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Type 1 Diabetes
High BG before breakfast?
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<blockquote data-quote="EllieM" data-source="post: 2424688" data-attributes="member: 372717"><p>I have similar issues, such that my consultant even offered to put me on a pump for it. (I have allergy issues so turned this down and am currently managing OK). Can you get access to a cgm for a couple of weeks so that you can see <em>when </em>the rise is happening? For some people it is literally foot on the floor, others start rising from 3am. And there is always the (slim?) possibility that you are going too low at night and are getting a rebound from a helpful liver dump.</p><p></p><p>My diabetic team were really helpful to me about this (actually ended up suggesting I <em>lower </em>my lantus and I still don't understand why that helped) but they did hand out a temporary cgm so they and I could better work out my ratios. But honestly, in my personal experience, getting the basal dose right is crucial. And if you've been unwittingly overusing a particular injection site then finding a new one can help enormously as well.</p><p></p><p>As for the increasing insulin needs (insulin resistance?) do you have any T2 in your family and has your weight crept up at the same time? Again, this is just my personal experience and may well not apply to you, but I have a T2 dad (and a T1 mum, what can you do<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" />) and I've noticed both weight and IR go up over the last decade. I stalled both increases by eating lower carb, but suspect that the IR is why dawn phenomena can be such an issue for me.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2424688, member: 372717"] I have similar issues, such that my consultant even offered to put me on a pump for it. (I have allergy issues so turned this down and am currently managing OK). Can you get access to a cgm for a couple of weeks so that you can see [I]when [/I]the rise is happening? For some people it is literally foot on the floor, others start rising from 3am. And there is always the (slim?) possibility that you are going too low at night and are getting a rebound from a helpful liver dump. My diabetic team were really helpful to me about this (actually ended up suggesting I [I]lower [/I]my lantus and I still don't understand why that helped) but they did hand out a temporary cgm so they and I could better work out my ratios. But honestly, in my personal experience, getting the basal dose right is crucial. And if you've been unwittingly overusing a particular injection site then finding a new one can help enormously as well. As for the increasing insulin needs (insulin resistance?) do you have any T2 in your family and has your weight crept up at the same time? Again, this is just my personal experience and may well not apply to you, but I have a T2 dad (and a T1 mum, what can you do:)) and I've noticed both weight and IR go up over the last decade. I stalled both increases by eating lower carb, but suspect that the IR is why dawn phenomena can be such an issue for me. [/QUOTE]
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