marie.T1 said:
a typical day is =
b/b 14.2
b/l 3.3-5.1
b/t 4.9
b/b 7.8
then this morning 33.3 .
Hi Marie,
It can be very confusing and annoying can't it? Blood sugars aren't random though; we just need to work out what is going on.
I'm glad you've excluded an infection. I also agree that carb counting is essential, and from the look of what you've said I agree with Phoenix that that looks like too little basal insulin over night.
However, I see that you've just said that if you increase your basal you hypo in the night.
So, I think you need to find out what is happening over night; if you can over a couple of weekends set the alarm for 3:00 am and test then.
You could be having a very heightened dawn phenomenon; if you are ok at 3:00 am (and you'd ideally want to do a few tests to be sure) then that could be the answer. What time are you taking your evening Levemir? If you are suffering from DP you might want to take the evening as late as possible; just before bed and the morning as early as possible.
I think the day time blood sugars you show aren't too bad, but the amount of insulin you are taking seems very high. Perhaps you are compensating for the constant morning highs?
Looking at your breakfast you are having about 35 grams of carb (25 for the weetabix and a guess at 10 for the milk). For that you are taking 18 units of insulin; so almost 1 unit for every 2 grams. The starting point for most people is 1 unit for 10 grams of carbs. But that's fine; there is quite a range of ratios. For lunch a wholemeal bread sandwich (assuming thick slices) is about 40 grams of carbohydrate and you are taking 16 units of insulin; so a ratio of 1 unit for every 2.5 grams. Of itself that sounds about right (if your insulin ratio is right). Your before lunch and before dinner and before bed blood sugars seem to suggest you are taking the right amount of short acting.
So, focus on what is happening at night and in the early morning as that sounds like it will be the key.
Make sure you are not forgetting to take insulin, make sure you change the needle and injection sites regularly and until you get this under control I would change as few things as possible; so whilst alternative breakfasts might be a good idea long term it'll only confuse things whilst you are doing the Sherlock Holmes investigations...
Best of luck
Dillinger