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<blockquote data-quote="EllieM" data-source="post: 2038709" data-attributes="member: 372717"><p>I'm guessing that your brown bread sandwich is 30-40g, a banana is 15g-30g (depends on size). So it's a fair amount of carb. </p><p></p><p>If you're going hypo 5 hours after the meal it suggests to me that maybe you're not taking enough bolus insulin and are taking too much basal. (I assume you are taking a long acting/basal insulin of some kind?). You really need to take a food/blood sugar/insulin diary to your diabetic team so that they can check you're on the right basal rate and calculate your insulin/carb ratio. And while they are about it, they can give you a correction dose ratio.</p><p></p><p>Plus if you're going high after you've got up but before you eat there's an additional factor called the dawn phenomenon. Basically, your liver dumps sugar first thing in the morning so that you can be all bright and bushy tailed and go out and chase a mammoth (or whatever active thing you might need to do first thing). It's fine for a non-diabetic, who just dumps out insulin in response, but some diabetics have horrendous problems with early morning sugars as a result.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2038709, member: 372717"] I'm guessing that your brown bread sandwich is 30-40g, a banana is 15g-30g (depends on size). So it's a fair amount of carb. If you're going hypo 5 hours after the meal it suggests to me that maybe you're not taking enough bolus insulin and are taking too much basal. (I assume you are taking a long acting/basal insulin of some kind?). You really need to take a food/blood sugar/insulin diary to your diabetic team so that they can check you're on the right basal rate and calculate your insulin/carb ratio. And while they are about it, they can give you a correction dose ratio. Plus if you're going high after you've got up but before you eat there's an additional factor called the dawn phenomenon. Basically, your liver dumps sugar first thing in the morning so that you can be all bright and bushy tailed and go out and chase a mammoth (or whatever active thing you might need to do first thing). It's fine for a non-diabetic, who just dumps out insulin in response, but some diabetics have horrendous problems with early morning sugars as a result. [/QUOTE]
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