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Morning readings and basal injections

GBS_82_

GBS_82_

Well-Known Member
Messages
70
Location
Croydon, London
Type of diabetes
Type 1
Treatment type
Insulin
Hi everyone!

Once again I have a newbie type 1 question.

I was diagnosed (on the back of DKA) a month ago. Once out of hospital my readings were really good for a week or so (potentially honeymoon period) then I had a cold and they went a bit funny. Now they are generally back under control (woohoo) but my morning readings are a little on the high side. This morning was 9.2mmoles/L so nothing crazy but I'd love to know if there was something I could do to make them better. My evening readings are generally fine (although sometimes I'm assisted by the odd glass of wine).

So I was wondering:

1) Whether I should think about upping my basal dose (which I do first thing in the morning). My DSN initially put me on 25 units and I've since upped to 28. This seems quite high - should I go higher?
2) Could I be choosing the wrong injection site? I'm currently doing top of my thighs and rotating it around. I don't have much fat anywhere on my body except my tummy (where I have more than enough :-)) but I use that for my novo rapid so have avoided that.
3) Should I take less basal in the morning and then take a shot before bed? I've heard some people do this.

Naturally I will check with my excellent DSN - I just thought it would be interesting to hear from other members of the community as to their experiences.

Thanks so much in advance for any advice. What did newly diagnosed type 1s do before the internet?

Gareth x
 
Its not a big rise assuming you are at 4-5 before bed. Also you need to check the BG immediately you wake orvaet the alarm an hour early and check, many of us see a small rise from that little adrenalin burst getting out of bed which could easily be your rise.
 
Do you just take one injection for your background? I only ask because when I was on MDI and suffering from high bloods in the morning/throughout the day my DSN advised me to try a split dose so 14 unit in the morning and then another 14 units roughly 12 hours later. That way you're topped up so to speak :) I found it helped but everyone is different!
 
Wonderful! Thanks guys. I have decided to give it another week to see if my morning reading improves by itself. if not I will speak to my DSN about splitting my basal.

THANKS AGAIN!

Gareth x
 
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