early morning high BG level

j_madan · Mar 22, 2019

hi all
I am new to this forum, type 1 taking Novarapid and lentus since nov.2015.
I got hb1ac 60 test done recently,most of the things are organised but still struggling to control early morning high BG level.
I do my dinner about 9pm and when I go for sleep about 11-12 the BG level is 7-8 but about 5-6 o'clock the level jumps to 16-17,
any suggestions/experience how to manage ,please.
thanks in advance.

bulkbiker · Mar 24, 2019

Might be worth you adding another thread to the Type 1 forum to get more responses? Just a thought.
@Jaylee maybe you could move?

Jaylee · Mar 24, 2019

Hi @j_madan ,

What are your levels like for the rest of the day?
My first thought is that your bolus for the evening meal is doing all the work whilst still on board. & that the Lantus dosage needs a tweak, thus a higher liver dump come morning reading somewhere in the teens?
Here is a link on basal testing. https://mysugr.com/basal-rate-testing/

Of course not all metabolisms are the same. My liver dumps tend to happen during the morning routine & only jump 2Mmol at most? I also tend not to do breakfast..

I can (or any other member of the team.) move your thread enquiry to the T1 section for you, if you wish..?

endocrinegremlin · Mar 25, 2019

No idea what to advise as your bedtime is before your bolus insulin runs out. It could be you need more basal, it could be your ratio at dinner is wrong, or you could be going hypo at some point due to either of your insulins and rebounding without knowing it.

Maybe carb free dinner one night to see what your level does before bed? Then compare your morning reading. Other than that, it might be the dreaded, 12am, 3am, 6am tests to get an idea of what is going on. It is advised not to change overnight anything without knowing those numbers.

endocrinegremlin · Mar 25, 2019

findthespot2 said:
Agree re tweaking basal by a bit (upwards). Odd that (as appears to be the case) you 'consistently' get a BSL of approx 16 early in the morning. My partner is type 1 and despite eating similar foods the evening before and having the same insulin regime her levels on a morning can vary in the range of say 4-14 ! We presume that's down to one's metabolism varying from day to day an even by hour to hour.

Also might be 'dawn phenomenon' ?

If mine kicks in I won't wake up below 10. If it doesn't, I will be around 4.

Might be worth investigating if your partner has not done so already.

early morning high BG level

j_madan

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early morning high BG level

j_madan

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