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Morning highs please help!
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<blockquote data-quote="kkkk" data-source="post: 486908" data-attributes="member: 92533"><p>That looks fairly stable overnight - if you go on the rough basis that 1 unit of novorapid brings you down about 3mmol and you injected the novorapid around midnight ish then in theory it looks like it was the novorapid which probably brought you down to 7 at 4am….then you have a gradual rise of about 5mmol. It is really hard to get the full picture with the novorapid on board as well as the levemir - so I think the ideal would be, try and go to bed a little bit lower, or low enough that you don't feel the need to adjust and then see what happens….it is possible that you might need to tweak the levemir up another unit or so but I wouldn't like to say until you have had a night with just the levemir working if that makes sense.</p><p></p><p>The other thing about changing your levemir doses that I have been told by Drs and experienced a little bit, but don't have the evidence to back it up, that once you have changed it you need to leave it for a couple of days so it all settles in as it can change (obviously if it causes a hypo then I would change it straight away, but sometimes you can find it works perfectly the first night, and then not so well the second and you just need to change it a little…but it sounds like you are really close to getting it sorted so well done <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Morning phenomenon I am not sure about - I know that pumps can help with it as you can program the insulin to give you more as you wake up to counteract it - so something to talk to the Drs about. I just inject the minute I get up and wait about 15mins before I eat to lessen that peak and have really low glycamic index food to help smooth it all out.</p></blockquote><p></p>
[QUOTE="kkkk, post: 486908, member: 92533"] That looks fairly stable overnight - if you go on the rough basis that 1 unit of novorapid brings you down about 3mmol and you injected the novorapid around midnight ish then in theory it looks like it was the novorapid which probably brought you down to 7 at 4am….then you have a gradual rise of about 5mmol. It is really hard to get the full picture with the novorapid on board as well as the levemir - so I think the ideal would be, try and go to bed a little bit lower, or low enough that you don't feel the need to adjust and then see what happens….it is possible that you might need to tweak the levemir up another unit or so but I wouldn't like to say until you have had a night with just the levemir working if that makes sense. The other thing about changing your levemir doses that I have been told by Drs and experienced a little bit, but don't have the evidence to back it up, that once you have changed it you need to leave it for a couple of days so it all settles in as it can change (obviously if it causes a hypo then I would change it straight away, but sometimes you can find it works perfectly the first night, and then not so well the second and you just need to change it a little…but it sounds like you are really close to getting it sorted so well done :) Morning phenomenon I am not sure about - I know that pumps can help with it as you can program the insulin to give you more as you wake up to counteract it - so something to talk to the Drs about. I just inject the minute I get up and wait about 15mins before I eat to lessen that peak and have really low glycamic index food to help smooth it all out. [/QUOTE]
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