Nocturnal hypoglycemia occurs when the blood glucose falls below 70 mg/dL during sleeping at night. It is commonly seen in diabetic patients taking long-acting insulin at night. Having alcohol consumption in the evening, missing dinners at night, and a high level of basal insulin cause nocturnal hypoglycemia. It is prevented by taking a carbohydrate diet at night, taking dinner regularly, and avoiding long-acting insulin at night time.
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I get violent diaphragm convulsion during sleep. Please help.
Query: Hi doctor, Last night during sleep, I was awoken by a violent diaphragm convulsion. I felt a sensation of being drawn down into a cold dark blackness. It was very much disturbing and I felt like I was going to die. I had benign arrhythmias with follow up Holter monitor and stress test revealed no si... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand that you have been investigated for arrhythmia - paroxysmal (attachment removed to protect patient identity), but my main concern here would be obstructive sleep apnea (OSA). There is a scoring system that we use to stratify your risk for OSA. Please prov... Read Full »