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Sugar goes through the roof in morning.

I

Ian19741?

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Please can someone help. I’m really struggling to get things right. From the hours of 9pm-8am have good control and in range 3.9-10. As soon as I get outta bed before I even have any food my sugars are growing fast. I then struggle all day to get them back under control. Yesterday was terrible, I took my insulin and corrections, counted my carbs etc but i couldn’t get it back into range. Every meal is a battle. I take my insulin, count carbs, BG comes into range then starts shooting up, I do my corrections and the circle continues. Someone please help. I’m at the end of my tether. I’m really struggling. Don’t know how much more I can take.
 
Ian19741? said:
Please can someone help. I’m really struggling to get things right. From the hours of 9pm-8am have good control and in range 3.9-10. As soon as I get outta bed before I even have any food my sugars are growing fast. I then struggle all day to get them back under control. Yesterday was terrible, I took my insulin and corrections, counted my carbs etc but i couldn’t get it back into range. Every meal is a battle. I take my insulin, count carbs, BG comes into range then starts shooting up, I do my corrections and the circle continues. Someone please help. I’m at the end of my tether. I’m really struggling. Don’t know how much more I can take.
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Hi Sounds like you are Type 1? I have been type 1 for 3yrs now, as soon as I wake up I have to take my Fiasp and it might help to have a small amount of food otherwise your body is kicking out glucose as it thinks you need the energy in the morning due to lack of any food. one tablespoon of full fat low sugar plain yogurt really helps me. What are you eating for meals as although nhs say Type 1’s can eat anything and calculate the carbs this simply didn’t work for me. I cannot possibly eat bread or any kind of cereal in the morning otherwise I would shoot up sky high and if correct either it’s still not enough or I have a hypo later. I have a few breakfast recipes from a diabetic cookbook that I make and keep in the fridge. Can you give an example of typical days food?
 
Injected insulin isn't like a normal person's insulin as it follows a fixed curve and doesn't match the food you are eating. It's normal for your blood sugars to go up after eating. Ignore the spike. What's important is if they return to the pre-meal levels 5 hours later. If not that's when you take a correction dose with your next meal.
'Foot on the floor' is common. This is when your blood sugars rising as your liver gives you energy waking and for the day. You can take a correction with your breakfast.
 
ert said:
'Foot on the floor' is common. This is when your blood sugars rising as your liver gives you energy waking and for the day. You can take a correction with your breakfast.
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... Or beforehand if you don't eat breakfast or eat a while after getting up.
 
I am type 1. I have been for 20 yrs and always struggled. But since gettin the freestyle Libre monitor am trying really hard to get it right. Only now since having it I can see why I felt so poorly all the time. Am on basal bolus regime. Lantus and humalog
 
Breakfast I have 40g carbs. Usually cornflakes and milk. Lunch yesterday was 40g carbs pancakes and grilled bacon and tea was 50g carbs. Chicken breast, baby potatoes and mixed veg. Two snacks at 10g carb each. Afternoon and before bed.
 
Ian19741? said:
Breakfast I have 40g carbs. Usually cornflakes and milk. Lunch yesterday was 40g carbs pancakes and grilled bacon and tea was 50g carbs. Chicken breast, baby potatoes and mixed veg. Two snacks at 10g carb each. Afternoon and before bed.
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I would suggest changing your breakfast, milk and cornflakes would really mess up my day. Although you are only having 40g carbs I find with certain carbs I just can’t eat them it may be different for you but as you are having a problem I would try a change.
You could swap the milk for coconut milk or soya milk. Or eggs and bacon if you have time? I have the ‘low carb diabetes cookbook’ by Dr Cavan and Emma Porter, lots of great low carb breakfast ideas, muffins made with ground almonds and raspberries, yogurt and berries. My breakfasts are about 15g carbs. If you weren’t spiking after breakfast the rest of your day might be better.
Have you read Dr Bernstein diabetes solution? It really helped me.
 
I really struggled with spiking after breakfast whatever I ate, and the best way for me was to avoid eating anything for breakfast, so the first food of the day is at 1pm. I appreciate we're all different, but might be worth trying for a day or two, and see how the rest of the day works out for you.
 
Ian19741? said:
I am type 1. I have been for 20 yrs and always struggled. But since gettin the freestyle Libre monitor am trying really hard to get it right. Only now since having it I can see why I felt so poorly all the time. Am on basal bolus regime. Lantus and humalog
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Snap, I'm on the same insulins as you. :). Cgms are amazing at telling us what is going on.

Have you had a chance to talk to your diabetic team about this? My first thought is to wonder if you have the right basal dose, since you seem to be having issues with all your meals, though I guess if it's flat all night you probably don't want to increase it...
The other question is to ask when you are taking your lantus? I take mine at night to ensure that it isn't running out first thing in the morning.

Worst case scenario, if you can't get your morning levels right, your team might offer you a pump, but I suspect there is more you can do to adjust things first.
 
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