Influence of a β‐Glucan–Enriched Bedtime Snack on Nocturnal Blood Glucose Levels in Diabetic Children

Abstract

ABSTRACTBackgroundThe high prevalence of low nocturnal blood glucose levels is a major problem in the treatment of children with diabetes.MethodsThe effect of a β‐glucan–enriched bedtime snack on nocturnal blood glucose levels was examined in comparison with an equicaloric conventional snack in 38 children with diabetes during a 12‐night study period.ResultsA significant influence of the type of bedtime snack on the blood glucose course until 2 AM could be observed (P < 0.05). However, there was no difference in the prevalence of nocturnal hypoglycemic blood glucose levels, which was 27% at 2 AM.ConclusionSilent nocturnal hypoglycemia is common in children with diabetes. The introduction of a fiber‐enriched bedtime snack may flatten the blood glucose curve before midnight but cannot prevent low 2 AM blood glucose. Other therapeutic strategies that reduce the risk of asymptomatic and symptomatic nocturnal hypoglycemia would be beneficial to many children with diabetes.