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Diabetes Discussion
Type 1 Diabetes
Tresiba, Dawn Phenomenon, Split Dosing
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<blockquote data-quote="LooperCat" data-source="post: 1802047" data-attributes="member: 468055"><p>Thank you <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>I think we’ve got the am and pm a little mixed up - I have the protein meal around 1400 (2pm), and don’t inject for it, so by the time the protein is kicking in, it stops the later afternoon drop. But I don’t always want to stop what I’m doing to eat then, it’s right in the middle of my afternoon work. </p><p></p><p>The Novorapid dose I’m talking about to head off the dawn phenomenon is at some point between 4 and 7am, I wake up with a bit of a jolt (a dump of cortisol, I think), scan my Libre and see it’s just about to soar after a flat level line. No point setting an alarm for it, as the time seems to vary, but 9/10 times it wakes me in time to deal with it. I’ve worked out a sort of sliding scale for a dose that depends on what the BG is when I wake, and have printed it off and pinned it to my bedside table, so I can just read it and inject accordingly in my groggy half awake state! </p><p></p><p>I am quite concerned about the overlaps of splitting Tresiba, like you say. I’ve just started a steroid inhaler for newly diagnosed asthma, so I’m watching closely to see what effect that has at the moment, to see if any changes are needed to it. I’ll probably just put up with the hepatic alarm clock and the unwanted meal for now until that settles in. I have tried dropping the Tresiba by a unit as you suggest, but ended up horribly high through the night. Sigh.</p></blockquote><p></p>
[QUOTE="LooperCat, post: 1802047, member: 468055"] Thank you :) I think we’ve got the am and pm a little mixed up - I have the protein meal around 1400 (2pm), and don’t inject for it, so by the time the protein is kicking in, it stops the later afternoon drop. But I don’t always want to stop what I’m doing to eat then, it’s right in the middle of my afternoon work. The Novorapid dose I’m talking about to head off the dawn phenomenon is at some point between 4 and 7am, I wake up with a bit of a jolt (a dump of cortisol, I think), scan my Libre and see it’s just about to soar after a flat level line. No point setting an alarm for it, as the time seems to vary, but 9/10 times it wakes me in time to deal with it. I’ve worked out a sort of sliding scale for a dose that depends on what the BG is when I wake, and have printed it off and pinned it to my bedside table, so I can just read it and inject accordingly in my groggy half awake state! I am quite concerned about the overlaps of splitting Tresiba, like you say. I’ve just started a steroid inhaler for newly diagnosed asthma, so I’m watching closely to see what effect that has at the moment, to see if any changes are needed to it. I’ll probably just put up with the hepatic alarm clock and the unwanted meal for now until that settles in. I have tried dropping the Tresiba by a unit as you suggest, but ended up horribly high through the night. Sigh. [/QUOTE]
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