Case 6: Late afternoon hypoglycemia – Daily blood glucose values

Day	Blood glucose values in mg/dL (mmol/L)
Day	Before breakfast (8 AM)	Before lunch (12 PM)	Before evening meal (5 PM)	Before bedtime (11 PM)	Early morning (3 AM)
1	100 (5.6) 8 LP, 16 G	205 (11.4) 8 LP	116 (6.4) 10 LP, 22 G	115 (6.4)	n/a
2	118 (6.6) 8 LP, 16 G	172 (9.6) 7 LP	47 (2.6)* 8 LP, 22 G	124 (6.9)	92 (5.1)
3	77 (4.3) 6 LP, 16 G	145 (8.1) 4 LP	85 (4.7) 10 LP, 22 G	108 (6.0)	n/a
4	113 (6.3) 8 LP, 16 G	136 (7.6) 5 LP	54 (3.0)* 8 LP, 22 G	111 (6.2)	n/a
5	132 (7.3) 9 LP, 16 G	97 (5.4) 4 LP	103 (5.7) 10 LP, 22 G	97 (5.4)	87 (4.8)
6	98 (5.4) 8 LP, 16 G	122 (6.8) 5 LP	82 (4.6) 10 LP, 22 G	102 (5.7)	n/a
7	158 (8.8) 8 LP, 16 G 9:55 AM (late)	109 (6.1) 4 LP	93 (5.2) 10 LP, 22 G	89 (4.9)	n/a
Average values during week	114 (6.3)	141 (7.8)	83 (4.6)	107 (5.9)	n/a

LP: lispro insulin; G: glargine insulin.

* Hypoglycemic episodes.

Graphic 121636 Version 2.0