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Unexplained morning highs
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<blockquote data-quote="Antipodes" data-source="post: 1082592" data-attributes="member: 275432"><p>Hi vedka</p><p>I am T1, 5 years and keep my sugars pretty well controlled (last HBA1C 6.5). I just had the same weird week of morning highs as well. Totally inexplicable, no change in anything, no illness etc.</p><p>I play with my lantus splits with exercise etc, and I just did a few things this week that brought my sugars under control again.</p><p>First one was cut out any food intake after about 6:30 or 7pm. That reduces one variable. Then I know the bedtime BSL will be 'stable', as Rapide should be through my system and food should generally all be digested.</p><p>Second one was up the split of lantus. Usually I am 10units at night, 4 in the morning. I went to 14 at night and an extra 2 in the morning for about 2 days, then went back to the usual 10/4 split. While I dropped a little lower than I would like on those 2 days, my BSL is back down and morning highs aren't occurring.</p><p>I can't give you a medical or physiological explanation, other than maybe residual late night food digestion that continues after Rapide has cleared the system, and the lantus can't cover the sugars adequately.</p><p>I did a few 2am BSL tests to eliminate night time hypos just to check.</p><p>Morning effect seems to become more prominent every now and again, and I can wake high, exercise intensely without breakfast and stay high (almost like the BSL is more resistant to insulin for some strange reason). But once I bring the sugars under control again morning effect seems to disappear again.</p><p>Aahhh the joys of being completely in the dark about your own bodies machinations!!</p><p>Hope this helps in a small way.</p></blockquote><p></p>
[QUOTE="Antipodes, post: 1082592, member: 275432"] Hi vedka I am T1, 5 years and keep my sugars pretty well controlled (last HBA1C 6.5). I just had the same weird week of morning highs as well. Totally inexplicable, no change in anything, no illness etc. I play with my lantus splits with exercise etc, and I just did a few things this week that brought my sugars under control again. First one was cut out any food intake after about 6:30 or 7pm. That reduces one variable. Then I know the bedtime BSL will be 'stable', as Rapide should be through my system and food should generally all be digested. Second one was up the split of lantus. Usually I am 10units at night, 4 in the morning. I went to 14 at night and an extra 2 in the morning for about 2 days, then went back to the usual 10/4 split. While I dropped a little lower than I would like on those 2 days, my BSL is back down and morning highs aren't occurring. I can't give you a medical or physiological explanation, other than maybe residual late night food digestion that continues after Rapide has cleared the system, and the lantus can't cover the sugars adequately. I did a few 2am BSL tests to eliminate night time hypos just to check. Morning effect seems to become more prominent every now and again, and I can wake high, exercise intensely without breakfast and stay high (almost like the BSL is more resistant to insulin for some strange reason). But once I bring the sugars under control again morning effect seems to disappear again. Aahhh the joys of being completely in the dark about your own bodies machinations!! Hope this helps in a small way. [/QUOTE]
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