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Twinstar

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I have had T-1 for 35 years and usually, until recently, around 6.5 to 7.2 A1c. I set baseline at 155, cover at 7, (2 units = 14 carbs.) and correct at 30 or overnight 50. Years on Humalog and Lantus. Two years past, Novolog and one year past, Traciba, today 27 U in AM. Six months past, switched to Afrezza vs Novolog. For a while thought OK then realized going high too soon due to A out of system in 1.5 hours, carbs still working? Use A when high only. Primary issue, I can awake at 160, rise, and in 10 minutes commence a rapid BSL decline, 20 to 40 points. I have stopped wine, however, on relatively low carb regimen, 17 breakfast, 11 lunch, 20 dinner, with 5 to 10 carb daytime snacks. Total 58 carbs daily which is too low. Reason, I keep also running high, however in late afternoon start a down trend. In summary, now BSL 90 day average 197, vs past 175 or so? Worst situation is the morning drops for no apparent reason I can locate with online research. C-Peptide zero. No organ based insulin production, however, reaction same as taking 4 units of Novo? My averages are now so high I react with fake hypo at 150, headache and out of sorts balance of day. I am unfortunately subjected to external stress, as well, which does not help? However, that may affect a rise but not a rapid AM drop? I have been unable, so far, to obtain a medical opinion on the phenomenon, other than more carbs at dinner, or a candy bar upon rising? No real answers to cease the panic of a rapid drop and glucose tabs to stop? And one too many, a high BSL result in 30 to 60 minutes and the vicious cycle continues. I am hopeful someone on the globe has had a similar experience and able to offer an answer? Apology for long tome. Russell Werdin
 
I believe you are using mg in saying your numbers? USA??

Okay some have told me that using Afrezza, it has reduced how much overall insulin they needed. It's not an equal usage? So that might have started some changes in dosing. Afrezza works faster but leaves the system much faster, so if you are low carbing it, it might be gone by the time you are digesting your carbs. Fat slows absorption.

My experience , there is a difference in insulins and some people prefer certain ones over others. I didn't like Novolog as well, it didn't seem to work as well for me when I tried to switch to it. I had been told by my endo that humalog is a little faster but a shorter tail and that was probably why I didn't like it as much. But people really do vary in how they react. Apidra really made my system go nuts. With Apidra I kept dropping in the middle of the night and couldn't figure out how to dose with it and just switched back to humalog.

But Lantus can make your sugars drop at night too. But you are on Tresiba now? It is supposed to help not have as many drops, it was no difference than Lantus for me. These things have different insulin curves of when they are working, so it's a trick to learn sometimes. The peak is probab;y a different timing for you? Maybe? I am guessing here.

Here is a curve, but they group Apidra, novolog and humalog together and I found them much different.
https://www.jdrf.org/illinois/wp-co.../2017/02/The-Insulin-Curve-JDRF-T1N-FINAL.pdf
 
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