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Timing of long acting!

C

Charisma_1630

Well-Known Member
Messages
204
Type of diabetes
Type 1
Treatment type
Insulin
For the past month or so now I've been really resistant to insulin in the mornings! it's been sending me sky high and struggling to keep it down. A while ago I changed my long acting from bed time to morning. Could it be that the long acting is running out an hour or 2 before breakfast so my body is working harder as there's no insulin in it till I eat again??
 
Sounds possible. On DAFNE they said they didn't recommend anyone did basal in the morning if they only inject it once a day.

Have to tested your BG overnight too get a picture of what's happening?


Blogging at drivendiabetic.wordpress.com
 
I haven't. But I usual wake up with it around the same. Although It occasionally drops in the night recently and I hypo after going to bed on 10 ish. It's been giving me no end of trouble! I'm having to have so much Insulin for 1 slice of toast than I used to have. How do I change it back to bedtime?
 
Have a chat to your nurses, I've been on 2 basal injections - one in the morning and one at bed (10ish ) for ages now and the reason I went on to 2 was because my sugar would rise around tea time (as it runs out) so having the 2 gives a bit more cover - but that's something to chat through with them. Could also be morning phenomenon too - I guess it depends when your peaks are - Hope it helps.
 
I take mine in the morning too, 68 units quite a high dosage. Are you over weight, I had similar issues a couple months ago, was told to eat sensible Carbs i.e. Brown pasta and brown rice, cut bread completely, I eat sweet potatoes to replaced starch white ones.
What a massive difference, wake up with readings between 5 and 8 now.


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When I did the DAFNE course Afew months ago they set up all my doses and now I'm having to take way more insulin and it still often ends up in the teens. I was ill for the last month but all I have left is a cough, n I'm talking a cough once every 3-5 mins. U know that annoying kind! Do u think that's still enough to send sugars crazy?? My nurse said don't do anythin till 100% better but a month later and the high sugars are really depressing me!
 
I split my dose to avoid it running out. With some people it lasts much less than 24 hours, i have 10 units first thing in the morning and 10 units when Zi go to bed. Mornings I'm very insulin resistant and have 3 units of novo rapid even though I only have black coffee. The rest if the day my ratios are 1:1


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Picci said:
Mornings I'm very insulin resistant and have 3 units of novo rapid even though I only have black coffee.
Click to expand...

I also need 3 units when I wake up, just to cover the trauma of getting out of bed :eek:
But for me, it's more of a liver-dump than insulin resistance.
 
Charisma_1630 said:
For the past month or so now I've been really resistant to insulin in the mornings! it's been sending me sky high and struggling to keep it down. A while ago I changed my long acting from bed time to morning. Could it be that the long acting is running out an hour or 2 before breakfast so my body is working harder as there's no insulin in it till I eat again??
Click to expand...

I currently take my Lantus at 6pm as I seem to be less insulin resistant in the afternoons and I'm sure it starts tailing of before 24 hours
 
Ok so definitely need to change it back to evenings then. It's even worse when I wake up and it's high! One morning it was 17 and I had ten units!!!! With 1 slice of toast!! Tested 2 hours later and it was still 15! Never had this problem before so bit scary
 
Wonder if you went low during the night but not enough to wake you, so your liver dumps glucose to get you out of trouble and you wake up high.

As hale suggested, it would be worth doing some tests during the night to see what's happening.
 
Sounds to me like the dawn phenomenon. Have a Google for it. I experience it and I need an extra 2 units of Novorapid with breakfast to cover it.

I actually think that having basal in the mornings is a better idea than in the evenings, because if your basal amount has changed (detected by a difference between pre-bed and pre-breakfast), you can act on it immediately instead of waiting until the evening to change. In fact, I think I'm going to start doing this because my basal changes all the time. The only problem is, is that I like a lie in on the weekend, maybe I'll jab it at 10AM or something.
 
Until recently I was taking a small dose in the morning and my main dose around 10:30pm which was leaving me a bit high towards bedtime.

I was advised to move my main dose to an earlier time and now do it around 7pm which seems to have sorted me out. I guess everybody is different though and you need to find what works best for you.


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It could well be DP or your basal insulin running out. I take my lantus around 6-7pm which works fine for me and hardly ever get a night-time hypo since moving it to this time from bedtime.
 
I'm now in the process of changing it back to bedtime. I took half a dose this morn, then will take the rest tonight. Then from tomorrow night start taking the whole dose. Didn't know how else to do it lol. Hoping it will stop the insulin resistance in the morning which most days was giving me sugars of up to 17 2 hours after breakfast. I original changed as my sugar was dropping so much in the night. But I've lowered the dose by 6 since then! Once it's changed ill do some night testing and a morning with no breakfast to see if I'm on the correct dose now!
 
I recently moved mine from 6-7pm to 10pm. I think I'm going to change it back though. I went from fairly well controlled to a shambles overnight!


Blogging at drivendiabetic.wordpress.com
 
Mines the same! I was doing quite well for once and it's all a complete mess now. Mostly in the mid to late teens! So annoying and upsetting :-(
 
Snap!

I'm going to bed at 6/7 and waking up in the teens. Useless!


Blogging at drivendiabetic.wordpress.com
 
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