Getting more and more confused....

paulpapa said:

Does your correction dose change in the morning? I've read that people tend to be more insulin resistant in the morning and also because my sugar is higher it might need a bigger dose to bring it down. More trial and error I guess.

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Hi, yes it does I need much more in the morning than I would in the evening.

If I wake up with say bloods of 6.0 I'll take 4 units of Humalog. That would seem massive for some people (but I'm weird...) and that will cover me.

Essentially, I have to correct for the dawn phenomenon and luckily I can do that as it is happening. If I don't take any bolus my bloods will rise to the teens on just the basal.

No porridge or muesli for me in the morning!

Best

Dillinger

Dillinger said:

Hi, yes it does I need much more in the morning than I would in the evening.

If I wake up with say bloods of 6.0 I'll take 4 units of Humalog. That would seem massive for some people (but I'm weird...) and that will cover me.

Essentially, I have to correct for the dawn phenomenon and luckily I can do that as it is happening. If I don't take any bolus my bloods will rise to the teens on just the basal.

No porridge or muesli for me in the morning!

Best

Dillinger

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Very interesting, thanks! I'm starting to see just how much I need when I wake up now and it's more that I thought. That old 1u will bring you down 2-3mmol doesn't work in the morning at all.

So you take insulin if you're 6.0? I'd do a little dance then correct a hypo!

Dillinger said:

Hi, yes it does I need much more in the morning than I would in the evening.

If I wake up with say bloods of 6.0 I'll take 4 units of Humalog. That would seem massive for some people (but I'm weird...) and that will cover me.

Essentially, I have to correct for the dawn phenomenon and luckily I can do that as it is happening. If I don't take any bolus my bloods will rise to the teens on just the basal.

No porridge or muesli for me in the morning!

Best

Dillinger

Click to expand...

Dillinger, I remember Dr B says this happens for most people. Thats why he recommends a smaller carb component at breakfast : 6 grams, versus 12 each at lunch and supper. Many people handle carb load worst in the morning.

paulpapa said:

So you take insulin if you're 6.0? I'd do a little dance then correct a hypo!

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I know! It's odd. But try and do a fasting test with no food at all (and no bolus) for breakfast and see what happens to your blood sugars - don't even have milk in your tea/coffee. That'll give you an idea of how the dawn phenomenon is working on you (if it is).

Hi

May I just ask- on an average day is the total of your bolus and the total of your basal about equal... If you are lower carbing I suspect or wonder that your basal and bolus aren't running on a 50/50 ratio?

A fasting breakfast time until lunch sooner rather than later would be my action if I was in your shoes.
I would also do it once during the week and if you have lie ins at weekends or days with different morning activitys - do it once then too.

I got a huge amount of support here when I found that going back on to MDI from a pump that I get waking phenomenon. I can lie in to anytime but it is actually opening my eyes and putting my feet on the floor that kicks my levels up high. So each morning I look at my planned activity and decide whether to give -a) no correction or no hypostopper if 3.9... I will raise to 7.0 without anything.
b) if 4-6 I will give 1 unit.
c) if 6-9 I will give 1.5
d) anything above 12.0 I will just double the correction machine tells me... Very rare though..

This isn't set in stone.... It does depend what I'm doing in the morning. If its hospital appts then I would automatically double the correction as I always get stressed.....if its coffee n crossword then as above.

Only basal testing will tell you the answers.. Hope you are feeling better soon...