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Type 1 Newly diagnosed: trouble with morning low sugars. Help, please!

LeanneSpain.

Well-Known Member
Messages
51
Location
Ireland
Type of diabetes
Type 1
Treatment type
Insulin
Hi. Im looking for help. Im newly diagnosed(april 2017) i taught i had a good understanding of diabetes as iv lived with my bro whos had it 10+years. But when your diagnosed yourself it's different. Anyway, metformin didnt reduce my blood sugars. So now im on novorapid and lantus. I adjust novorapid per meal.(usually between 4and6units) And im on 8units of lantus at night. My glucose levels are very good during the day(5.0-8.5) my problem is the mornings it can be down to 3.0 or less so im snacking and going to bed now with levels of 12.0 or more as im afraid of hypo during the night. Im waking at 6.0/7.0 now. Is it bad going to bed with high levels. my nurse is away till next monthHELP.
 
I'd agree that reducing your Lantus is a possibility. If that means you go high during the day, then it might be that using another insulin or splitting your basal dose would be an idea for the future.

Edited to add that you could also consider moving the time of your Lantus injection.
 
Thank you. I will test bloods during the night and hopfully see when and why i drop. I usually take lantus at 10pm and sleep soon after
 
As you are on small doses - have you got 1/2 unit pens?
Sometimes to fine tune its better using the 1/2 unit
adjustments...
 
Altering time may well help too.
 
Ask for 1/2 unit pens too. Very important to persons on small doses to be able to tweak that little bit!!
 
When I started on Lantus I took it around 10pm and started having morning hypos. When the dose was reduced I was high before breakfast. My DSN told me to try the original dose at 6pm, just before my evening meal, and this worked.
 
dancer said:
When I started on Lantus I took it around 10pm and started having morning hypos. When the dose was reduced I was high before breakfast. My DSN told me to try the original dose at 6pm, just before my evening meal, and this worked.
Click to expand...

This sounds interesting. I might try this. Its all trial and error
 
Timing around highs or lows is critical....

Ie some basal testing will determine when they occur and whether its food or corrections or dawn phenomenan or waking phenomenen etc.

If you then find out that highs/lows in morning then it could be changing time or perhaps a bolus before getting out of bed may help.

If you change times and you find highs and or lows are just changing when they occur (through basal testing) it maybe then that you need to try a different basal insulin.

Liaise with DSN's and keep accurate log books.

One size does not fit all, it is a case of trialling different things...
 
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