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Morning lows?

L3wisr

L3wisr

Well-Known Member
Messages
321
Type of diabetes
Type 1
Treatment type
Insulin
does anyone else suffer from morning lows?

I have tried changing the amount of lantus I have but it doesn't seem to fix the problem and give me an okay result. I don't tend to eat breakfast and when I test my sugars rise after a few hours making me think the lantus is too low. Bit stuck atm

Trying to get back on track and the hypos aren't helping
 
Are you waking up hypo?

If you think it's a lantus problem maybe try a bit of basal testing to see if you can make reductions. If you are waking up hypo you should continue to reduce until that's resolved.
 
If this were happening to me, I would reduce my Lantus a lot, and then slowly increase it if necessary. It's better to be high than low.

Be aware that Lantus hangs around several days in your system, so it takes up to 3 days to see the full effect of a change in your Lantus.

Actually I switched to Levemir because I find my basal needs change frequently and changing the Levemir dosage takes effect much sooner.
 
Yeah I was waking up because of a hypo. Happened the last 5 days.
The rise in the afternoon makes me think it's not the lantus but I'm not sure what else it could be. I'll try and basal test soon to help eliminate that option.

How are you finding levemir? I was given the option to change but was kind of put off the idea by my DN
 
L3wisr said:
The rise in the afternoon makes me think it's not the lantus
Click to expand...

The rise in the afternoon could be a late dawn phenomenon, or a slow rebound after the hypo. Or it could be adrenaline because of something you do at the time, or various other things. People don't need the same basal 24 hours a day; that's why pumps are so useful.

The morning low, on the other hand, is almost certainly caused by insulin, and almost all the insulin in your system before you wake up will be coming from Lantus.

Having an unnecessary low every day is going to wear you out. Eliminate the lows ASAP and then you can work out the highs.

Levemir worked well for me for six months, I am having a dawn phenomenon problem now and I may have to go back on the pump.
 
It would help us to understand when you take your Lantus. Overnight hypos from Lantus are a well recorded and well known phenomenon, and as a result, the NICE guidance for long acting insulin is now Levemir two times daily, as it has a lower incidence of overnight hypos, as does Tresiba.

Dependent on the timing of your lantus, afternoon/evening rises could be as a result of the Lantus being used up. Many find that it only lasts 18 or so hours.

Your best bet is to get on with basal testing. http://www.mysugr.com/basal-rate-testing
 
L3wisr said:
does anyone else suffer from morning lows?

I have tried changing the amount of lantus I have but it doesn't seem to fix the problem and give me an okay result. I don't tend to eat breakfast and when I test my sugars rise after a few hours making me think the lantus is too low. Bit stuck atm

Trying to get back on track and the hypos aren't helping
Click to expand...

I have had morning hypos nearly every morning for 30 years and still have, no matter what kind (Lantus, Tresiba… you name it) or what dose of slow-acting insulin I use. You could ask your doctor what can be done. My endos were never of much use, that's true, but perhaps yours are more proactive and efficient…
 
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