Confused Diabetic!

[chl0ejasmine]

My blood sugar before bed was 17.7 so I corrected with my novorapid and gave my lantus. I've woke up and it's now 16.4? Can anyone explain this to me?

 

[CarbsRok]

As you were so high did you add any more to your correction dose?
Also what did you eat for your evening meal? This can impact on why your blood sugar didn't come down.

 

[lcarter]

This happens to me constantly. I think the nova rapid does bring me down as when I check my sugars at 3am they are usually lower depending on how much I corrected by. But then I suffer with the dawn phenomenon and my levels creep back up. My consultant told me the only way round it for me is to take nova rapid upon waking or waking up early to correct pre the dawn phenomenon. I try to correct four hours prior to bed and have started to have my tea earlier in the day. This seems to help bring them down. At first I wondered about hypos in the night but I tested them every hour and it didn't happen. Hope this helps! X

 

[Markj101]

Hi
I have this problem every morning, i'Ve been type 1 for 5 years now and my doctor didn't now why this happens to me.
But I did see a thread on here that said it was your body having a super dump in the early hours between 2& 6 am.
One of the reasons I joined today was to find out more.
Hope this helps

 

[chl0ejasmine]

As you were so high did you add any more to your correction dose?
Also what did you eat for your evening meal? This can impact on why your blood sugar didn't come down.

I have a meter which tells me how much to correct by so I obliged by that. I have a tricky evening meal, I went to a BBQ and she said food would come at 5:30pm so I injected for then and the food wasn't actually served until 8:30pm..I ate some meat and some sweet potato so I'm not sure if that whole scenario made it like this?

This happens to me constantly. I think the nova rapid does bring me down as when I check my sugars at 3am they are usually lower depending on how much I corrected by. But then I suffer with the dawn phenomenon and my levels creep back up. My consultant told me the only way round it for me is to take nova rapid upon waking or waking up early to correct pre the dawn phenomenon. I try to correct four hours prior to bed and have started to have my tea earlier in the day. This seems to help bring them down. At first I wondered about hypos in the night but I tested them every hour and it didn't happen. Hope this helps! X

That must be such a pain! Ive never experienced this before but maybe this was a first!

 

[CarbsRok]

I have a meter which tells me how much to correct by so I obliged by that. I have a tricky evening meal, I went to a BBQ and she said food would come at 5:30pm so I injected for then and the food wasn't actually served until 8:30pm..I ate some meat and some sweet potato so I'm not sure if that whole scenario made it like this?

Is your meter set to advise an extra % for being over 14? Insulin resistance kicks in the higher your blood sugars so that more insulin is needed.
Hi fat and high protein tend to also cause higher blood sugars 4 or 6 hours after eating and I have always found more insulin is required to deal with it. Obviously we are all different though

 

[ConradJ]

This happens to me constantly. I think the nova rapid does bring me down as when I check my sugars at 3am they are usually lower depending on how much I corrected by. But then I suffer with the dawn phenomenon and my levels creep back up. My consultant told me the only way round it for me is to take nova rapid upon waking or waking up early to correct pre the dawn phenomenon. I try to correct four hours prior to bed and have started to have my tea earlier in the day. This seems to help bring them down. At first I wondered about hypos in the night but I tested them every hour and it didn't happen. Hope this helps! X

Your consultant sounds like a lackadaisical jobsworths; there are several options for treating dawn phenomenon, including trying alternative basal insulins (eg tresiba and Levemir), dietary habits or an insulin pump.

There are many established posters on this forum who've been through the same issues and experiences and who have 'overcome' the problem. I've noted their names as they can offer you the benefit of their tribulations...

@Spiker @noblehead @donnelleysdogs @Heathenlass @Scandichic @robert72

 

[ConradJ]

Hi
I have this problem every morning, i'Ve been type 1 for 5 years now and my doctor didn't now why this happens to me.
But I did see a thread on here that said it was your body having a super dump in the early hours between 2& 6 am.
One of the reasons I joined today was to find out more.
Hope this helps

Jeez, this is worrying. Your consultant needs to read Dr Berstein's Diabetes Solution and learn something about diabetes! This is not uncommon - indeed, I think it uncommon for it NOT to happen with anyone, not just we type 1s & 2s etc.

In the meantime, search the website from the homepage for dawn phenomenon as that will help you understand the issue that's going on with your body.

 

[lcarter]

I have swapped my basal a few times and am now on levemeir.

 

[ConradJ]

I have swapped my basal a few times and am now on levemeir.

Are you on a single dose or split doses?

 

[lcarter]

Your consultant sounds like a lackadaisical jobsworths; there are several options for treating dawn phenomenon, including trying alternative basal insulins (eg tresiba and Levemir), dietary habits or an insulin pump.

There are many established posters on this forum who've been through the same issues and experiences and who have 'overcome' the problem. I've noted their names as they can offer you the benefit of their tribulations...

@Spiker @noblehead @donnelleysdogs @Heathenlass @Scandichic @robert72

Hey,

My consultant is actually pretty good. I think he meant as a short term solution as he has since recommended a continual glucose monitor (they tried it and I lasted a day- they put it in my tummy wrong so it caused immense pain!!) and I'm now back on the waiting list to try one again. He has mentioned the pump to me too. But apparently I have to try and fix the problem manually first. I have bored people to tears on here talking about my odd levels. Thanks though!

 

[lcarter]

Are you on a single dose or split doses?

I was on split doses but it was causing massive hypos between 11-5pm. I now take it at night in one go.

 

[ConradJ]

I was on split doses but it was causing massive hypos between 11-5pm. I now take it at night in one go.

That sounds like your daytime ratios are wrong, not that you were splitting the total daily dose.

 

[ConradJ]

Hey,

My consultant is actually pretty good. I think he meant as a short term solution as he has since recommended a continual glucose monitor (they tried it and I lasted a day- they put it in my tummy wrong so it caused immense pain!!) and I'm now back on the waiting list to try one again. He has mentioned the pump to me too. But apparently I have to try and fix the problem manually first. I have bored people to tears on here talking about my odd levels. Thanks though!

I doubt anyone on here will ever be bored by others talking about their "odd levels".

 

[chl0ejasmine]

Update: I went to bed with levels of 12.9 and so corrected and have woke up 9.3 which I know isn't too bad but is this showing my lantus is wrong or something?

 

[sp41700]

Hi chloe. I notice that is the second high reading before bed. Is that normal for you?

Presuming your bg was normal before your evening meal bolus I would check your carb counting for your evening meal and your evening meal bolus ratio.

p.s its good to see it is coming down but if we can stop it going so high in the first place it would be better

 

[ConradJ]

Update: I went to bed with levels of 12.9 and so corrected and have woke up 9.3 which I know isn't too bad but is this showing my lantus is wrong or something?

Well, that's impossible to answer without the full facts:
1) what time did you go to bed?
2) what time did you take your Levemir, and how many units?
3) what did you do in the five hours up to that time? (Eg TV, read, exercise, etc.)
4) what time did you eat your evening meal?
5) what did you eat (and how much carbs, protein and fat)?
6) how long before/after eating did you bolus?
7) did you split dose your Novorapid?

8.) where did you inject your Levemir, and is that a usual site for it?
9) what was your 2-hour postprandial (after meal) bg result?
10) how much did you correct your 12.9 with, and did you include extra as per @CarbsRok or dose according to your meters advice?
11) any other factors that may influence insulin requirements, such as stress, illness, change from usual habits?

 

[chl0ejasmine]

Well, that's impossible to answer without the full facts:
1) what time did you go to bed?
I went to bed at 10 and fell asleep at 11
2) what time did you take your Levemir, and how many units?
9:35pm and 8u
3) what did you do in the five hours up to that time? (Eg TV, read, exercise, etc.)
Laze around
4) what time did you eat your evening meal?
5:30pm
5) what did you eat (and how much carbs, protein and fat)?
I had roast beef with gravy, courgettes, a Yorkshire pudding, broccoli and cauliflower and green beans (large portions of veg)
6) how long before/after eating did you bolus?
Only about 5 minutes before
7) did you split dose your Novorapid?
No

8.) where did you inject your Levemir, and is that a usual site for it?
My thigh - I rotate between bum and thighs
9) what was your 2-hour postprandial (after meal) bg result?
Didn't check!
10) how much did you correct your 12.9 with, and did you include extra as per @CarbsRok or dose according to your meters advice?
I took 3u of correction
11) any other factors that may influence insulin requirements, such as stress, illness, change from usual habits?[/
I have a sore throat at the moment and have been stressed QUOTE]

 

[chl0ejasmine]

Hi chloe. I notice that is the second high reading before bed. Is that normal for you?

Presuming your bg was normal before your evening meal bolus I would check your carb counting for your evening meal and your evening meal bolus ratio.

p.s its good to see it is coming down but if we can stop it going so high in the first place it would be better

No it's come about this week I've been higher my H1AC in May was perfect so it's odd for me to have bad levels, I'm not sure why it's happening recently.

 

[ConradJ]

No it's come about this week I've been higher my H1AC in May was perfect so it's odd for me to have bad levels, I'm not sure why it's happening recently.

Ok Chloe,
This sounds like a blip caused by illness and stress, but possibly also a bit of miscalculated mealtime bolusing. (Did you count the carbs in the veg or the potential for a secondary rise caused by the protein?)

If you are running higher throughout the day then you should consider raising your basal - as you're on quite a low dose, something like an extra 1 or 2 units should cover things until the issues abate. If it's just the postprandial or bedtime levels that are higher then it's possible that your evening bolus needs changing.

I hope that helps you.