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Type 1 Diabetes
Off premix, On to basal/bolus, Help!
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<blockquote data-quote="NickW" data-source="post: 103453" data-attributes="member: 22191"><p>acron,</p><p></p><p>If you need 6u for 5g carbs in the morning, I'd suggest finding out what you need for 0g carbs - i.e. just eat a couple of slices of cooked meat or something (do still eat something though, as food signals the body to release / stop releasing various hormones).</p><p></p><p>It sounds very much like you either get dawn phenomenon (where your blood rises all by itself in the morning); that you're very insulin resistant in the morning (which is quite common); that your basal is still too low (quite likely as we discussed above); or all of those things apply.</p><p></p><p>However, you really need to get your basal dose sorted out before you can get all this right; concentrate on that first, then work on the ratios. The morning one is often tricky and you might actually need a specific injection for dawn phenomenon (e.g. I take 2 units when I wake up to account for it, rather than changing my morning ratio). This all takes a bit of tinkering, but it all starts with getting your basal dose right.</p><p></p><p>If you're struggling to get your BG right in the morning and that's stopping you doing a decent fasting test, I'd consider <u>cautiously</u> increasing the basal dose (e.g. by 1u per day) until it's more stable. Obviously you need to be alert for hypos, but given that you're now injecting much less than before, you're not having unexplained hypos, and your BG is tending to rise, I'd say this is relatively safe; it looks like your current basal is way lower than it needs to be.</p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="NickW, post: 103453, member: 22191"] acron, If you need 6u for 5g carbs in the morning, I'd suggest finding out what you need for 0g carbs - i.e. just eat a couple of slices of cooked meat or something (do still eat something though, as food signals the body to release / stop releasing various hormones). It sounds very much like you either get dawn phenomenon (where your blood rises all by itself in the morning); that you're very insulin resistant in the morning (which is quite common); that your basal is still too low (quite likely as we discussed above); or all of those things apply. However, you really need to get your basal dose sorted out before you can get all this right; concentrate on that first, then work on the ratios. The morning one is often tricky and you might actually need a specific injection for dawn phenomenon (e.g. I take 2 units when I wake up to account for it, rather than changing my morning ratio). This all takes a bit of tinkering, but it all starts with getting your basal dose right. If you're struggling to get your BG right in the morning and that's stopping you doing a decent fasting test, I'd consider [u]cautiously[/u] increasing the basal dose (e.g. by 1u per day) until it's more stable. Obviously you need to be alert for hypos, but given that you're now injecting much less than before, you're not having unexplained hypos, and your BG is tending to rise, I'd say this is relatively safe; it looks like your current basal is way lower than it needs to be. Good luck! [/QUOTE]
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