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Type 1'stars R Us

@Claire
Of course Emma was the late arrival, it’s all coming back now.
Data overload at the time. 2 ladies, 2 names, 2 hours. I had no chance.
Julie sends her regards.
 
Afternoon,
Here's another weirdy one from me or is it just the unpredictable?
Woke at 5.45 with a neat 5.9
No breakfast, just black coffee as usual
Out driving 10.00 so a quick check, fine liver dumping 8.6 but does my body really need that much help?
Still no food
Sausages for lunch 1.3g each and I gobbled 6 because they're lovely....and I forgot to check before No bolus...... 5 mins after eating 9.9
It'll be a bit interesting to see what my body decides to do next.
Just having a minor bit of irk time rant. I'm boring and becoming obsessed!
 
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SueJB, It could be the coffee. I've found coffee (my usual breakfast) spikes my blood sugars 1 to 2 mmol/L. I've been correcting them with a unit of short-acting. I've swapped over to tea and don't have the same issue.
Otherwise, if you're not on a pump (which is only short-acting insulin), then you don't have enough long-acting insulin in your system. In Dr Bernstein's Diabetes Solution, he says to check if you have enough long-acting, you inject in the morning and skip breakfast and lunch and if it doesn't go up for 12 hours by more than 0.5 mmol/l then you have the correct dosage.
 
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@Mel dCP I'm up for a Cotswold meet up, in theory, but the humungous spanner in my works is not knowing how much of the next 4 weeks are going to be taken up with jury service.
 
I don’t believe it is the coffee. I believe it is the Adrenalin rush caused by the coffee. Also, not eating in the morning will exacerbate rising levels. Eating and injecting helps the body know there is glucose incoming and it can stop dumping from the liver.
@SueJB a rise from 5.9 to 8.6 in that time span is pretty small. I can go from 5-8 just putting feet on floor to go to toilet. Before going downstairs, always before 7am, I will have risen another 2 and still have a directional upwards trend on my Libre. I take Fiasp which is supposed to be fast acting. My morning insulin ratio is very high and I eat a very small amount of yoghurt and raspberries-10 carbs worth. My main and usually only meal of the day is around 2-3pm by which time I am more balanced and require less insulin. However, if I do eat later my levels will always rise very high during the night and I have to inject around 1am. As I also split dose when eating a main meal and need extra after exercise I can sometimes be injecting 7 or 8 times a day. Before CGM this would have been impossible.
 
SueJB said:
Woke at 5.45 with a neat 5.9
No breakfast, just black coffee as usual
Out driving 10.00 so a quick check, fine liver dumping 8.6 but does my body really need that much help?
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One of the first things I noticed with libre was that I'll easily go from 5 to 9 or 10 within a few hours of getting up, the so called foot-on-floor, so I learned how to pin it with a unit or two, so I'd be sailing into lunch quite happily on an an even 5 instead of dragging it back down from 9 with a meal correction.

Bolusing without food goes against all the DAFNE rules, but docs are admitting that now that cgm is slowly becoming more prevalent, they're seeing things they simply weren't aware of before, so they're becoming more willing to accept "creative" insulin techniques.

An additional side effect of a 2u foot on floor pin is that if you're having brunch, say, 90 mins to 2 hrs later, that 2u will be heavily into its action path, and some of it, according to Dana Lewis, may have actually reached the liver, which does the heavy duty spike buffering in non-T1s (80% of natural insulin goes to the liver for that purpose), so having different layers of stacked insulin at different points in their activity, say, 2u 90 mins and then say 8u 20 mins before, can be hugely effective in avoiding spikes.
 
becca59 said:
My morning insulin ratio is very high
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I've sometimes wondered about this. As you say, foot on floor is well recognised, so if you've got x grams coming in from breakfast and y grams coming in from the liver, does the morning ratio appear higher because we're not including the y grams in the arithmetic?

I suspect that if we had a way of measuring the y grams, the ratio might not be that far away from later in the day ratios.

I've more or less solved the issue by being bone idle and not getting up till about 2pm...
 

Oh my, if I took this totally seriously I’d have to tell you that a lie in comes with a mahoosive 2pm foot on the floor. I leave it to the others to decide whether it’s a human foot or a sugar-spun candy floss one from the grand machine in the liver.
 
Mmmm, maybe I need a wand topped with candyfloss.
 
@becca59 I drink decaff so it's really coffee flavoured water. Interesting to hear about your rise and I know it's my diabetes so it's no use comparing but that's what most people do when they're new.
 
becca59 said:
Also, not eating in the morning will exacerbate rising levels.
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My morning blood sugar levels keep rising, when fasting, when my c-peptide was very low, in the months before I started using insulin. My blood sugars remain stable now if I miss breakfast, as I have the right amount of long-acting in my system. Mind you, the CGM does its own thing, but the blood finger prick test supports the flat line.
 
SueJB said:
@becca59 I drink decaff so it's really coffee flavoured water. Interesting to hear about your rise and I know it's my diabetes so it's no use comparing but that's what most people do when they're new.
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I get it with it without coffee, and caffeine has no impact on my levels no matter when I drink it. Mind you, I can neck a triple espresso and then have a snooze for a few hours, so maybe I’m just strange. I tell Elvis I’m having 10g fast carbs when I wake up, even though I’m not actually eating them. He then recommends a dose, which I generally accept and run with. Still getting some spike, but rarely above 8 - currently fiddling with basal for that time of day too. I’ll nail it. And then something else will change!
 
Cheers thanks. @Scott-C Is foot on the floor different from lump dump or dawn phenomenon? I like the idea of creative insulin techniques and I think I've been having my creative moments. Certainly, I've been having a prick without food after all, I was told on DAFNE that it was good to keep within range. There was no mention really of blousing without food. Seems like another reason I should get a cgm
 
As I mentioned to @becca59, I drink decaff. Tea makes me up chuck. I drink this during the day when it's too early for wine
 
SueJB said:
Is foot on the floor different from lump dump or dawn phenomenon?
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No idea if these things are officially categorised, I suppose they're all in the same sort of category, although dawn phenomenon seems to happen in the early hours when we're fast asleep whereas foot on floor is more to do with getting up and moving about.

SueJB said:
Certainly, I've been having a prick without food after all, I was told on DAFNE that it was good to keep within range.
Click to expand...

One of Stephen Ponder's Sugar Surfing themes is that the pancreas intervenes to keep non-T1 bg stable about a dozen times a day, so how can we expect to emulate that with a few shots? Of course, if we get basal right, we very often can, I've had many good days on only a couple of shots, but if it's not playing by the rules, it just seems obvious to tweak it with a few more.

I do wonder sometimes, though, whether the cgm is making me overthink it at times. I suppose, even 3 years into it now, the cgm is still a bit of a novelty, and even though I'll never get tired of the hypo alerts, I wonder whether I'll pay less attention to it like the 27 years before that where provided I was not crazily out of range I wasn't too fussed about it.
 
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