Over the past two years I've built up a really good insulin sensitivity from cycling regularly, which I'm happy about, but my issue is that to stop me waking up low in the morning I need to eat a ridiculous amount of carbs (50g on a easy day, 90g on a hard day) just before I go to sleep. While I still get a nice reading in the morning (4.0-5.5) I know in the middle of the night my sugars can reach 15.0 or something stupidly high before they come down again, which is obviously not good.
So what to do about this ? I guess the most obvious thought is to lower my lantus (I'm on MDI.) At the moment I take either 9 or 10 units (depending on how active I've been that day) about 1 hour before sleep. My concern is I remember one of my doctors mentioning that you need a certain amount of insulin in your system to be able to function properly and he reccommended I just eat more as the insulin is needed to help restore glycogen to my cells after an intense day. So my question is how much insulin do I need to still be healthy ? On a very active day I can use as little as 12 units (9 lantus, 3 humalog) and I'm concerned about using less than that.
My other thought is to move my lantus injection about 5/6 hours before sleep so I have more time awake to control any fluctuations caused by the lantus, though I haven't done this yet. Good thing to do ?
Any advice is welcome, thanks.
So what to do about this ? I guess the most obvious thought is to lower my lantus (I'm on MDI.) At the moment I take either 9 or 10 units (depending on how active I've been that day) about 1 hour before sleep. My concern is I remember one of my doctors mentioning that you need a certain amount of insulin in your system to be able to function properly and he reccommended I just eat more as the insulin is needed to help restore glycogen to my cells after an intense day. So my question is how much insulin do I need to still be healthy ? On a very active day I can use as little as 12 units (9 lantus, 3 humalog) and I'm concerned about using less than that.
My other thought is to move my lantus injection about 5/6 hours before sleep so I have more time awake to control any fluctuations caused by the lantus, though I haven't done this yet. Good thing to do ?
Any advice is welcome, thanks.