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EVENING not dawn phenomenon AKA am a T1 freak?

Discussion in 'Type 1 Diabetes' started by Jessitalia, Nov 6, 2019.

  1. Jessitalia

    Jessitalia Type 1 · Active Member

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    Hi again knowledgeable people,

    We've just relocated to Asia and I'm job hunting so I've a lot of time to play with my Diabetes. I've been taking a break from the Libre due to sweating it off so today I've used my morning to input my BGs into the One Drop/ Apple Health app. I sort of did it because I think my Basal and I:C ratios need tweaking and I'm without a doctor, plus I've been Diabetic for 29 years. Between my experiences and the internet I feel I can grasp stuff (hollow laughter) . I wanted to see if there were trends that required Basal tweaking before I played with ratios.

    The trend I see is that in the mornings till after lunch my BG is fairly perfect (for me). Then about 2-3 hours after injecting and eating lunch my sugars rise and stay like that till I test for dinner. They then come down and stay stable over night.

    The dietitian I saw before I left wanted me to have a higher I:C carb ratio in the morning, then lower the ratios during the day but my husband and I were like "NO!", already sensing the post breakfast hypos. I'm glad I trusted my instincts.

    I try to eat quite low carb (a challenge here!) but find I hypo if I go carb free. That's why I was interested in tweaking my basal (Tresiba in the morning after morning test/ before breakfast). Someone online aid you should be able to go 24 hours without eating if your basal is correct?! But she's a pumper and I'm a lowly MDIer.

    So with that, 2 questions:
    Should I lower my basal a bit (if I'm going to sleep and waking up with great BG...)
    As my bloods are stable 8am-4pm is this an issue with my lunch time carb ratio?
     
  2. Diakat

    Diakat Type 1 · Moderator
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    I think the first step is a basal test rather than just reduce the basal blindly.
     
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  3. Jessitalia

    Jessitalia Type 1 · Active Member

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    Aw no!! Trying to avoid that! Maybe I'll wait till I can get some skintac and use my Libre again.
     
  4. slip

    slip Type 1 · Well-Known Member

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    My initial reaction was that your lunch time ratio is out. however I'm with diakat on this - only a basal test will really help.

    Even more so because of this comment:
     
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  5. porl69

    porl69 Type 1 · Well-Known Member

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    I would agree with Diakat on this one. Get your basal correct first and then make adjustments to your bolus and or ratios
     
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