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High morning bg results

Discussion in 'Diabetes Discussions' started by Tubzi, Sep 14, 2014.

  1. Tubzi

    Tubzi Type 1 · Well-Known Member

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    Hi everyone :)

    The first test i do in the morning is always a little high, usually around 12-14 but it has been as high as 16 a few times. During the day they are usually pretty good and stable. Any ideas on how to bring my morning test down?

    I take novorapid and carb count and then lantus each night.

    Thanks!
     
  2. debbiiee

    debbiiee · Well-Known Member

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    It could be dawn phenomenon. Your basal is not sufficient i think. Do basal testing throughout night & check when your BG starts rising... If its stable till 3 a.m. & then starts rising its dawn phenomenon. If overnight there is a steady rise, it could be due to the high protein content of your supper or gluconeogenesis not suppressed by insufficient basal.

    Sent from the Diabetes Forum App
     
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  3. jack412

    jack412 Type 2 · Expert

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  4. noblehead

    noblehead Type 1 · Guru
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    May well be you need to increase your lantus, try increasing it by 1 unit tonight and do some bg testing 2 hourly, if i's still raised increase it again by another unit.
     
  5. Tubzi

    Tubzi Type 1 · Well-Known Member

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    If i increase my lantus will it not make my levels during the day drop as well?
     
  6. noblehead

    noblehead Type 1 · Guru
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    No not necessarily, try it and see how you get on, if that doesn't work talk with your DSN about split-dosing your lantus or switch to another insulin if it becomes problematic, there's a new basal insulin available called Tresiba that might be better suited for you.
     
  7. jack412

    jack412 Type 2 · Expert

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    miss lunch and do an afternoon basal test, you may be using bolus to cover lack of basal?
     
  8. TonyR

    TonyR Parent · Newbie

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    Probably an obvious answer but have you considered going on a pump?
     
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  9. noblehead

    noblehead Type 1 · Guru
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    Highly unlikely if bg is stable during the day, the OP would have to be taking correction doses pre-prandial if that was the case.
     
  10. Tubzi

    Tubzi Type 1 · Well-Known Member

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    I'll try doing a basal test tonight then and go from there. I have considered a pump but i want better control first
     
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  11. noblehead

    noblehead Type 1 · Guru
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    Just make sure to have a low-fat meal for your dinner tonight as a high-fat meal can effect bg levels several hours later, the pump suggestion is a good one, we have had many members lately switching from MDI to insulin pumps with great success.
     
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  12. Tubzi

    Tubzi Type 1 · Well-Known Member

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    Might be a stupid question but how would taking a split dose of lantus help?
     
  13. jack412

    jack412 Type 2 · Expert

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    this is why I linked you in the Turkish guys post, you know what you are talking about.:)
    the reason why I suggested an afternoon bolus was because she was scared she would hypo in day if she increased basal..
    it shouldn't be a surprise to anyone but I'm lost if a tea time basal is not enough and high over night, but right dose during the day. your suggestion of split dose might be it
     
  14. noblehead

    noblehead Type 1 · Guru
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    For some lantus doesn't cover a 24 hour period, split-dosing gives a greater coverage with some overlap, I take lantus once daily and find it does work for 24 hours but with other people it doesn't.
     
  15. Tubzi

    Tubzi Type 1 · Well-Known Member

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    Ive upped my dose by a couple of units and it seems to be doing the trick so far. Thanks for all your help :)
     
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