night (not just until your blood sugar is back down but after that too in case you're hypo). It's awful about your friends but that doesn't mean that the same will happen to you. Depriving yourself of sleep will mess up your blood sugars for the next day too and you can quickly fall into a spiral of bad blood sugars - hypos and rebounds and hypos again - getting enough sleep is important too!

I don't know what happened to your friends but dying in your sleep from type 1 diabetes is actually quite uncommon - to die from ketoacidosis it needs to be advanced - you would need to have no insulin in your system (like if you're on a pump and it comes disconnected) or be sick with a flu or something or have been really high for days - even then it'd be unlikely to get bad enough to kill you over night. The final stage ketoacidosis to look out for is like really shallow breaths, like you can't breathe - this is the final stage of ketoacidosis and if you have that you need to get to hospital right away (I'm not saying don't go to hospital if you don't have this!).

The alternative is that you could die from a hypo in your sleep but this is uncommon because in general if you're hypo and you don't wake up then your liver releases glucose to bring your blood sugar back up (this makes you feel awful in the morning!). The only time that this might not happen and so you could die from a hypo is if you've been drinking (the alcohol 'confuses' your liver and it forgets to release glucose), or if there's no glucose in there to release, eg if you've been exercising a lot before bed and hadn't eaten anything or if you were anorexic.

Hope that helps xxxx



No it is not safe. Please inject a bolus of quick-acting insulin to bring it down. I personally wouldn't go to sleep until my blood sugar goes down to just below 140.

Also do you know why your blood sugar went to 524? If it was food-related, then you have to think about how to avoid this happening again. Bolus more or bolus earlier or reduce the portion of food that spiked you.



I am an expert on type 2 and so not really qualified to answer. I do think Cathy gave you a very good answer. However your doctor will be able to put your mind at ease. Worry is not a good thing to have in your life.

www.21diabeticmyths.com



No. You need to get it below 250. Anything above 250 can lead to ketoacidosis and/or a coma. The odds are low, but it's not good to take chances. Hypoglycemia can also kill.

I'd stay awake. Sorry ;/



No. Each unit of regular insulin drops your blood sugar about 30 points. So just take 10 units and test it again as soon as you awaken.

Type 1 Diabetic for 57 years.



No it really isn't. You need to use your fast acting insulin to get it down. If you don't know how many units, then call the ER and ask a nurse.



just consult a doctor and take the suitable decision to solve the problem...give primary importance to your health...




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