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Type 1 Diabetes
Lunchtime High BG readings! What should I do?
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<blockquote data-quote="Kevlar87" data-source="post: 1567428" data-attributes="member: 217275"><p>Hi guys,</p><p>I haven't posted regularly on here for a while but I went to a DAFNE course about 6 weeks back and it has really changed my attitude and made me more proactive in controlling my diabetes!</p><p></p><p>I am on Novorapid and Levemir. My novorapid ratios are pretty steady for when I eat lunch and dinner. Lunchtime ratio 2.5:1. Dinner ratio 2.5:1. I never eat breakfast. </p><p></p><p>My Levemir : I take two doses per day each 17 units. 1 dose at 8.30am and 1 dose between 10-11pm.</p><p></p><p><strong>Here is my question</strong> - I inject my Levemir right before I go to bed so the latest time it gets is 11.30 pm. I will wake up with a great BG reading usually between 4 - 5.5 mmol/l. However, no matter what happens - my BG will drift higher and higher until lunchtime (around 12.30-1pm) and my BG will usually be around 12/13 mmol/l.</p><p>I never have breakfast and so this is a carb-free morning until lunch (I will only have a carb-free protein drink or a carb-free energy drink). I have tried increasing my bedtime levemir however if I increase it too much, I will wake up with a hypo, but then once I treat for my hypo, my BG will still continue to drift high towards midday.</p><p>It has got to the point now where I need to inject novorapid to keep my BG from rising too much, even though I do not eat anything. My morning novorapid ratio is 3 units/10 g carbs. However on occasions even when injecting so much as 8 units of insulin, on an empty stomach, my BG will still be around the 11/12 mark at lunchtime.</p><p></p><p>What would be the reason for this drift? I am really quite stuck as to what do?</p><p></p><p>Would it be the timing/overlap of my levemir doses? Would it be some continuous effect of the dawn phenomenon?</p><p></p><p>I am really stuck! Any help or advice would be so much appreciated!</p><p></p><p>Thanks guys</p></blockquote><p></p>
[QUOTE="Kevlar87, post: 1567428, member: 217275"] Hi guys, I haven't posted regularly on here for a while but I went to a DAFNE course about 6 weeks back and it has really changed my attitude and made me more proactive in controlling my diabetes! I am on Novorapid and Levemir. My novorapid ratios are pretty steady for when I eat lunch and dinner. Lunchtime ratio 2.5:1. Dinner ratio 2.5:1. I never eat breakfast. My Levemir : I take two doses per day each 17 units. 1 dose at 8.30am and 1 dose between 10-11pm. [B]Here is my question[/B] - I inject my Levemir right before I go to bed so the latest time it gets is 11.30 pm. I will wake up with a great BG reading usually between 4 - 5.5 mmol/l. However, no matter what happens - my BG will drift higher and higher until lunchtime (around 12.30-1pm) and my BG will usually be around 12/13 mmol/l. I never have breakfast and so this is a carb-free morning until lunch (I will only have a carb-free protein drink or a carb-free energy drink). I have tried increasing my bedtime levemir however if I increase it too much, I will wake up with a hypo, but then once I treat for my hypo, my BG will still continue to drift high towards midday. It has got to the point now where I need to inject novorapid to keep my BG from rising too much, even though I do not eat anything. My morning novorapid ratio is 3 units/10 g carbs. However on occasions even when injecting so much as 8 units of insulin, on an empty stomach, my BG will still be around the 11/12 mark at lunchtime. What would be the reason for this drift? I am really quite stuck as to what do? Would it be the timing/overlap of my levemir doses? Would it be some continuous effect of the dawn phenomenon? I am really stuck! Any help or advice would be so much appreciated! Thanks guys [/QUOTE]
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Lunchtime High BG readings! What should I do?
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