Type 1.5 Blood sugar keeps rising after getting up in the morning

[JMoli]

Hi, I was wondering if anyone had any tips how to deal with rising blood sugars before I’ve even had breakfast. I wake to a 6 most mornings, take my Tresiba then get up to put the kettle on and make a coffee and I seem to jump up to 7 or 8 with the arrow pointing upwards on the Libre before I’ve even had the chance to have a sip or think about breakfast. I then bolus for breakfast but just keep rising until mid morning despite exercise? Any ideas? Thank you

 

[Antje77]

Happens to me every morning if I don't dose for it, it's your friendly liver dumping glucose in your bloodstream to help get you going for the day. Known as 'Foot on the floor effect'.
I figured it doesn't matter if the glucose in my blood comes from the liver or from food, I need insulin to use that glucose. So I take a dose of quick acting before getting out of bed.

While this works well for me, it doesn't mean it would also work well for you. You're fairly new to this game and from what I see in your older posts on very low doses, so a single unit could send you too low!

arrow pointing upwards on the Libre before I’ve even had the chance to have a sip or think about breakfast. I then bolus for breakfast but just keep rising

I don't know how much time between getting up and starting breakfast but what about dosing for your breakfast a bit earlier? Many of us found we needed to pre-bolus on Novorapid.

 

[JMoli]

Thanks, I was wondering about whether to bolus as soon as I wake up - I seem to need two for breakfast but less through the day. I’m a bit scared of having a hypo although not had one for a while. I’m guessing it will be trial and error? Do you mean wake up and eat straight after a bolus upon waking? I’m still trying to get the bolus timing right with all the meals, it’s all so tricky

 

[JMoli]

Happens to me every morning if I don't dose for it, it's your friendly liver dumping glucose in your bloodstream to help get you going for the day. Known as 'Foot on the floor effect'.
I figured it doesn't matter if the glucose in my blood comes from the liver or from food, I need insulin to use that glucose. So I take a dose of quick acting before getting out of bed.

While this works well for me, it doesn't mean it would also work well for you. You're fairly new to this game and from what I see in your older posts on very low doses, so a single unit could send you too low!

I don't know how much time between getting up and starting breakfast but what about dosing for your breakfast a bit earlier? Many of us found we needed to pre-bolus on Novorapid.

Hi, sorry just replied to myself and not you! Thanks, so I could maybe bolus when I wake up and eat (still experimenting with bolus timings) or bolus then wait and bolus again when I’m ready to eat? Is it a case of experimenting a bit more then to see how I go? Currently taking two units for breakfast. Thanks

 

[Antje77]

Hi, sorry just replied to myself and not you!

Nothing wrong with talking to yourself, it can make for very good conversation

I’m guessing it will be trial and error? Do you mean wake up and eat straight after a bolus upon waking?

This will be trial and error, I can only tell you what I do, not advise you on what you should do.
I need large amounts of insulin, especially in the morning so not the same situation at all. I'm not into this whole breakfast thing, it's coffee and a cigarette for me and breakfast in the early afternoon. But the few times I do have breakfast I bolus upon waking for the foot on the floor effect and bolus again when I have breakfast, ignoring the insulin on board.
With only 2 units for breakfast this approach doesn't really sounds feasible. Am I right in thinking you have a Libre? If so, any experimenting will be much safer than without, as you can see when you start to drop and can use a meal to prevent a hypo instead of using sugary hypo treatments to treat a hypo that's already there, if that makes sense.