Feeling so ill in the mornings

if i were you id make an appointment with the doctor sorry i cant help anymore but im type 2 and have no experience of insulin use although I am low carb and when I first started this diet i felt sick for the first few weeks

Hi Smitha,

I was diagnosed with T1 diabetes a couple of years ago, and ever since I started on insulin I have experience massive nausea in the mornings. Maybe it was psychological, however I linked the nausea to the insulin and even the smell of it was (and still is to some extent) enough to set off the nausea. I got round this by not eating (consequently not having any insulin) until around 10 am, after which time the nausea had settled.

I am now on novorapid and lantus, however I have had the nausea symptoms novomix, levemir and insulatard, so I would say that for me it is unlikely to be associated with a specific insulin type.

I would speak with your diabetes nurse, just to see if there is anything they could suggest. From my perspective, I can only say that it did get better over time. It is certainly worth trying different things to see if it helps, e.g. eating earlier/later/carbs/nocarbs etc - may be more trial and error to see how it affects you.

Hope it settles quickly!

Jen x

Hi Smitha
Someone mentioned a possible link between levemir and nausea to me a while ago. i'm going to chase it up and get back to you on that. Metformin also causes nausea in some people.
I suffered nausea on Lantus, amongst many other side-effects ; some people just don't get on with certain insulins.
Nausea can be be related to hormones as you'll know having a little one- I usually feel a bit sicky before my preiod starts.
See what your doc says, but meanwhile you could try nibbling a ginger biscuit whan you wake. Nairns ginger oat-biscuits have stem ginger and are low GI with only 6.6g carbs and 1.9g sugar per biscuit.
Jus

smitha,

Just to be sure I would set your meter alarm and check your blood glucose in the early hours to definitely rule out night-time hypo's.

Nigel

I would question the reasoning behind why you are taking 2000 mg of Glucophage SR at night. I also take the same dose but I follow the instructions I was given and take it in divided dose with 1/2 just before I eat breakfast and the other 1/2 just before I eat my evening meal. . . . usually 12hrs apart.

It does all depend on what the OP means by 'at night ?'

The medication should be taken with the evening meal. I would hope that is the case and not last thing at night ??

The dose is initially 500 mg once daily, increased every 10–15 days, max. 2 g once daily with evening meal; if control not achieved, use 1 g twice daily with meals, and if control still not achieved change to standard-release tablets.

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Source: BNF60

Just a thought but with all the Insulin you take plus the Glucophage SR at night maybe you may need a slightly higher carb meal plus maybe a snack before bedtime. See if this makes any difference to how you feel in the morning.

It may be that the low carb meal is not enough to keep your levels up over night and you are 'liver dumping' . Whether this accounts for the nausea though, I don't know !

You could also discuss with your Doctor / HCP about reducing or altering the dosage that you are on.

It might not be diabetes related so you should let your doctor know that this is happening as lots of things can cause nausea.