Treasure_Ireland
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sugarless sue said:Welcome to the forum,Treasure Ireland.Do you eat breakfast in the morning?
jopar said:Welcome to the list
You say that this happens daily... This would suggest to me that you are suffering the Dawn phenomenon, your liver increasing it's delivery of glucose into your blood, which isn't then beening covered by your lantus background insulin.I suspect at the moment that you are taking your lantus at night for a 24 period..
You could try to increase your lantus to normal DAFNE suggest 2 units at a time, then wait a couple of days to see the effect.. But I suspect that you would achieve the morning control, but if it is the DP causing the raise it is likely by the afternoon you would be swimming in bakground insulin and then start getting hypos..
The other way if you really feel that it is DP causing this morning raise is to spit your lantus into 2 injections, so that you an have a slightly larger spilt at night time that will cover the morning then have the rest to in a morning jab to cover the afteroon... Then you can adjust the evening jab as necessary to get the control in the morning, with out effecting the afternoon...
If splitting your lantus doesn't work, then perhaps try levimer as this has a slightly different profile to it action a much longer and slower tail off than lantus and quite often gives better results to splitting...
Another thing you could actually try with caution though, is even though you haven't had breakfast is to actually still have a small jab of quick acting insulin to control your levels, but with doing this and not eating I would reccomend that you start with a dose that you know should cover 10g of carbs, and test regularly on your journey to work to ensure that you'll not in danger of havaing a hypo...
phoenix said:If you are Ok at weekends perhaps you have to look at what you do differently. Presumably at weekends you get up in a more leisurely manner.
My two pennoth' is perhaps its because when you get up and push your body into action , for what sounds like a hectic journey to work, it replies by supplying some(too much)glucose.Your lantus which kept your levels down overnight (though BG isn't that low first thing) isn't enough to be able to cope with this increased input.
Jopar suggests a small dose of rapid, I think that could work but I think it might be better to have a small amount to eat with that injection. If you have some glucose from food, perhaps the liver would be less likely to dump glucose.
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