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Diabetes Discussion
Type 1 Diabetes
Basal Dose Woes
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<blockquote data-quote="scotteric" data-source="post: 1621197" data-attributes="member: 453103"><p>You are probably experiencing dawn phenomenon, meaning that your liver starts releasing glucose (its glycogen stores) in the middle of the night. You can try compensating for this by increasing your Levemir dose or taking it at a time when its peak matches your overnight rise in blood sugar (easier to figure out if you have a CGM), or by using an insulin pump where you can increase the basal rate at a certain hour. To make matters worse, the minute you wake up in the morning your liver starts releasing more glucose. I always have to take a unit of NovoRapid the minute I wake up or within half an hour I will rise anywhere from 2-5 mmol! Once you are above 10 mmol/L it takes much more insulin to bring you down than your normal correction ratio, so you are facing an uphill battle waking up over 11.</p></blockquote><p></p>
[QUOTE="scotteric, post: 1621197, member: 453103"] You are probably experiencing dawn phenomenon, meaning that your liver starts releasing glucose (its glycogen stores) in the middle of the night. You can try compensating for this by increasing your Levemir dose or taking it at a time when its peak matches your overnight rise in blood sugar (easier to figure out if you have a CGM), or by using an insulin pump where you can increase the basal rate at a certain hour. To make matters worse, the minute you wake up in the morning your liver starts releasing more glucose. I always have to take a unit of NovoRapid the minute I wake up or within half an hour I will rise anywhere from 2-5 mmol! Once you are above 10 mmol/L it takes much more insulin to bring you down than your normal correction ratio, so you are facing an uphill battle waking up over 11. [/QUOTE]
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