Type 1 Diabetes

[diabetic-peach]

Hello, I'm a type 1 diabetic, have been since 2004.

I take novorapid whenever I eat and half my levimir in the morning (12 units) and the other half at night time (12 units) I take them exactly 12 hours apart. 10am and 10pm.

Every night, without fail, at around 11pm-12am onwards my sugars just spike up high (16 with an arrow pointing up)
I don't snack or have anything sugary after my dinner, I take my dinner time Novo rapid 10 mins before I eat. It doesn't even matter if I over compensate with novorapid with dinner time, it still spikes at those times.
I even go low sometimes (in the 3s) from overcompensating, but I just know it's gunna spike back up so I don't take anything to get them back up, because I know they'll go up on their own, and they do.

I change my levimir does by a couple units and the same thing. No lumps or bumps in my injection sights, pens work fine and needles changed after every use.

The mornings are fine, my sugars are in fact perfect through our the day, just dinner/evening it spikes high.

Does anyone have any ideas as to what is happening?

I am 27 years old.

 

[Tony337]

Hi and welcome to the forum.

I cannot give you a solution but as i too am on levimir and novorapid i can tell you what happens to me from time to time....

Levimir at 6 am 10 units and 6pm 14 units.
Novorapid to carbs and i eat at 6.30 pm

Now then i usually go into my workshop around 7ish and spend a couple of hours cutting and doing and everything runs swimmingly.
However on the rare occasion i spend the evening doing nothing my levels spike like yours at 11pm ish which is when my novorapid is running out.

I don't see a specialist and experiment on myself which has become a doddle since i got a libre so i would try altering the times of your levimir first if you can just to see if this makes a difference.
Apparently it last 12 to 18 hours but its peculiar to the individual and yours could be running out?
I take more at night time as i'm very active during the day and tend to graze during the day too which works for me.

I'm 55 and been diabetic for 50 years male and hba1c 42.

I wish you well

Tony

 

[Deleted member 527103]

Hi @diabetic-peach
Sorry you are having problems.

I have a few thoughts about your experience although if depends whether you are seeing a spike (BG goes up and back down again) or a rise (BG continues to rise and doesn't go back down).
- inaccurate CGM. CGMs are designed to be most accurate at "normal" levels (usualy between 4 and 10). When higher than this, it can exaggerate highs. This is why it is always advised to double check highs (and lows) with a finger pricj before correcting.
- night time basal is too low. You mention you split your Levemir by exactly half. However, our basal needs are not exactly the same all the time. With my insulin pump, I can change my basal every 30 minutes. Many people prefer Levemir to longer lasting insulins such as Tresiba because it allows them to have different insulin doses at different times of the day. Have you tried increasing your night time basal only?
- evening meal bolus is too low. Just like our basal needs may vary at different times of the day, so do ou blus needs. You may need a higher bolus insulin to carb ration for your evening meal.
- "pizza effect". You do not mention what you are eating for your evening meal. However, meals that are high in fat and highish in carbs such as pizza (hence the name), curry and pasta (especially if you have a creamy, cheesy sauce) take longer to digest and may need more insulin that your insulin to carb ration suggests. This is handled with a split bolus - take some before you eat and the rest a couple of hours later. This will take some trial and error to work out what works for you and the different meals you eat.

Good luck with your experimentation.

 

[michita]

Hello, I'm a type 1 diabetic, have been since 2004.

I take novorapid whenever I eat and half my levimir in the morning (12 units) and the other half at night time (12 units) I take them exactly 12 hours apart. 10am and 10pm.

Every night, without fail, at around 11pm-12am onwards my sugars just spike up high (16 with an arrow pointing up)
I don't snack or have anything sugary after my dinner, I take my dinner time Novo rapid 10 mins before I eat. It doesn't even matter if I over compensate with novorapid with dinner time, it still spikes at those times.
I even go low sometimes (in the 3s) from overcompensating, but I just know it's gunna spike back up so I don't take anything to get them back up, because I know they'll go up on their own, and they do.

I change my levimir does by a couple units and the same thing. No lumps or bumps in my injection sights, pens work fine and needles changed after every use.

The mornings are fine, my sugars are in fact perfect through our the day, just dinner/evening it spikes high.

Does anyone have any ideas as to what is happening?

I am 27 years old.

I also take levemir and novorapid. My twice daily levemir injunctions are at 6am right after i wake up and 6pm. I wonder if you experiment and move your levemir injection time earlier you might know if the problem you are having is due to levemir dose or something else. Personally i feel safer not inject insulin right before going to bed (levemir or novorapid). I also notice doing some resistance exercise before going to bed (3 sets of 20 squats for me) and injecting minimal insulin really helps to keep bs flat at night. For me doing the squats before going to sleep lowers insulin dose needed and helps to keep bs level flat.