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Breakfast ratio to counteract dawn phenomenon
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<blockquote data-quote="NicoleC1971" data-source="post: 1908022" data-attributes="member: 365308"><p>I think we are confusing a correction dose to get you back into range versus a carb:insulin ratio to be taken once you've corrected. The risk of doing both things simultaneously is that you end up stacking doses together so get advice but if self experimenting be cautious because your dose will still be working at 3-4 hours after your meal.</p><p>DP happens when our bodies need to a surge of energy from the liver to get you up and out bringing home the bacon (so the stress of the alarm clock could be activating that physiological process).</p><p>Pumps are really useful for correcting this and for having different basal rates for different times of the month and different carb/insulin ratios for specific circumstances (stress, pmt, exercise, illness). </p><p>They also 'know' how much insulin is already in your system because of your dose history and use that to calculate the bolus.</p><p>The only injection option I can think of to counteract DP with a basal/bolus regime would be splitting a basal dose and giving more of it in the evening but your DSN should be the expert on tweaking with that and also the person to ask about getting a pump.</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 1908022, member: 365308"] I think we are confusing a correction dose to get you back into range versus a carb:insulin ratio to be taken once you've corrected. The risk of doing both things simultaneously is that you end up stacking doses together so get advice but if self experimenting be cautious because your dose will still be working at 3-4 hours after your meal. DP happens when our bodies need to a surge of energy from the liver to get you up and out bringing home the bacon (so the stress of the alarm clock could be activating that physiological process). Pumps are really useful for correcting this and for having different basal rates for different times of the month and different carb/insulin ratios for specific circumstances (stress, pmt, exercise, illness). They also 'know' how much insulin is already in your system because of your dose history and use that to calculate the bolus. The only injection option I can think of to counteract DP with a basal/bolus regime would be splitting a basal dose and giving more of it in the evening but your DSN should be the expert on tweaking with that and also the person to ask about getting a pump. [/QUOTE]
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