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Night time highs!!
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<blockquote data-quote="Westley" data-source="post: 2248682" data-attributes="member: 254425"><p>Hi Ovi,</p><p></p><p>Sorry I don't have an answer for you, but I hope you don't mind if I piggy-back on this thread, as I am in a very similar boat.</p><p>I was also on Lantus for many years, and switched to Levemir a few months ago, and am still struggling with sugars rising from around 4/5am so I wake up high. (monitoring with the Libre)</p><p></p><p>I've always battled a bit with dawn phenomenon, but when I was on Lantus, I had managed to get it fairly under control - it would only start rising quite sharply after around 7 hours of sleep, and if I injected as soon as I woke it didn't peak too high. I was splitting my Lantus into 2 equal doses at 12 hour intervals (usually 8am/8pm).</p><p></p><p>Now on Levemir, I'm not sure it is actually dawn phenomenon, as it is an earlier and steadier rise. I've also been experimenting with the timing - pushing the evening one later and the morning one earlier (around 930pm/8am), but don't seem to have nailed it yet. So far I'm still keeping both doses equal. I tend to drop a bit for the first half of the night, so don't think I could up the night-time dose much, unless I also had some slow acting carbs as a snack before bed.</p><p>I usually eat dinner around 8pm and sleep around midnight. Currently on a medium carb diet. I have done stretches of low-carb in the past (when still on Lantus), and it did seem to help with the morning rise (I guess just less glycogen there to release).</p></blockquote><p></p>
[QUOTE="Westley, post: 2248682, member: 254425"] Hi Ovi, Sorry I don't have an answer for you, but I hope you don't mind if I piggy-back on this thread, as I am in a very similar boat. I was also on Lantus for many years, and switched to Levemir a few months ago, and am still struggling with sugars rising from around 4/5am so I wake up high. (monitoring with the Libre) I've always battled a bit with dawn phenomenon, but when I was on Lantus, I had managed to get it fairly under control - it would only start rising quite sharply after around 7 hours of sleep, and if I injected as soon as I woke it didn't peak too high. I was splitting my Lantus into 2 equal doses at 12 hour intervals (usually 8am/8pm). Now on Levemir, I'm not sure it is actually dawn phenomenon, as it is an earlier and steadier rise. I've also been experimenting with the timing - pushing the evening one later and the morning one earlier (around 930pm/8am), but don't seem to have nailed it yet. So far I'm still keeping both doses equal. I tend to drop a bit for the first half of the night, so don't think I could up the night-time dose much, unless I also had some slow acting carbs as a snack before bed. I usually eat dinner around 8pm and sleep around midnight. Currently on a medium carb diet. I have done stretches of low-carb in the past (when still on Lantus), and it did seem to help with the morning rise (I guess just less glycogen there to release). [/QUOTE]
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