Morning Highs Again...

[CR741]

Hello,
My morning readings have been good for a long time, but all of a sudden 2 hours after breakfast I am going to 14.3 or 11.3, today was 13.2 which is odd as I only started on an 8.3. I normally wake up on 5s or 6s though.
By three and four hours later I am still up on 9.9. Once it actually rose from a 2 hour check of 9.4 to a 3 hour check of 10.2. :? With corrections however I come straight down, except today...I then got a 10.2 after I corrected.
As I am on the pump I gave myself more morning basal, but this hasn't worked. I then changed the ratios aswell and this didn't work. I have the same breakfast as always and it used to be fine. This did happen once before though, but as soon as I changed basal it stopped. As it is is the holidays I am less active, I'm not walking to school and dancing isn't on, but this started happening a few days before the Easter holidays so it may not be entirely that. It is completely normal the rest of the day between 4-7 except sometimes I get a 3.8 from too much correction. I know I need more insulin in the mornings but do I now keep increasing the basal or the ratios or both ? :mrgreen:
Sorry if this is a stupid question, I am just unsure about what to increase.
Thanks for any advice,
CR741

 

[donnellysdogs]

Just reading through, and I know it sounds stupid, but if you are altering your bolus after your readings-the bolus chage won't take effect until the next day?

I was advised the following: If your levels go up (or down) 2-3 hours after eating then it is your bolus that needs to be changed......

Me personally, if I alter my bolus, I will also alter my basal slightly too.....

I just believe that I was set up to workl on a 50/50 ratio of bolus and basal.......(are your levels running at this?)..So, if I have to adjust my bolus ratio up 1, then I will adjust my basal to run higher a little bit too..... and reverse if I have to lower either of my rates...if I have to alter one, then I will alter both by mnimal doses to keep my ratio's within the 50/50 ratio.

If you have questions about what you are doing and what is happening with your levels, have you contacted your DSN?
Have you done any basal testing?
Have you a different profile for holidays? When less active?

I am probably asking questions that you have already thought about, but here we can only give our own experiences, as we are not HCP's. Some great advice here, but if you are really concerned about altering your basals and bolus, or acting times, carb ratio's etc, then you must also let your HCP's know.....