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Morning Rebound

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busybee1976

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Hi

A quick bit of personal advice please.

My stepson is experiencing 3.8-7.9 every morning, then high lunchtime readings....and then good dinner and bedtime readings. (FYI he only experiences hypo below 3).

Apparently the nurse has advised reducing his Lantus (even tho we have increased it becuase of so many morning highs) because he should be kept higher than this and the lunchtime highs are probably a rebound????

Now this really doesn't sound right to me???

Any comments would be gratefully appreciated.
 
Hi busybee,

I will bump your post up in the hope that someone will answer it for you.
 
busybee1976 said:
Hi

A quick bit of personal advice please.

My stepson is experiencing 3.8-7.9 every morning, then high lunchtime readings....and then good dinner and bedtime readings. (FYI he only experiences hypo below 3).

Apparently the nurse has advised reducing his Lantus (even tho we have increased it becuase of so many morning highs) because he should be kept higher than this and the lunchtime highs are probably a rebound????

Now this really doesn't sound right to me???

Any comments would be gratefully appreciated.
Click to expand...

Hi,
no idea how old your step son is so this is just general advice.
Has your Step son done any blood sugar tests at 2 or 3 am ? He needs to do this to check to make sure he isn't going hypo before messing with his Lantus dose.
Some basic basal testing needs to be done as well.
As he seems fine for the rest of the day and the problem arises during the morning the simple solution is to skip breakfast and monitor every hour up to lunch time. If he stays at a stable level then you know his Lantus is fine. So this then leads to the obvious solution that his carb ratio at breakfast is wrong. So he needs to increase his bolus for that meal and not the others.
You don't actually say how how he goes or what he eats for breakfast either, this info would help as well :)
As to experiencing hypo's below 3 then he has a problem and it needs to be addressed as it could lead to major problems going this low on insulin before detecting a low.
 
I experience this sometimes. I have considered changing my insulin-carb ratio for breakfast only but as I don't experience this every day I think I would find I'd be having hypos from giving too much insulin most days. The only days this happens for me is when I wake up late (say past 10am) and therefore eat breakfast late. It's as if my body reacts because I haven't had insulin in so long. If I wake up at 7-9am and have breakfast it doesn't happen.
 
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