This patient support community is for questions related to juvenile diabetes including
Celiac disease,
depression, diabetic complications, hyperglycemia /
diabetic keto-acidosis,
hypoglycemia, islet cell transplantation,
nutrition, parenting a diabetic child, pregnancy, pump therapy, school issues, and teens with
diabetes.
Nowadays, many of us are able to keep very tight control without living in constant fear of hypos. Testing often is the real key, so we can catch lows when they are just starting to happen. As for lows while asleep, there are ways to avoid this, too. I am not going to get into specifics, but there are ways to adjust your dosage and timing of insulin so that it is absolutely impossible to have a low so severe that you are at risk while you sleep. If you cannot trust your current doctor to help you find the right solution for you, then I would recommend that you do try to find another doctor. The whole treatment has got to be a real working partnership between you and your physician, and if your current doctor can't help you find a solution to the fear of lows while asleep, you need to keep looking, for this is not something that you should have to live with.
I know first-hand, for this for years was my real danger, too. But I found an endocrinologist who quickly put me on a dosage of Lantus taken in the MORNING rather than at night so that its slight peak action happens at about lunchtime rather than while I sleep. It starts to wear off while I sleep so I know it is impossible to have a severe drop while I sleep. I no longer fear not waking up... ask more questions. A pump or a change in timing of long-lasting insulin such as Lantus may be a real solution for you. I now can go to bed and know that my glucose levels when I wake up will be exactly what they are when I go to bed. This is a real relief, and I hope you can find the right solution for your needs, too. It IS possible.