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Sugar level one hour after eating

SamJB said:
I'm less sensitive to insulin in the morning
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Sounds like the Dawn Phenomenon to me!
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Even hours after breakfast? If I have a snack before 11am (I get up at 5.30) I use a 0.5 to 0.7 ratio otherwise I can go high. But for lunch, dinner and any afternoon snacks I would use 0.5 to 0.5

I asked about dawn phenomenon but she said it wasn't as I don't rise unless I eat?
 
My personal experience is that my DP kicks in whether I eat or not; I'll get a rise in BGs just after I wake, so will always need to take 2 units of insulin regardless of whether I've eaten.

I think others on this site have posted about delayed DP. I guess it could be DP, it could be a change in insulin resistance as your DSN has suggested. Either way so long as you've got it covered I guess it doesn't matter what it is!
 
Yes, that was my understanding of DP - it would happen regardless! But if I get up and don't eat for a few hours (I do this sometimes at weekends) I get a drop in BG by the time I test before eating. Usually though I eat within an hour of getting up.

As you say - Ive got my ratios (for now at least) so it doesn't matter what the cause is!
 
Interesting. I can't say I understand it completely, I've never discussed this with a DSN or consultant, so it may not be DP that I'm experiencing. Who knows?!
 
SamJB said:
Interesting. I can't say I understand it completely, I've never discussed this with a DSN or consultant, so it may not be DP that I'm experiencing. Who knows?!
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My basic understanding is that I'm very sedentary in the mornings. Ill sit at my desk and do everything from there. But by lunchtime my activity increases. Ill walk to the other side of the building to talk to someone instead of calling (because I like to procrastinate in the afternoons). I finish work at 4 and walk my dogs then am usually busy with housework/laundry/seeing friends.

So it's not that I'm more resistant in the mornings, in just less active. And apparently this is common. But someone who works night shift will be the opposite way around.
 
The insulin starts working in the morning as fast as later in the day. You probably should take more insulin in the morning for lets say 20 grams of carbs than 20 grams at night, since we all have cortisol levels that are high in the morning and counteracts the insulin. Your one hour BS matters alot! Try to keep you peek below 10-11 at all times.
 
Hi, Hale. Could you tell me what this ratio means? Is it carb to insulin ratio? How can I work out my ratio?
It sounds a lot easier if you know your ratio and change insulin units according to what you eat. Well, I'm still new, so I don't think I'm allowed to change units without my nurse's permission though..,

Still I'd like to know how i can find out about my ratio.
Thanks


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Yes definitely discuss it with your nurse first, but I was carb counting within the first week. It is the carb to insulin ratio, most people start with 1 unit to 10g carb and then alter it depending on how their BG reacts. It's trial and error really! I use a half unit pen which is fab because I can be more accurate with my ratio
 


This is an on-line version of the hugely popular DAFNE course, you do need to register first but I'm sure you will find it extremely helpful:

http://www.bdec-e-learning.com/
 
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