Nocturnal Hypoglycemia

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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Why did my husband have five episodes of hypoglycemia today?

Query: Hi doctor, My husband has type 1 diabetes. He has had no Insulin today but has had five hypos today, and his sugar levels are dropping again. He had his regular food all day, drank juice and cans of coke. He has not done anything different to any other day and also has not been stressed either. He t...  Read Full »


Dr. Swaraj S W

Diabetologist, Endocrinologist

Answer: Hi, Welcome to icliniq.com. How long has he had diabetes? When you say hypo, what were his sugars? What is the dose of insulin that he is taking? Revert with the details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist  Read Full »

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 »


Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

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 provi...  Read Full »

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