Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Type 1 Diabetes
Overnight highs
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="pinewood" data-source="post: 1778876" data-attributes="member: 147474"><p>Hi everyone,</p><p></p><p>After 3 years of very tight control (and feeling very grateful at how lucky I have been with the ease of control) in the past few weeks I have been really struggling.</p><p></p><p>I currently take 10 units of Tresiba before bed at around 10pm and my I:C ratio is now about 1 unit per 10g (used to be more like 1:20)</p><p></p><p>A typical day goes like this:</p><p></p><p>- I wake up @ 6-8mmol / inject 3 units for breakfast / have a small spike to 9mmol or so and then remain nice and steady at 5-7mmol until lunch</p><p>- Take 3 units for a low carb lunch / stay steady at 4-7mmol all afternoon</p><p>- Units for dinner vary, but even if I have a low carb meal and bolus with very high accuracy this is what happens:</p><p>* Inject 30-45 mins before eating to restrict spike;</p><p>* Assuming I carb counted and bolused correctly, I'll stay steady in the 5-8mmol range from eating dinner at c. 8pm until going to bed at 11pm (occasionally I will split-bolus or add an additional bolus depending on what I am eating and if my Dexcom shows me creeping up)</p><p>* I'll go to bed at 11pm-ish with my Dexcom showing me nice and steady at 5-6mmol</p><p>* My Dexcom alarm will then go off between 12am to 3am and I'm suddenly at 11-14mmol???!??!</p><p>* I'll bolus but still end up spending the whole night higher than I would like (e.g. 8-11mmol); sometimes my alarm will sound again at 4/5am because I'm still high despite the middle of the night bolus, so I'll take yet another bolus but still be in the 6-8+mmol range on waking.</p><p></p><p>Previously, I've had perfectly stable overnight sugars and would almost always wake up in the 4-5mmol range. The only time I'd have highs in the middle of the night is if I had a high fat/high carb meal (e.g. pizza/pasta) and the delayed digestion, understandably, spiked me. But now it's happening regardless of what I have dinner, even if it's a salad or low carb option.</p><p></p><p>Any ideas what's going on here or tips for things I can try?</p><p></p><p>I always thought our bodies needed LESS insulin at night but I seem to need more.</p><p></p><p>I'm reticent to increase my Tresiba given my daytime levels seem okay but maybe that's the first thing to try?</p></blockquote><p></p>
[QUOTE="pinewood, post: 1778876, member: 147474"] Hi everyone, After 3 years of very tight control (and feeling very grateful at how lucky I have been with the ease of control) in the past few weeks I have been really struggling. I currently take 10 units of Tresiba before bed at around 10pm and my I:C ratio is now about 1 unit per 10g (used to be more like 1:20) A typical day goes like this: - I wake up @ 6-8mmol / inject 3 units for breakfast / have a small spike to 9mmol or so and then remain nice and steady at 5-7mmol until lunch - Take 3 units for a low carb lunch / stay steady at 4-7mmol all afternoon - Units for dinner vary, but even if I have a low carb meal and bolus with very high accuracy this is what happens: * Inject 30-45 mins before eating to restrict spike; * Assuming I carb counted and bolused correctly, I'll stay steady in the 5-8mmol range from eating dinner at c. 8pm until going to bed at 11pm (occasionally I will split-bolus or add an additional bolus depending on what I am eating and if my Dexcom shows me creeping up) * I'll go to bed at 11pm-ish with my Dexcom showing me nice and steady at 5-6mmol * My Dexcom alarm will then go off between 12am to 3am and I'm suddenly at 11-14mmol???!??! * I'll bolus but still end up spending the whole night higher than I would like (e.g. 8-11mmol); sometimes my alarm will sound again at 4/5am because I'm still high despite the middle of the night bolus, so I'll take yet another bolus but still be in the 6-8+mmol range on waking. Previously, I've had perfectly stable overnight sugars and would almost always wake up in the 4-5mmol range. The only time I'd have highs in the middle of the night is if I had a high fat/high carb meal (e.g. pizza/pasta) and the delayed digestion, understandably, spiked me. But now it's happening regardless of what I have dinner, even if it's a salad or low carb option. Any ideas what's going on here or tips for things I can try? I always thought our bodies needed LESS insulin at night but I seem to need more. I'm reticent to increase my Tresiba given my daytime levels seem okay but maybe that's the first thing to try? [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Type 1 Diabetes
Overnight highs
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…