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Diabetes Discussion
Type 1 Diabetes
Tresiba, Dawn Phenomenon, Split Dosing
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<blockquote data-quote="MinaRotter" data-source="post: 1806600" data-attributes="member: 461913"><p>For what it's worth, my opinion is to get a pump. I have had type 1 for 40 years and had dawn phenomenon from before it was given a name. </p><p></p><p>You can't treat Dawn phenomenon with long acting insulin. You can only treat it with short acting - that means waking up at 5 am (ish - depending on when your BG starts to rise) and throw in some fast acting. Or use a pump to automatically adjust your basal rate for you - my preference. </p><p></p><p>Long acting is intended to give a flat basal. Some people have a flat basal requirement and it works well for them - many don't and it doesn't.</p><p></p><p>If you increase your long acting (basal insulin) to the point where it is covering your peak insulin requirement (ie the dawn phenomenon) then for the rest of the 24 hr period your BGs are going to be falling as your basal insulin is in excess of requirements and you will either go hypo or have to take on carbs to cover it.</p><p></p><p>Get a pump. I speak from experience and not an insignificant amount of medical knowledge.</p></blockquote><p></p>
[QUOTE="MinaRotter, post: 1806600, member: 461913"] For what it's worth, my opinion is to get a pump. I have had type 1 for 40 years and had dawn phenomenon from before it was given a name. You can't treat Dawn phenomenon with long acting insulin. You can only treat it with short acting - that means waking up at 5 am (ish - depending on when your BG starts to rise) and throw in some fast acting. Or use a pump to automatically adjust your basal rate for you - my preference. Long acting is intended to give a flat basal. Some people have a flat basal requirement and it works well for them - many don't and it doesn't. If you increase your long acting (basal insulin) to the point where it is covering your peak insulin requirement (ie the dawn phenomenon) then for the rest of the 24 hr period your BGs are going to be falling as your basal insulin is in excess of requirements and you will either go hypo or have to take on carbs to cover it. Get a pump. I speak from experience and not an insignificant amount of medical knowledge. [/QUOTE]
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