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Dawn Phen: High glucose overnight & mornings

LionChild

LionChild

Well-Known Member
Messages
313
Location
Birmingham UK
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
whisky
My blood glucose levels are now (for me anyway) quite a bit higher than when I was first diagnosed in 2019. The BG very often creeps right up to 10 or over through the night, and in the mornings can often take a long time to bring down. I take 3 levemir and 1 novorapid on waking up, and then often take another novorapid about an hour later. Otherwise the level stays high till late morning. What is going on! BG is more difficult to manage these days. I do get insomnia pretty badly so that sometimes I do not sleep at all. I am thinking it is probably cortisol/adrenaline competing with the insulin?
 
you could speak to your dsn/endo about dosages, overtime your insulin needs can change and you can become a little more insulin resistant as you sensitivity decreases. I'm not too sure why you would inject 3 times in the space of an hour in the morning? one for basal and one for bolus is plently for the morning. careful of insulin stacking effect. personally would inject the basal as normal instead of doing a correctional dose in a seperate injection would wait until your about to eat then work out the correctional dose and add to your normal breakfast dose for whatever carbs your consuming.

you could look into if your injecting enough basal and/or check if there maybe better timing, various insulins have different active time alongside peak active time.
 
LionChild said:
I take 3 levemir and 1 novorapid on waking up
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Do you do a split dose of Levemir, so morning and night, or only in the mornings?
Levemir tends to wear off in a little less than 24 hours, so with once a day dosing it's very common to see a rise in the last hours before the next dose is due.
LionChild said:
1 novorapid on waking up, and then often take another novorapid about an hour later. Otherwise the level stays high till late morning.
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If you consistently need 2 units of novorapid, maybe it would help to take it right away?
 
Antje77 said:
Do you do a split dose of Levemir, so morning and night, or only in the mornings?
Levemir tends to wear off in a little less than 24 hours, so with once a day dosing it's very common to see a rise in the last hours before the next dose is due.

If you consistently need 2 units of novorapid, maybe it would help to take it right away?
Click to expand...
I do split the dose of levemir, but I do not usually inject till around 10 pm. However, often I have noticed by 4 am, it is starting to rise....
 
grantg said:
you could speak to your dsn/endo about dosages, overtime your insulin needs can change and you can become a little more insulin resistant as you sensitivity decreases. I'm not too sure why you would inject 3 times in the space of an hour in the morning? one for basal and one for bolus is plently for the morning. careful of insulin stacking effect. personally would inject the basal as normal instead of doing a correctional dose in a seperate injection would wait until your about to eat then work out the correctional dose and add to your normal breakfast dose for whatever carbs your consuming.

you could look into if your injecting enough basal and/or check if there maybe better timing, various insulins have different active time alongside peak active time.
Click to expand...
I don't usually have breakfast and the extra 1 unit of Novo is usually to deal with a cup of coffee -only.
 
LionChild said:
I don't usually have breakfast and the extra 1 unit of Novo is usually to deal with a cup of coffee -only.
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guessing some milk in your coffee due to the lactose in it. that is still breaking fast. same as some people just eat fats and protein on low carb diet for breakfast. surely those could be done together. unless your choosing doing for another reason trying insulin stacking to bring down morning raise quicker than it otherwise would?
 
grantg said:
guessing some milk in your coffee due to the lactose in it. that is still breaking fast. same as some people just eat fats and protein on low carb diet for breakfast. surely those could be done together. unless your choosing doing for another reason trying insulin stacking to bring down morning raise quicker than it otherwise would?
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No, I just like a cup of coffee in the morning. It is my 'fix'!
 
grantg said:
is your coffee just black or added some sugar in other ways?
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semi skimmed milk and either Sweetex or Xylitol. But bg rises often from the middle of the night, quite steeply, after injecting 4 units Levemir at around 10. When I eventually put my head down to sleep (at around 1 am), it is often around 7.

Then at some point around 3,4,5,6 am, it shoots up to 10mmol/L, and knocks my socks off.
 
ok so are injecting for the carbs in the coffee. see @Antje77's post #3
worth speaking to dsn / endo as some hours maybe uncovered which maybe causing the rise.
 
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