Hi all
I am very much new to this forum so not sure if any thread already exists on this topic. I am T2 for 13 years now and have been on the following medication since 2017.
Humulin Isophane I at breakfast and dinner
Metformin 1 gm / Alogliptin 12.5 mg One each at breakfast and dinner
Gliclazide 30 mg MR One each at breakfast and dinner
My A1C has been at a range of 5.1-5.2 since I started insulin in 2017.
recently during the lockdown period I decided to bring my overweight status down to normal.
so what I did was :
I started to have a moderately active life (working out almost everyday for about 45 mins)
Doing carb control though on a balanced 45:20:35 diet (carbrotein:fat)
(Earlier I used to have much higher carbs and sedentary lifestyle)
Having my evening meal at 7:30 instead of 9:00 and I hit the bed about 10:30
Reduced my insulin dose at BF to avoid hypos in the daytime
And invested in Abbott Freestyle Libre
as a combined result of all of these I am experiencing the following:
1) sugar level starts falling post workout which I manage by taking a fruit or a protein shake
2) regular hypos at night .. so I stopped taking night time insulin
3) higher BS at fasting than before even if I had a hypo (I found out it’s called dawn effect that’s causing the liver to dump sugar on top of somogyi effect when again the liver dumps sugar after hitting a low). So I definitely have dawn effect everyday but somogyi only if I had a hypo
4) post meal spikes going up to 12-13 even if the carb was less
5) mornings been terrible as the BS is going high even if I don’t eat
I am in a complete awe and very much disturbed. Have contacted the GP and sent them the charts with all the data but just want to be bit prepared before my diabetic appointment.
the three most severe things for me are ->
1) hypos at night
2) 7-8 fasting BS compared to 4.5-6 earlier And which continues to rise even if I don’t eat
3) post meal spikes which I cone to realise more with flash monitor
I am getting to believe that I need a rapid acting insulin for my post meal spikes and need something else to control the amount of sugar dumped by the liver every night.The intermediate insulin I take peaks at a time when I don’t need it as I am already on a lower curb these days.
Could anyone suggest anything please?
thank you all for listening.
I am very much new to this forum so not sure if any thread already exists on this topic. I am T2 for 13 years now and have been on the following medication since 2017.
Humulin Isophane I at breakfast and dinner
Metformin 1 gm / Alogliptin 12.5 mg One each at breakfast and dinner
Gliclazide 30 mg MR One each at breakfast and dinner
My A1C has been at a range of 5.1-5.2 since I started insulin in 2017.
recently during the lockdown period I decided to bring my overweight status down to normal.
so what I did was :
I started to have a moderately active life (working out almost everyday for about 45 mins)
Doing carb control though on a balanced 45:20:35 diet (carbrotein:fat)
(Earlier I used to have much higher carbs and sedentary lifestyle)
Having my evening meal at 7:30 instead of 9:00 and I hit the bed about 10:30
Reduced my insulin dose at BF to avoid hypos in the daytime
And invested in Abbott Freestyle Libre
as a combined result of all of these I am experiencing the following:
1) sugar level starts falling post workout which I manage by taking a fruit or a protein shake
2) regular hypos at night .. so I stopped taking night time insulin
3) higher BS at fasting than before even if I had a hypo (I found out it’s called dawn effect that’s causing the liver to dump sugar on top of somogyi effect when again the liver dumps sugar after hitting a low). So I definitely have dawn effect everyday but somogyi only if I had a hypo
4) post meal spikes going up to 12-13 even if the carb was less
5) mornings been terrible as the BS is going high even if I don’t eat
I am in a complete awe and very much disturbed. Have contacted the GP and sent them the charts with all the data but just want to be bit prepared before my diabetic appointment.
the three most severe things for me are ->
1) hypos at night
2) 7-8 fasting BS compared to 4.5-6 earlier And which continues to rise even if I don’t eat
3) post meal spikes which I cone to realise more with flash monitor
I am getting to believe that I need a rapid acting insulin for my post meal spikes and need something else to control the amount of sugar dumped by the liver every night.The intermediate insulin I take peaks at a time when I don’t need it as I am already on a lower curb these days.
Could anyone suggest anything please?
thank you all for listening.