How to use the Night Low Predict Feature

The Night Low Predict feature shows your risk of night-time hypoglycaemia and suggests preventive action. The prediction is based on your glucose values and trends, nightly hypoglycaemia history, carbohydrate intake, and insulin entries in the Logbook.

How to use predictions at night

You can set up a notification for high-risk nights

You can receive a notification if there’s a high or very high risk of low glucose during the night. Simply select your typical bedtime for the week, and the reminder will appear on your lock screen between 21:00 and 02:00, as long as notifications are enabled.

Phone screen showing 'High' risk for low glucose during the night with a 6.1 mmol/L reading and recommendation for nearby carb snacks.

Between 21:00 and 02:00, the Home screen shows your risk of low glucose for 7 hours during the night. For this feature, a low glucose value is defined as being below 3.9 mmol/L regardless of your personal Low Glucose threshold.

Image
Night low predicted” pop up informing the user of a very high risk of hypoglycemia at night.

 

You can proactively check the prediction between 21:00 and 02:00

If the risk of low glucose levels is different between the early night (first 3.5 hours) and the late night (last 3.5 hours), the prediction will highlight the period with higher risk. Predictions are more accurate for the first part of the night because it is easier to be confident about short-term predictions.

You can request a recalculation every 20 minutes

If your last carbohydrate and insulin intake was less than 20 minutes ago, the recalculation will be imprecise. If you recorded your intake in the Logbook, this feature will be unavailable for 20 minutes until the prediction is updated.

How to act on the predictions

There are 3 different risk levels, with a different colour representing each level.

Graph showing 'Normal' risk level with the indicator in the green zone.

Normal risk

Green: Average risk* of low glucose

A normal risk means that you have an average risk of having low glucose at night. You can prepare for bedtime in the same way as you usually do.

Graph showing ‘High’ risk level with the indicator in the yellow zone.

High and very high risk

Yellow: Higher than average risk* of low glucose
Red: Very high risk of low glucose

A high or very high risk means that you can decide whether to consume long-acting carbohydrates with proteins and fat, and/ or reduce your basal insulin or basal rate before you go to bed.

Graph showing ‘Very high’ risk level with the indicator in the red zone.

The action you take will depend on your diabetes therapy, personal experience, and whether the low is predicted for the first 3.5 hours or last 3.5 hours of the night. In case of doubt, discuss the appropriate action with your diabetes care team.

Ensure the Very Low Glucose Alarm and Low Glucose Alarm are activated in the Accu-Chek SmartGuide app during the night.

  • Explore the Accu-Chek SmartGuide App
    • The Predict app can only make predictions based on the information it has collected, and there are some factors it cannot take into consideration. Keep in mind what to consider when using the predictive features.
    • Your evening meal choices can affect your glucose levels
      A request for a nightly forecast shortly after a late dinner with a bolus insulin injection will be imprecise. And eating a dinner with a lot of fat and protein will not be reflected in the prediction, since this might increase the glucose several hours later.

Everyday life example

Paul has had diabetes for over 10 years, which is treated with a short-acting and a long-acting analog insulin. He is worried about low glucose, especially at night, because he has struggled with this in the past. His doctor recommended reducing lows as much as possible at his last appointment.

Preparing with the 7-hour night low prediction

Before Paul goes to bed, he usually checks his glucose and injects long-acting insulin. Tonight, he received a “Night Low Predicted!” notification at 22:00. It shows that he is at a high risk of having low glucose levels during the first half of the night, between 22:00 and 01:30.

Checking the hypoglycaemia risk before bedtime

Paul taps the notification to see more information, including his latest glucose value and what he can do to reduce deviations. Paul’s glucose is now 7.4 mmol/L, so he decides to eat something to keep his glucose levels stable overnight. A snack before bed should help him to reduce the predicted changes in the following hours.

Going to bed for a good night’s sleep

Now that Paul has checked the prediction and taken action to reduce changes in his blood glucose during the night, he can go to bed and fall asleep easily.

If he often has a high risk of low glucose at night, he will ask his care team for advice about the possible causes and an adjustment of his medication.

Next, learn more about the Glucose Patterns Feature.

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