- Messages
- 26
- Type of diabetes
- Type 1
- Treatment type
- Insulin
Hi all. I'm a 45yo guy who has been T1 for 32 years. A couple of months ago I switched from the regime I had been on throughout that period of twice daily novomix 30 / 70 across to novorapid and lanctus. Historically my diabetic control has always been excellent, I have great sensitivity to my levels, no other (known) complications, my HBA1C has always been <6 (more recently it's been <5), I'm office based but lead an active life and exercise regularly (cycling - though less so at the moment due to the weather), consume a generally low carb moderately high fat diet, I carb count reasonably well, early riser / early to bed, minimal alcohol, no smoking.... essentially I am very fit and healthy. I switched because I had been reading about the extra flexibility the newer regimes offer and because the few T1s I know have all moved across to it. A lunch with a customer who is T1 cemented my thoughts that I should look into it further, as he enjoyed a small amount of rice with his curry Having made the move, I have a couple of questions, I'm hoping you can all assist with.
Quick acting insulin? I get the sense that the novorapid operates over a 3-4 hour period? I find that in the evenings I have had my meal, tried to closely match the insulin intake vs the carbs but I am still somewhat low when I go to sleep 3-4 hours later.
Dawn phenomenon? I've never felt I've had this before now but on the new regime I consistently wake with a 10+ glucose. Is this occurring to the type of food (fat / protein etc) I'm consuming around dinner (I'm no expert on this element of diabetes management). Is there a solution? I was wondering if I could switch to taking my long term dose in the evening, so it is still working overnight - i get the sense it is running out of steam in the early hours or is that a red herring?
Evening? During the day (10am-3pm) I don't tend to consume that many carbs. Previously I would eat a low carb (<10gr) salad occasionally at lunch time but can happily go through the day on coffee and the occasional piece of chocolate if I've cycled hard, am stressed or had a smaller breakfast etc. I have been experimenting a little with the new regime and eating the occasional croissant or having some carbs at lunch and taking a dose of novorapid to match that. I find that most evenings (4-6pm) I am going low which is unnerving as previously (under 30 / 70) my bg would be starting to climb as the insulin wore off. I have been eating small amounts of carbs to counter this until I have my dinner but often these smaller amounts don't lift the bg significantly and 30mins later I'm still heading low (<4).
I'd really welcome some insight from T1s on the three points above. I'm hoping a couple of small adjustments / awareness will return my bg management to a more normal curve, because at the moment I'm a bit all over the place and the morning highs are driving me insane!
Happy to answer any questions if I've not explained anything properly. Thanks in advance.
Quick acting insulin? I get the sense that the novorapid operates over a 3-4 hour period? I find that in the evenings I have had my meal, tried to closely match the insulin intake vs the carbs but I am still somewhat low when I go to sleep 3-4 hours later.
Dawn phenomenon? I've never felt I've had this before now but on the new regime I consistently wake with a 10+ glucose. Is this occurring to the type of food (fat / protein etc) I'm consuming around dinner (I'm no expert on this element of diabetes management). Is there a solution? I was wondering if I could switch to taking my long term dose in the evening, so it is still working overnight - i get the sense it is running out of steam in the early hours or is that a red herring?
Evening? During the day (10am-3pm) I don't tend to consume that many carbs. Previously I would eat a low carb (<10gr) salad occasionally at lunch time but can happily go through the day on coffee and the occasional piece of chocolate if I've cycled hard, am stressed or had a smaller breakfast etc. I have been experimenting a little with the new regime and eating the occasional croissant or having some carbs at lunch and taking a dose of novorapid to match that. I find that most evenings (4-6pm) I am going low which is unnerving as previously (under 30 / 70) my bg would be starting to climb as the insulin wore off. I have been eating small amounts of carbs to counter this until I have my dinner but often these smaller amounts don't lift the bg significantly and 30mins later I'm still heading low (<4).
I'd really welcome some insight from T1s on the three points above. I'm hoping a couple of small adjustments / awareness will return my bg management to a more normal curve, because at the moment I'm a bit all over the place and the morning highs are driving me insane!
Happy to answer any questions if I've not explained anything properly. Thanks in advance.