• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Type 1 evening blood glucose results

C

cellanj

Member
Messages
6
hi everybody, i've been having weird tests results (well weird until lately) i'vwe only noticed it since i've had my libra 2 my blood glucose sky rockets the same time every night and i struggle to get it back to normal before tomorrow afternoon. i've not been feeling unwell and testing with my old tester says the same thing but my insulin doesn't seem to do anything.

anybody have any ideas
 
Hi @cellanj and welcome to the forums

1) how long have you been diagnosed? (Just wondering if honeymoon effect is a factor)
2) what insulins are you on and what is your insulin regime? (eg fixed dose, multiple daily injections with basal/bolus, pump?)

As a T1 on lantus (basal) and humalog (bolus), which I adjust as needed, I find the first thing to do is to get my basal dose right.... But I produce no insulin and don't have (much) insulin resistance (though I do have a bit), so my situation may be different to yours.

(edited after noticing the thread title says T1)
 
Last edited:
EllieM said:
Hi @cellanj and welcome to the forums

1) how long have you been diagnosed? (Just wondering if honeymoon effect is a factor)
2) what insulins are you on and what is your insulin regime? (eg fixed dose, multiple daily injections with basal/bolus, pump?)

As a T1 on lantus (basal) and humalog (bolus), which I adjust as needed, I find the first thing to do is to get my basal dose right.... But I produce no insulin and don't have (much) insulin resistance (though I do have a bit), so my situation may be different to yours.

(edited after noticing the thread title says T1)
Click to expand...
coming up 16 years. i use long and quick acting. basal/bolus. levermir and novorapid.
 
Heya @cellanj

Levemir is your basal insulin so supports basic BG function throughout the day and night so should be a 24 hour basal insulin, but can taper off after 20 hours, some people split their dose to ensure a full 24 hour coverage - but only under guidance from their team. might be worth going back to your team to ask about this ?

Unfortunately when levels run high it can cause insulin resistance so any quick acting corrections need to be increased, it can very often feel like injecting water on this basis, personally I find anything above 12 mmol/l and I start to rage bolus or I use gentle exercise to get levels down, an hour out walking is quite useful at times like this - we can't give guidance on your insulin doses so again ask your team about reviewing your correction doses to counter BG highs.
 
Juicyj said:
Heya @cellanj

Levemir is your basal insulin so supports basic BG function throughout the day and night so should be a 24 hour basal insulin, but can taper off after 20 hours, some people split their dose to ensure a full 24 hour coverage - but only under guidance from their team. might be worth going back to your team to ask about this ?

Unfortunately when levels run high it can cause insulin resistance so any quick acting corrections need to be increased, it can very often feel like injecting water on this basis, personally I find anything above 12 mmol/l and I start to rage bolus or I use gentle exercise to get levels down, an hour out walking is quite useful at times like this - we can't give guidance on your insulin doses so again ask your team about reviewing your correction doses to counter BG highs.
Click to expand...
i've always used the 1 injection at night but will ask them. i haven't had any keytones or anything to explainm why my glucose doesn't seem to react to my insulin. so thats confused but my DB nurse is on holiday for another week or so and can't get hold of the rest.
 
cellanj said:
i've always used the 1 injection at night but will ask them. i haven't had any keytones or anything to explainm why my glucose doesn't seem to react to my insulin. so thats confused but my DB nurse is on holiday for another week or so and can't get hold of the rest.
Click to expand...
Prior to the pump I used levemir but never felt it was giving me the coverage I needed, my DSN switched me to Tresiba and found this to be an excellent basal insulin as lasts around 36+ hours and no need to split the dose, was much more stable so no tapering also reduced night time hypos too. Insulin needs do change from time to time whether its the carb/bolus ratios or background insulins but yes have a chat to your DSN when they get back to get this sorted.
 
Juicyj said:
<snip>Unfortunately when levels run high it can cause insulin resistance so any quick acting corrections need to be increased, it can very often feel like injecting water on this basis </snip>
Click to expand...
Ah, that's interesting, I'd never heard of that effect before, thanks :)

Do you have a source for the effect (I did a quick Google but most of the immediate hits are about too much insulin generating insulin resistance, I'll keep digging) - I'm interested to see how quickly it happens, whether it varies from person to person/day to day/etc.?
 
SimonP78 said:
Ah, that's interesting, I'd never heard of that effect before, thanks :)

Do you have a source for the effect (I did a quick Google but most of the immediate hits are about too much insulin generating insulin resistance, I'll keep digging) - I'm interested to see how quickly it happens, whether it varies from person to person/day to day/etc.?
Click to expand...
Hi Simon I can't see any sources that discuss this on the web, but it's mine and other's experiences as shared on the forum here, in regards to speed and effect that's purely down to each individual but have found that I need to increase my ratio by around 1/3 to 1/2 more to counter this effect, the body becomes less able to process the insulin, so takes alot of effort to get levels down, water and exercise also help.
 
Thanks, I notice similar issues with getting my BG down if it's been high for a while, I was just curious as to whether there was any wider research available. I'll keep looking and also have a look at my data to see if I can pick out a relationship.

I also find that exercise is the best solution to make the insulin do its thing, it's just a question of what quantity is required and working out how to fit it in repeatably.
 
Am pretty certain Gary Scheiner discusses it in 'Think like a pancreas' - will check later, I have it on my bedside !!
 
Juicyj said:
Prior to the pump I used levemir but never felt it was giving me the coverage I needed, my DSN switched me to Tresiba and found this to be an excellent basal insulin as lasts around 36+ hours and no need to split the dose, was much more stable so no tapering also reduced night time hypos too. Insulin needs do change from time to time whether its the carb/bolus ratios or background insulins but yes have a chat to your DSN when they get back to get this sorted.
Click to expand...
thank you will ask. it's just been weird that it sky rockets for no reason. eating normal all day, glucose slighty high but then aims for mars lol
 
cellanj said:
levermire but it's for night time only. i use quick acting for the day.
Click to expand...
I have levemir and have 2 injections - one in the morning and one at night. The doses are quite different because my basal requirements vary during the 24 hour period. I find one dose is several times greater than the other. You may find something similar applies to you, or it may be you need to split the dose and have similar number of units at each time. A longer acting insulin might work for you but I'm fairly sure would make my control worse.

I suggest discussing with your support team the issues you are experiencing so they can devise something which works for you.
 
jonathan183 said:
I have levemir and have 2 injections - one in the morning and one at night. The doses are quite different because my basal requirements vary during the 24 hour period. I find one dose is several times greater than the other. You may find something similar applies to you, or it may be you need to split the dose and have similar number of units at each time. A longer acting insulin might work for you but I'm fairly sure would make my control worse.

I suggest discussing with your support team the issues you are experiencing so they can devise something which works for you.
Click to expand...
i've never used the double dose. the novorapid tends to take care of my daily ( i'm always snacking) so that tends to keep me in range until i started drinking coffee again and im spiking like hell
 
Back
Top