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That morning blood glucose spike...
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<blockquote data-quote="GrantGam" data-source="post: 1465514" data-attributes="member: 295621"><p>Welcome to the forum [USER=402462]@kenrobrich[/USER]<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>You're splitting your basal insulin which is a good thing; are you finding that your fasting BG remains steady and within range on your current dose of Levemir? Your higher I:C ratios may be the result of a lack of basal insulin.</p><p></p><p>By the way, just to make things clear - it's always best to use the correct terminology regarding ratios. Your 2:1 ratio is actually 2:10, and the difference between the two is quite huge. For a white cheese sandwich, the difference in insulin dose between the two ratios is over 70 units!</p><p></p><p>I suffer from dawn phenomenon, but also a waking rise or 'feet on the floor syndrome' which it is also known. So for me, my BG will start to rise from about 5AM (dawn phenomenon) and then it shoots up further as soon as I get out of bed. What I need to do, is correct my high BG caused by DP (applying my standard correction factor) and then bolus 2u regardless to correct the BG spike that I get every single morning just from getting out of bed.</p><p></p><p>It's also worth mentioning that we're typically most insulin resistant in the morning, so you might find that your larger insulin doses are a result of that. There is also the possibility that the extra insulin is neccessary because of something like a waking rise as detailed above.</p><p></p><p>Regarding your lunchtime ratio (1:10, not 1:1) - that would seem pretty normal and nothing to be concerned about. The fact that it is lower than your morning I:C ratio, further suggests morning insulin resistance. Also, bolus insulin has a DIA of 3-5 hours, so depending on what time you eat breakfast, you may still have some working in your system at lunch time. The result of this is possible 'insulin stacking' which can result in hypos and actually appear as though you need a lower I:C ratio for lunch. Insulin stacking can be avoided by ensuring that meals are spaced at least 4 hours apart.</p><p></p><p>As for the coffee, caffeine affects us all differently. I do find that the "real coffee" you'd get in Starbucks or Costa for example is terrible for my BG. I'm alright with instant though.</p></blockquote><p></p>
[QUOTE="GrantGam, post: 1465514, member: 295621"] Welcome to the forum [USER=402462]@kenrobrich[/USER]:) You're splitting your basal insulin which is a good thing; are you finding that your fasting BG remains steady and within range on your current dose of Levemir? Your higher I:C ratios may be the result of a lack of basal insulin. By the way, just to make things clear - it's always best to use the correct terminology regarding ratios. Your 2:1 ratio is actually 2:10, and the difference between the two is quite huge. For a white cheese sandwich, the difference in insulin dose between the two ratios is over 70 units! I suffer from dawn phenomenon, but also a waking rise or 'feet on the floor syndrome' which it is also known. So for me, my BG will start to rise from about 5AM (dawn phenomenon) and then it shoots up further as soon as I get out of bed. What I need to do, is correct my high BG caused by DP (applying my standard correction factor) and then bolus 2u regardless to correct the BG spike that I get every single morning just from getting out of bed. It's also worth mentioning that we're typically most insulin resistant in the morning, so you might find that your larger insulin doses are a result of that. There is also the possibility that the extra insulin is neccessary because of something like a waking rise as detailed above. Regarding your lunchtime ratio (1:10, not 1:1) - that would seem pretty normal and nothing to be concerned about. The fact that it is lower than your morning I:C ratio, further suggests morning insulin resistance. Also, bolus insulin has a DIA of 3-5 hours, so depending on what time you eat breakfast, you may still have some working in your system at lunch time. The result of this is possible 'insulin stacking' which can result in hypos and actually appear as though you need a lower I:C ratio for lunch. Insulin stacking can be avoided by ensuring that meals are spaced at least 4 hours apart. As for the coffee, caffeine affects us all differently. I do find that the "real coffee" you'd get in Starbucks or Costa for example is terrible for my BG. I'm alright with instant though. [/QUOTE]
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