LionChild
Well-Known Member
I am a Type 1 Diabetic.
Does anyone have any insights into the following? If so, thank you in advance!!
Despite posting several weeks ago, my Blood glucose remains frequently (though not always) very high in the mornings. (for me anyway). By that I mean 10 mmoles plus. Sometimes it starts climbing high at night - to around 9.5.by about midnight, and then stays really high all night long. I have been taking Levemir at night at 4 units, and in the morning I take 3 units. I usually take the 4 units before I go to bed at around 10 pm, and therefore surely this cannot mean the Levemir needs increasing as it would not run out so quickly? So, the BG stays high all night long and then in the morning has been over 11 mmoles. I wondered whether it might be a case of the Somogyi effect -that I might be taking too much insulin for my evening meals? --- as quite often it goes low, even to a hypo later in the evening, ( I treat, not overmuch I think), and then still rises so high in the mornings. The rise is gradual, but very obvious. and again, it is from about 3 am.....which would seem to indicate a possible Dawn Phenomenon effect? The thing is, although the BG tends to stay quite high in the morning up until around 12 midday, or sometimes later, ---it does tend to go down usually quite quickly after about an hour when it would go to around 8 mmoles, normally. I also notice if I get up late - say around 09.30 - the BG has more time to climb higher to 9 mmols+. If I get up around 7 am for example, and inject Levemir, (3 units), and even perhaps 1 unit Novorapid at that time, it will stop the rise from getting, in my view, too high at around 10 mmoles. It would then be more like 6 mmoles.
So, I am trying to ascertain whether the high rise at night, and through the night in particular is due to the Somogyi effect, and injecting too much for the evening meal, resulting in the rebound effect later, or whether it is simply the Dawn Phenomenon (but how can it be that, if frequently my BG is high Before I go to sleep? I am puzzled as this pattern is very new to me. I was diagnosed as Type 1 in 2019 - so surely it can hardly be said I am coming out of the Honeymoon period..?
Maybe it is just timing of the Novorapid injection for the evening meal? Usually I give it around 30 minutes before I eat?
Very puzzled at these sudden changes!
Insulins are within date.
Does anyone have any insights into the following? If so, thank you in advance!!
Despite posting several weeks ago, my Blood glucose remains frequently (though not always) very high in the mornings. (for me anyway). By that I mean 10 mmoles plus. Sometimes it starts climbing high at night - to around 9.5.by about midnight, and then stays really high all night long. I have been taking Levemir at night at 4 units, and in the morning I take 3 units. I usually take the 4 units before I go to bed at around 10 pm, and therefore surely this cannot mean the Levemir needs increasing as it would not run out so quickly? So, the BG stays high all night long and then in the morning has been over 11 mmoles. I wondered whether it might be a case of the Somogyi effect -that I might be taking too much insulin for my evening meals? --- as quite often it goes low, even to a hypo later in the evening, ( I treat, not overmuch I think), and then still rises so high in the mornings. The rise is gradual, but very obvious. and again, it is from about 3 am.....which would seem to indicate a possible Dawn Phenomenon effect? The thing is, although the BG tends to stay quite high in the morning up until around 12 midday, or sometimes later, ---it does tend to go down usually quite quickly after about an hour when it would go to around 8 mmoles, normally. I also notice if I get up late - say around 09.30 - the BG has more time to climb higher to 9 mmols+. If I get up around 7 am for example, and inject Levemir, (3 units), and even perhaps 1 unit Novorapid at that time, it will stop the rise from getting, in my view, too high at around 10 mmoles. It would then be more like 6 mmoles.
So, I am trying to ascertain whether the high rise at night, and through the night in particular is due to the Somogyi effect, and injecting too much for the evening meal, resulting in the rebound effect later, or whether it is simply the Dawn Phenomenon (but how can it be that, if frequently my BG is high Before I go to sleep? I am puzzled as this pattern is very new to me. I was diagnosed as Type 1 in 2019 - so surely it can hardly be said I am coming out of the Honeymoon period..?
Maybe it is just timing of the Novorapid injection for the evening meal? Usually I give it around 30 minutes before I eat?
Very puzzled at these sudden changes!
Insulins are within date.
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