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morning sugars always approx 10..

jackvdbuk

jackvdbuk

Well-Known Member
Messages
65
Location
London
Type of diabetes
Type 1
Treatment type
Insulin
Hi all,

been on lantus/novorapid foir about a month or two now and am still struggling with morning sugars,

i do my glargine at about 10pm and eat dinner from anywhere around 6-9.30pm with novorapid to match.. sometimes even slightly over to try and curb the morning sugars but no difference.

i have managed to do one 3am check and was at approx 15!

for example today: went to bed at 5.6 and woke up at 10.8.

i think maybe if i go to bed on a full stomach like i usually do its making a big difference?

any tips/help would be great thanks :)
 
Hi Jack, I think you've answered your own question there ! Ideally you need to eat 3 hours before bed, so you can test before bed and know if your quick acting has worked, otherwise your basal needs tweaking a few notches. Either way you will know for sure soon enough ;)
 
Test your bg levels again for a few more nights, the 15mmol/l reading at 3am may have been a one-off and could have been a result of your previous evening meal if your food was high in fat, but usually if your waking high in a morning it means that your basal insulin needs to be increased but your bg results will say for sure.
 
Have you both got 1/2 unit pens?

Agree with testing for a couple more nights at 3am to check to see what levels you are at and also depending on your evening meal actions.

Thereafter it will be tweaking basal rate and ideally with 1/2 unit changes.

You can get them lower.. Don't worry. Just needs a couple more 3am tests to be sure whats happening...
 
Check it out with your hospital, but I had a similar thing and they called it the dawn phenomenon. It is all to do with when you eat and stuff like that.
 
How do. I had a similar issue and it was to do with taking novo rapid at around the same time as my background insulin. I was advised to make sure they are separate. The test is make sure there is no fast acting in your system. Take your long acting insulin 3-4 hours after fast acting. If you levels are still high in the morning it is safe to increase your long acting by a unit. Well that's what worked for me.
 
I can join this club, i just started on a pump and noticed that i have to significantly up my basal overnight to keep my morning sugars low. Weird thing is that when i was on Lantus i NEVER had this issue.

I think the only thing you can do is up your long acting a bit, and go to be on an empty stomach with sugars in the low 5's... try that a couple nights and see if you can at least get a routine down where you wake up and bolus a bit to get it down.

So far i have been waking up to see BS in the 8s and immediately injecting to try and get that down ASAP, before doing anything else.
 
I had this problem before. There are a few factors you have to look at. First, you need to stop eating at least three hours before bed. This makes the biggest difference. Then, if that doesn't work and you don't notice a change or much of one, then you need to look at how hard you're fighting it earlier in the day. I noticed that when I had woken up with a high and I spent the day fighting it I was then having some pretty bad lows in the evening. And trying to fix my evening lows caused me to be high in the morning. So I had to back off of fighting my morning high so hard and let my body slowly come back down so I wouldn't go low in the evening. Also, look at getting on the pump. It is a major help with morning highs. Good luck :)
 
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