Too much long lasting?

[Fenn]

Hi, I ate sunday dinner at 6pm very happy with the numbers but the low during the night 3am... too much unsulin before bed? Im at 7.9 and rising, no food, why would it swing so much? The green zone is set to 4-7.8, or is this a good result and nothing to worry about? Same thing happened yesterday.

My stupid questions started early today huh.

Thankyou

 

[Jaylee]

Good morning,

Is your basal, Lantus perchance?

Had you dosed around the 10/11pm mark before bed?

 

[Fenn]

Good morning,

Is your basal, Lantus perchance?

Had you dosed around the 10/11pm mark before bed?

Humalin I, I took 16 units around 10pm

Thankyou

 

[Jaylee]

Humalin I, I took 16 units around 10pm

Thankyou

Ah, OK.. It somehow looked like a Lantus thing? (I do Lantus.) Drops can occur 2/3am or 5/6am.
No help to you.

But the rise without eating, seeing as you haven't long got up? Could be "Dawn phenomenon?" (Or liver dump.)

This is only a guess..
Edited to add; my DP tends to happen after I've got ready for work & walked the dog? I haven't even had a coffee prior...

 

[Fenn]

Ah, OK.. It somehow looked like a Lantus thing? (I do Lantus.) Drops can occur 2/3am or 5/6am.
No help to you.

But the rise without eating, seeing as you haven't long got up? Could be "Dawn phenomenon?" (Or liver dump.)

This is only a guess..
Edited to add; my DP tends to happen after I've got ready for work & walked the dog? I haven't even had a coffee prior...

Its just if its long lasting I am kinda hoping for a more medium line, but I suppose I know what its like to hope.

If it goes low should I reduce my dose a little? I really want to split my dose into two halves, 12 hours apart but I know I should talk to DN before I do that, just don't like to trouble her

Thankyou Jaylee

 

[kitedoc]

As a T1D, not as professional advice/opinion: Good on you to be asking the challenging questions @Fenn.
The M&M in the photo below agrees!!
The rise from the low at 3 am might also be due to a rebound from that low due to release of Adrenaline/glucagon which just happens to mimic DP.
Adrenaline + glucagon causes release of glucose from the liver. The insulin doses and type are not designed to deal with this.
Perhaps ask your DN if reducing the nighttime long acting insulin by ? 20% might prevent the low and stop the later high BSL? If the low settles out but a high still happens then ask about DP as a possibility ?!

 

[Fenn]

As a T1D, not as professional advice/opinion: Good on you to be asking the challenging questions @Fenn.
The M&M in the photo below agrees!!
The rise from the low at 3 am might also be due to a rebound from that low due to release of Adrenaline/glucagon which just happens to mimic DP.
Adrenaline + glucagon causes release of glucose from the liver. The insulin doses and type are not designed to deal with this.
Perhaps ask your DN if reducing the nighttime long acting insulin by ? 20% might prevent the low and stop the later high BSL? If the low settles out but a high still happens then ask about DP as a possibility ?!

View attachment 29824

Thankyou Doc!

I started on the Humalin I (long lasting) because of dawn phenomenon I believe, or maybe assumed but I'm sure it was part of the reason, I was 13-18 in the morning, every morning, while eating low carb, and it didn't matter what I ate or when I ate it, then I was started on the Novo because I had a decent baseline due to Humalin, until I ate and then went sky high with a very slow drop back to a nice number, both types have made a monumental difference, I never for a second considered a reduction could lower my highs as a rebound from lows, this is so very complicated, kind of feels like damned if I do and damned if I don't, almost 2 months into this so still very new, very interesting thing to think about, as always I am very grateful for your advice.

 

[kitedoc]

Thankyou Doc!

I started on the Humalin I (long lasting) because of dawn phenomenon I believe, or maybe assumed but I'm sure it was part of the reason, I was 13-18 in the morning, every morning, while eating low carb, and it didn't matter what I ate or when I ate it, then I was started on the Novo because I had a decent baseline due to Humalin, until I ate and then went sky high with a very slow drop back to a nice number, both types have made a monumental difference, I never for a second considered a reduction could lower my highs as a rebound from lows, this is so very complicated, kind of feels like damned if I do and damned if I don't, almost 2 months into this so still very new, very interesting thing to think about, as always I am very grateful for your advice.

Hi @Fenn, I bow to the African saying:

whilst at the same time also thinking neither we should we be gluttons for punishment !!!