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Message: <blockquote data-quote="ActualNatural" data-source="post: 2650116" data-attributes="member: 581592">I have a very similar result each morning. There are of course many natural occurrences within the body which contribute to this, but my application of logic, based on my personal circumstances and insulin patterns are that I see one of my main reasons being:•eating frequently throughout the day (between 20-80g carbs each meal, requiring between 0.5-5 units if novorapid), means that I am dosing roughly each 3 hours with smaller doses of novorapid. Of course, when it comes to nighttime/bedtime, I am no longer getting those micro doses/multi layered doses of insulin, and so come the morning when blood start to rise in preparation for the day, I’ve been without those micro/multi layered doses for let’s say 7-8hrs. Whereas, through the day it’s every 3ish hours. •so there’s not the same level of acting insulin and also not the same level of fast acting insulin to cope. •my regime does of course have long acting (levemir) twice a day (3u morning, 5u night). If I up my nighttime levemir further, I end up having nighttime hypos and glucose spikes as my liver shunts glycogen out to combat the low. So does my control no better. What I do is take my morning dose for my planned breakfast, along with corrective units in consideration of/for the rise , allowing it to take action and then eat. As if I eat immediately upon waking , even with the same doses, my bloods would rise further and stay elevated rather than come down and remain levelled. What does have a positive impact on this for me is the amount of carbohydrates I consume in my last two servings of food, usually around 8pm and 11pm. The higher the carbs, the more exaggerated the “dawning effect” for me personally. And even more influential is if my bodyweight is slightly lower, I’m slightly leaner, with a combination of resistance and cardiovascular exercise, the control is much much better. This really is the best means, besides all of the other benefits it carrys. *been type 1 diabetic 20 years, last HbA1C was 34.</blockquote>

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