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<blockquote data-quote="lilibet" data-source="post: 65428" data-attributes="member: 11459"><p>Hi Naomie</p><p></p><p>Couple of things to try</p><p></p><p>-increase your Levemir again cause your basal might be the problem and if thats not right then the novo might have less effect. Skipping a meal on consecutive days will tell you what your basal is doing (ie skip brekkie one day, then lunch on another etc)</p><p></p><p>-is your Novo ratio ok for what you are eating (ie do you dose adjust for your food)?</p><p></p><p>-High morning readings are a HUGE pain in the backside. Are you familiar with Dawn Phenomenon? Its not at all phenomenol but it is the bain if Diabetics the world over. In essence its a rise in bg due to your bodys need to prepare for the day after a fast. It involves the liver's release of glucose stores (glycogen) and also other counter regulatory hormones such as cortisol which all serve to give high bg despite good bedtime readings. Some people eat protein based snacks before bed to try and 'trick' their body into thinking they are not fasting (ie cheese, ham)</p><p></p><p>You made reference to low carb diet. Cutting carbs will keep your insulin requirements lower, avoid spikes in bg and make the margin for error in shooting the Novo better. I am on premixed insulin and with honeymoon and low carb my 2nd A1c was 5.1. Have a skoot about the forum - hundreds to read on low carb. Most people start with the obvious such as pasta, rice, mashed and other potatoes.</p><p></p><p>We are all different though so you might manage some carbs, though basic science suggests NOT for diabetics, irrespective of insulin.</p><p></p><p>Thats just my tuppence worth, hope it helps a bit</p><p></p><p>l</p></blockquote><p></p>
[QUOTE="lilibet, post: 65428, member: 11459"] Hi Naomie Couple of things to try -increase your Levemir again cause your basal might be the problem and if thats not right then the novo might have less effect. Skipping a meal on consecutive days will tell you what your basal is doing (ie skip brekkie one day, then lunch on another etc) -is your Novo ratio ok for what you are eating (ie do you dose adjust for your food)? -High morning readings are a HUGE pain in the backside. Are you familiar with Dawn Phenomenon? Its not at all phenomenol but it is the bain if Diabetics the world over. In essence its a rise in bg due to your bodys need to prepare for the day after a fast. It involves the liver's release of glucose stores (glycogen) and also other counter regulatory hormones such as cortisol which all serve to give high bg despite good bedtime readings. Some people eat protein based snacks before bed to try and 'trick' their body into thinking they are not fasting (ie cheese, ham) You made reference to low carb diet. Cutting carbs will keep your insulin requirements lower, avoid spikes in bg and make the margin for error in shooting the Novo better. I am on premixed insulin and with honeymoon and low carb my 2nd A1c was 5.1. Have a skoot about the forum - hundreds to read on low carb. Most people start with the obvious such as pasta, rice, mashed and other potatoes. We are all different though so you might manage some carbs, though basic science suggests NOT for diabetics, irrespective of insulin. Thats just my tuppence worth, hope it helps a bit l [/QUOTE]
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