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<blockquote data-quote="kewgirl" data-source="post: 128393" data-attributes="member: 20951"><p>Hi Richie</p><p></p><p>Welcome to the forum.</p><p></p><p>There are a several issues to consider.</p><p></p><p>The <strong>dawn phenomenon (DP)</strong> which jopar mentioned in her post is the body’s response to hormones released in the early morning hours and is one of the curses <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" /> of being a Type 1 diabetic – research suggests that 75% of Type 1 diabetics suffer from it & it’s a real pain in the butt :roll: – you get really good blood glucose levels the rest of the day but the waking blood glucose level is a night mare. </p><p></p><p>There are differing recommendations on how to deal with the dawn phenomenon and it’s generally a case of trying something then evaluating whether it works for you or not.</p><p></p><p>What time do you take your Insuman as sometimes the time its injected can have a bearing on morning blood glucose levels.</p><p></p><p>Your bedtime blood glucose level can affect DP – I know DAPHNE recommend bedtime blood glucose of 6.5-8.5mmols but this is a very individual thing. If your DP is very strong then it is possible to have a bedtime BG of lower and remain safe that nocturnal hypo will not occur.</p><p></p><p>Exercise later in the day or evening if able.</p><p></p><p>Bedtime snack – limit carbohydrates & try a more protein/fat type of snack (nuts, peanut butter, cheese, or meat) can help.</p><p></p><p>The other vital thing to remember is if you suffer from the dawn phenomenon it is vital to eat breakfast – as carbohydrate from food actually stops the continual rise in blood glucose levels. Without breakfast it is common for blood glucose to continue rising until 11am even 12 noon. </p><p>This process is apparently left over from cave person days when our bodies needed enough glucose to go out and slay a woolly mammoth :shock: – not sure how many mammoths are roaming around ready to be slain for eating by diabetics but you never know. :lol: :lol: </p><p></p><p>John Walsh’s Using Insulin recommends increasing your basal insulin by one unit every three or four days until either your morning readings come down or you begin to have night lows. </p><p></p><p>Another option but it does involve another injection is using a few units of Bovine (Beef) Lente at bedtime unfortunately it’s the only Lente insulin left/available in the UK.</p><p>I take Porcine Isophane at 10pm and then before bed a few units of Bovine Lente and its helped curb my very pronounced DP – a big thank you to John Walsh’s Using Insulin Book for recommending this cos my diabetes consultant had not a clue!! :roll: </p><p></p><p>As janabelle has posted Insuman insulin may not be the best choice of insulin particularly if you suffer a pronounced DP. </p><p>There is the alternative basal analogue insulin to Lantus and that is Levemir (Insulin Detemir) – again works well for some users and not others. </p><p></p><p>Unfortunately it will be a case of trying a variety of insulin’s be it animal, and/or human synthetic and/or analogue insulin until you get the right combination – its not an exact science – sorry. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" /> </p><p></p><p>But the most important thing is that you should not be feeling unwell on insulin – insulin must provide you with a quality of life as well as optimising blood glucose levels.</p><p></p><p>Hope you get things sorted. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /> </p><p></p><p>Best wishes</p><p></p><p>Txx</p></blockquote><p></p>
[QUOTE="kewgirl, post: 128393, member: 20951"] Hi Richie Welcome to the forum. There are a several issues to consider. The [b]dawn phenomenon (DP)[/b] which jopar mentioned in her post is the body’s response to hormones released in the early morning hours and is one of the curses :( of being a Type 1 diabetic – research suggests that 75% of Type 1 diabetics suffer from it & it’s a real pain in the butt :roll: – you get really good blood glucose levels the rest of the day but the waking blood glucose level is a night mare. There are differing recommendations on how to deal with the dawn phenomenon and it’s generally a case of trying something then evaluating whether it works for you or not. What time do you take your Insuman as sometimes the time its injected can have a bearing on morning blood glucose levels. Your bedtime blood glucose level can affect DP – I know DAPHNE recommend bedtime blood glucose of 6.5-8.5mmols but this is a very individual thing. If your DP is very strong then it is possible to have a bedtime BG of lower and remain safe that nocturnal hypo will not occur. Exercise later in the day or evening if able. Bedtime snack – limit carbohydrates & try a more protein/fat type of snack (nuts, peanut butter, cheese, or meat) can help. The other vital thing to remember is if you suffer from the dawn phenomenon it is vital to eat breakfast – as carbohydrate from food actually stops the continual rise in blood glucose levels. Without breakfast it is common for blood glucose to continue rising until 11am even 12 noon. This process is apparently left over from cave person days when our bodies needed enough glucose to go out and slay a woolly mammoth :shock: – not sure how many mammoths are roaming around ready to be slain for eating by diabetics but you never know. :lol: :lol: John Walsh’s Using Insulin recommends increasing your basal insulin by one unit every three or four days until either your morning readings come down or you begin to have night lows. Another option but it does involve another injection is using a few units of Bovine (Beef) Lente at bedtime unfortunately it’s the only Lente insulin left/available in the UK. I take Porcine Isophane at 10pm and then before bed a few units of Bovine Lente and its helped curb my very pronounced DP – a big thank you to John Walsh’s Using Insulin Book for recommending this cos my diabetes consultant had not a clue!! :roll: As janabelle has posted Insuman insulin may not be the best choice of insulin particularly if you suffer a pronounced DP. There is the alternative basal analogue insulin to Lantus and that is Levemir (Insulin Detemir) – again works well for some users and not others. Unfortunately it will be a case of trying a variety of insulin’s be it animal, and/or human synthetic and/or analogue insulin until you get the right combination – its not an exact science – sorry. :( But the most important thing is that you should not be feeling unwell on insulin – insulin must provide you with a quality of life as well as optimising blood glucose levels. Hope you get things sorted. :D Best wishes Txx [/QUOTE]
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