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Type 1 Diabetes
high blood sugar at mornings
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<blockquote data-quote="ert" data-source="post: 2122385" data-attributes="member: 504712"><p>Of course, you need to contact your diabetes team for advice.</p><p></p><p>First, 'It's suddenly high'? Does this mean it's normal on waking then suddenly goes higher? If so we call that 'feet on the floor' or 'the dawn phenomenon'. As the Lantus runs out overnight and it takes four hours for the new injection of long-acting Latus to work then you can see a rise in blood sugars. If it's this, then I cover it with 1-1.5 unit of quick-acting insulin before starting my day.</p><p></p><p>Second, if it's high on waking? Are you on a split dose Lantus - morning and night? Do you take it on going to bed (rather than at dinner time) and on rising? If not, the timings are the first thing to change before the dosage. You may be asked to skip dinner, take your basal as normal, to see what you base line looks like or set an alarm for 3 am. If you make an increase in your (in this case bedtime) basal according to DAFNE, it should be 10 to 20%.</p></blockquote><p></p>
[QUOTE="ert, post: 2122385, member: 504712"] Of course, you need to contact your diabetes team for advice. First, 'It's suddenly high'? Does this mean it's normal on waking then suddenly goes higher? If so we call that 'feet on the floor' or 'the dawn phenomenon'. As the Lantus runs out overnight and it takes four hours for the new injection of long-acting Latus to work then you can see a rise in blood sugars. If it's this, then I cover it with 1-1.5 unit of quick-acting insulin before starting my day. Second, if it's high on waking? Are you on a split dose Lantus - morning and night? Do you take it on going to bed (rather than at dinner time) and on rising? If not, the timings are the first thing to change before the dosage. You may be asked to skip dinner, take your basal as normal, to see what you base line looks like or set an alarm for 3 am. If you make an increase in your (in this case bedtime) basal according to DAFNE, it should be 10 to 20%. [/QUOTE]
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