Diabetes Emergencies: Hypoglycemia and Hyperglycemia Care, Chapter 4: Lows at Night

Overnight Drops in Blood Sugar

Learn why blood sugar can drop overnight and what can add to the risk.

You can describe why blood sugar can fall during sleep and what raises the risk.

Blood sugar can slowly drop while you sleep. Your body keeps using sugar all night, just more slowly.

Think of a parked car with the engine idling. It still burns fuel, and by morning the tank can run low. Over a whole night, that slow drop can become a low.

Several everyday things can add to a night low. A small or late dinner leaves less fuel in your tank for the night.

A long walk or hard workout earlier in the day can add to it too. So can when you take your medicine.

A night low can happen with none of the usual warning signs. Sleep can dull, or muffle, the signs you would normally feel. So you may not notice it at all.

If you have frequent overnight lows or routine changes, talk with your doctor.

Key takeaways

  • Blood sugar can slowly drop while the body uses sugar during sleep.
  • Medicine timing, a late or small dinner, and earlier activity can all add to the risk.
  • Sleep can hide the usual warning signs, so a night low can go unnoticed.

Try it

Tonight, jot your dinner time and any long walk or workout on a note by your bed. Read it in the morning.

Next lesson: Night Lows and Sleep Signs