Self-management Solutions for Type 1 Diabetes

All of the answers are correct. However, the best answer is "All of the above". When your blood sugar is not well controlled, it is useful to monitor your blood sugar more frequently throughout the day including overnight. Also, keep a logbook of your blood sugar results, exercise/activity, the carbohydrate content of the food, and the insulin dose. You can review the log book with your medical provider to problem solve why you are having difficulty controlling your blood sugar.

All of the answers are correct. However, the best answer is "All of the above". Exercise or increased activity, weight loss, a diet that does not have enough carbohydrate, and too high a dose of insulin, all can cause low blood sugars.

True: a possible side effect of insulin therapy is hypoglycemia (low blood sugar.)

Low blood sugars after a meal are commonly caused by under-counting the carbohydrate content of the meal, taking too much insulin (wrong dosage) for the carbohydrate or bolus correction, increased activity around the time of the meal, and eating high fat or protein foods that delay digestion.

All of the answers are correct. However, the best answer is "All of the above". Your blood sugar may be too high because of excess carbohydrate (sugar and starch) in the diet, the wrong insulin dose, illness, stress, inactivity, frequent low blood sugars, weight gain and certain medications such as glucocorticoids (prednisone.)

All of the answers are correct, but the best answer is "all of the above." A "rebound" or Somogyi reaction refers to the development of a low blood sugar (hypoglycemia) followed by a high blood sugar (hyperglycemia). It is caused by the release of counter-regulatory hormones including epinephrine, sometimes glucagon, cortisol and growth hormone. These hormones are released by the body in response to the low blood sugar and cause the body temporarily to produce and release more glucose from the liver, and temporarily make the body more resistant to the action of insulin. "Rebound" or Somogyi reactions can be caused, for example, by taking too much insulin, eating too little carbohydrate at a meal or a very high fat or high protein meal that is slowly absorbed. When digestion is delayed, the meal time insulin starts to work before the sugar in the meal can be absorbed; the mismatch of insulin availability and post meal rise in blood sugar leads to a low blood sugar reaction. Increased activity usually lowers blood sugar levels and may result in hypoglycemia. There are a number of other situations that can lead to these reactions.

All of the answers may be correct, but the best answer is all of the above. A high blood sugar in the morning can have many causes. You first have to sort out the cause by keeping an intensive log. The log will help you figure out if you need more insulin at the evening meal or overnight, or the opposite - that you are getting too much insulin, which is leading to low blood sugars followed by a "rebound" or Symogyi reaction. Generally, meals eaten late at night or right before you go to bed are slowly digested; the peak insulin effect may be over before the food gets digested and absorbed, resulting in a high blood sugar. It is difficult to control the blood sugar levels after a high carbohydrate meal.