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Type 1 Diabetes
That morning blood glucose spike...
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<blockquote data-quote="kenrobrich" data-source="post: 1465505" data-attributes="member: 402462"><p>Hi all! I've been diabetic for 16 years now, yet I've never really paid too much attention to my health until the last 2 or 3 months. Fortunately, it doesn't seem like I was doing too badly - however now I'm actually paying attention to myself I find this condition is pretty difficult to control at times.</p><p></p><p>I take detemir (levemir) for background insulin twice a day and aspart (novorapid) after any meals or carbs. I typically inject 2 units of aspart for every 10 grams of carbohydrate, or what I call a 2:1 ratio.</p><p></p><p>After doing a bit of research I've found that lots of Diabetics including myself seem to suffer from the "dawn phenomenon", however whereas others' blood glucose spikes between 2am-8am, mine is typically 8am-11am. The only thing that keeps me under control by lunchtime is to inject 4 units of insulin for every 10 grams of carbohydrate at breakfast, or a 4:1 ratio - which is quite a lot of insulin.</p><p></p><p>By lunchtime, I usually have to lower my ratio to 1:1. It's almost like my body doesn't use the insulin in the morning, stores it up, then releases it all at once after lunch - sometimes causing pretty nasty hypos. Does anyone else experience something similar to this? Do you have any other tips for managing it?</p><p></p><p>I've also noticed I have to inject a couple units (2-4, depending on time of day) for coffees - typically I have one in the morning around 10:30, and one in the afternoon around 3pm. I don't take sugar in coffee, but do take milk. Does this sound familiar?</p></blockquote><p></p>
[QUOTE="kenrobrich, post: 1465505, member: 402462"] Hi all! I've been diabetic for 16 years now, yet I've never really paid too much attention to my health until the last 2 or 3 months. Fortunately, it doesn't seem like I was doing too badly - however now I'm actually paying attention to myself I find this condition is pretty difficult to control at times. I take detemir (levemir) for background insulin twice a day and aspart (novorapid) after any meals or carbs. I typically inject 2 units of aspart for every 10 grams of carbohydrate, or what I call a 2:1 ratio. After doing a bit of research I've found that lots of Diabetics including myself seem to suffer from the "dawn phenomenon", however whereas others' blood glucose spikes between 2am-8am, mine is typically 8am-11am. The only thing that keeps me under control by lunchtime is to inject 4 units of insulin for every 10 grams of carbohydrate at breakfast, or a 4:1 ratio - which is quite a lot of insulin. By lunchtime, I usually have to lower my ratio to 1:1. It's almost like my body doesn't use the insulin in the morning, stores it up, then releases it all at once after lunch - sometimes causing pretty nasty hypos. Does anyone else experience something similar to this? Do you have any other tips for managing it? I've also noticed I have to inject a couple units (2-4, depending on time of day) for coffees - typically I have one in the morning around 10:30, and one in the afternoon around 3pm. I don't take sugar in coffee, but do take milk. Does this sound familiar? [/QUOTE]
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That morning blood glucose spike...
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