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Splitting Lantus to stop dawn phenomenon
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<blockquote data-quote="therower" data-source="post: 2180546" data-attributes="member: 47983"><p>[USER=515006]@AlanaPerrin[/USER] . Welcome to the forum.</p><p>Dawn phenomenon in most instances happens whilst asleep, usually around 2 to 4 a.m.</p><p>You’re post as I read it is saying that your BS rises once you get out of bed. Is this correct?</p><p>If it is then what you are actually having is what we call “ feet on the floor “. </p><p>Basically once we get out of bed and start the day our body wants fuel. If we don’t provide this fuel via breakfast for instance then our liver decides to provide the fuel for us. Obviously we can’t control what our liver decides what to do and when, annoyingly.</p><p>If your problem is feet on the floor then altering your lantus will have next to no affect. What you need to do is </p><p>1. Provide bolus insulin ( Fiasp ) to counteract your liver dump if you are not eating breakfast. This is obviously difficult because you’ll have no idea how much insulin you’ll need to counteract the glucose release from the liver. Personally it’s only a small amount of insulin but everyone is different. Trial and error along with intensive monitoring is the only way.</p><p>2. Probably slightly easier is to have breakfast on rising. Obviously this will require your bolus injection to match what you eat, like all other meals. By eating even a small breakfast you will stop your liver from becoming active and releasing glucose for you. </p><p>As you are newly diagnosed it’s imperative at the moment that you talk to your diabetics team prior to making dosage changes.</p><p>Good luck.</p></blockquote><p></p>
[QUOTE="therower, post: 2180546, member: 47983"] [USER=515006]@AlanaPerrin[/USER] . Welcome to the forum. Dawn phenomenon in most instances happens whilst asleep, usually around 2 to 4 a.m. You’re post as I read it is saying that your BS rises once you get out of bed. Is this correct? If it is then what you are actually having is what we call “ feet on the floor “. Basically once we get out of bed and start the day our body wants fuel. If we don’t provide this fuel via breakfast for instance then our liver decides to provide the fuel for us. Obviously we can’t control what our liver decides what to do and when, annoyingly. If your problem is feet on the floor then altering your lantus will have next to no affect. What you need to do is 1. Provide bolus insulin ( Fiasp ) to counteract your liver dump if you are not eating breakfast. This is obviously difficult because you’ll have no idea how much insulin you’ll need to counteract the glucose release from the liver. Personally it’s only a small amount of insulin but everyone is different. Trial and error along with intensive monitoring is the only way. 2. Probably slightly easier is to have breakfast on rising. Obviously this will require your bolus injection to match what you eat, like all other meals. By eating even a small breakfast you will stop your liver from becoming active and releasing glucose for you. As you are newly diagnosed it’s imperative at the moment that you talk to your diabetics team prior to making dosage changes. Good luck. [/QUOTE]
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