HIGH BG at night & rise in morning.

LionChild

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Messages
271
Type of diabetes
LADA
Treatment type
Insulin
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whisky
@LionChild - I noticed you’ve posted - has your problem now been sorted?
Yes, thank you in the last few minutes. I was trying for hours to do a reply to Simon, but it just would not work! And feeling pretty anxious to get my glucose sorted out I thought the only way might be to just start a new thread with my response post! Sorry!
 
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lovinglife

Moderator
Staff Member
Moderator
Messages
5,701
Type of diabetes
Type 2
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Diet only
Yes, thank you in the last few minutes. I was trying for hours to do a reply to Simon, but it just would not work!
That’s good, sometimes the forum glitches for no reason, but I’m glad your al sorted now :)
 

SimonP78

Well-Known Member
Messages
538
Type of diabetes
Type 1
Treatment type
Insulin
Any further thoughts, Simon?

And thank you!
I've had a very quick look at the numbers.

Have you eating almost nothing over the past few days? This will certainly have an effect, I would guess your liver will now be quite sparing in its production of glucose from glycogen, which may not reflect normal life.

I also think you should be a bit wary of thinking that a BG of ~8.5mmol/l is high. If you try to control to a really narrow band you'll end up with burn out.

Looks like the coffee gave you a rise, which it does for some people, so this is not unexpected. Overnight was higher than during the day but reasonably stable I think (unless it did something strange while you were asleep?). You appear to run lower during the day than overnight based on the evidence presented so far, though this could be your liver not wanting to provide glucose as you've not been eating much. This may also be because you were doing things rather than being asleep so were consuming glucose.

What do you want to achieve? It sounds like lower overnight/in the morning, though didn't you get that result with the split bolus, even if it wasn't quite as low as you were hoping for?

I'd have thought that If you can remove the mid-evening low + correction and then probably the overnight high caused by that, you're in a pretty decent place. You could then look to up basal if you really want to run lower overnight (though potentially with the downside of it making you run lower during the day, though that can be fixed if you can eat/snack), or alternatively take an extra unit of bolus pre-bed to drive you lower before you get the DP-related rise and then stamp on it as soon as you get up? Speaking of stamping, doing some exercise first thing is good to reduce/remove that rise.