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Type 1 Diabetes
Type 1: High morning blood sugar/ Dawn Phenomenon
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<blockquote data-quote="paulpapa" data-source="post: 1291645" data-attributes="member: 243591"><p>Hi all,</p><p></p><p>I've been struggling with high waking blood sugars which I've attributed to a Dawn Phenomenon (although a consult I saw was sceptical despite a months of Libre data showing it) that I see start to rise my sugars at around 3-4am. I was just wondering how other people deal with them?</p><p></p><p>I also find that the number climbs a bit more once I'm up and out of bed. It's disheartening to wake up at 19.2, hungry and be unable to eat anything for a 3-4 hours until the number is a bit better. </p><p></p><p>In terms of correction doses, the 1u to 2-3 mmol drop doesn't seem to work for me and I'm taking pretty large correction does of 9-10u most mornings. I know that people can be more insulin resistant in the morning and because of high blood sugar but it does seem like a lot of insulin.</p><p></p><p>I've had my metformin prolonged release upped to 1mg twice a day - breakfast and dinner - and it seems to be helping my sugars in the day, but not so much in the morning. I've been having hypos after lunch so I'm trying to tweak that ratio - it was 2u for every 10g CHO but I'm now trying 1.5 per 10g CHO.</p><p></p><p>I'm hopefully going on a pump either end of the year or early next year so I was also wondering how a pump can help control the Dawn Phenomenon if anyone is using one.</p><p></p><p>Thanks,</p><p></p><p>P</p></blockquote><p></p>
[QUOTE="paulpapa, post: 1291645, member: 243591"] Hi all, I've been struggling with high waking blood sugars which I've attributed to a Dawn Phenomenon (although a consult I saw was sceptical despite a months of Libre data showing it) that I see start to rise my sugars at around 3-4am. I was just wondering how other people deal with them? I also find that the number climbs a bit more once I'm up and out of bed. It's disheartening to wake up at 19.2, hungry and be unable to eat anything for a 3-4 hours until the number is a bit better. In terms of correction doses, the 1u to 2-3 mmol drop doesn't seem to work for me and I'm taking pretty large correction does of 9-10u most mornings. I know that people can be more insulin resistant in the morning and because of high blood sugar but it does seem like a lot of insulin. I've had my metformin prolonged release upped to 1mg twice a day - breakfast and dinner - and it seems to be helping my sugars in the day, but not so much in the morning. I've been having hypos after lunch so I'm trying to tweak that ratio - it was 2u for every 10g CHO but I'm now trying 1.5 per 10g CHO. I'm hopefully going on a pump either end of the year or early next year so I was also wondering how a pump can help control the Dawn Phenomenon if anyone is using one. Thanks, P [/QUOTE]
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Type 1 Diabetes
Type 1: High morning blood sugar/ Dawn Phenomenon
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