- Messages
- 14
- Type of diabetes
- LADA
- Treatment type
- Insulin
Morning all
Serial lurker here
Quick background to me, diagnosed as type 2 October 2017, nothing seemed to work, diagnosed type 1.5 (LADA) in July 2018, straight on to quick acting Humalog but no background insulin. I am on 1 unit of QA = 20 carbs and my Hba1c in July was 83, and now (done 2 weeks ago) down to 51, so am really pleased overall with that
My main problem was (and still is) with really pooh morning counts (averaged tended to be between 11-13), so my nurse started me on long acting Lantus about 4 weeks ago, but on very small doses which started from 1 and am now up to 9, but still experiencing on average 10.0+ on my morning counts and i know this will probably sound stupid, but it seems the more background i take, the worse control i have over my daytime counts (?). i have heard of the dawn phenomenon and understand what it is and am guessing i get it as my bedtime counts tend to be on average between 5-7, but have never had it explained to me how to actually correct for it? should i just be patient and keep upping my Lantus every 3 nights until i can get to a morning count that is better or is this one to go back to my nurse with? I hate bothering my nurse with stuff that i could maybe sort out myself. my last visit to my nurse he mentioned an intermediate insulin (Humalin i think he said) and wonder if that would be a better option.
It is just really frustrating that before background, ok my morning counts were pants, but i was able to correct that very easily and the rest of my day counts were really good.
Any advice gratefully appreciated
Serial lurker here
Quick background to me, diagnosed as type 2 October 2017, nothing seemed to work, diagnosed type 1.5 (LADA) in July 2018, straight on to quick acting Humalog but no background insulin. I am on 1 unit of QA = 20 carbs and my Hba1c in July was 83, and now (done 2 weeks ago) down to 51, so am really pleased overall with that
My main problem was (and still is) with really pooh morning counts (averaged tended to be between 11-13), so my nurse started me on long acting Lantus about 4 weeks ago, but on very small doses which started from 1 and am now up to 9, but still experiencing on average 10.0+ on my morning counts
and i know this will probably sound stupid, but it seems the more background i take, the worse control i have over my daytime counts (?). i have heard of the dawn phenomenon and understand what it is and am guessing i get it as my bedtime counts tend to be on average between 5-7, but have never had it explained to me how to actually correct for it? should i just be patient and keep upping my Lantus every 3 nights until i can get to a morning count that is better or is this one to go back to my nurse with? I hate bothering my nurse with stuff that i could maybe sort out myself. my last visit to my nurse he mentioned an intermediate insulin (Humalin i think he said) and wonder if that would be a better option.It is just really frustrating that before background, ok my morning counts were pants, but i was able to correct that very easily and the rest of my day counts were really good.
Any advice gratefully appreciated
