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Type 1 Diabetes
Very high Blood sugar overnight and still rising
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<blockquote data-quote="jrussell88" data-source="post: 2635417" data-attributes="member: 76095"><p>Any errors in dosing will be amplified by high-carb meals; lower carbs are easier to control so as others have suggested, an adjustment to your diet may help your BG control. </p><p></p><p>You should discuss with your diabetic team using doses of Novarapid to correct high blood glucose levels. </p><p></p><p>If the BG rise was in the middle of the night it sounds more likely to have been basal-related or another issue, than your dosage of Novarapid.</p><p></p><p>If you're confident in your calculation of the carbs, and you haven't previously done so, you might want to discuss checking your carb ratio - insulin dosage for carbs - and running basal rate tests with your diabetic team as it could be that either or both would benefit from tuning. A continuous glucose monitor will be very helpful for this, Libre or similar. Bear in mind that you may have different carb ratios at different times of the day, as insulin sensitivity is affected by physical activity. This also applies to correction doses.</p><p></p><p>FWIW, with these numbers correct, I sometimes find my BG rising significantly overnight without a clear cause. I have eaten exactly the same meals, and had the same sort of day twice running. One night is fine, during the other my BG has risen steadily by 6-8mmol/L. Potential causes could include infection, dietary intolerance, previous activity, but once these are ruled out, sometimes it just happens was the eventual conclusion of my hospital team. It's frustrating but I try to correct it as soon as I spot it happening. </p><p></p><p>Good luck and let us know how you get on.</p></blockquote><p></p>
[QUOTE="jrussell88, post: 2635417, member: 76095"] Any errors in dosing will be amplified by high-carb meals; lower carbs are easier to control so as others have suggested, an adjustment to your diet may help your BG control. You should discuss with your diabetic team using doses of Novarapid to correct high blood glucose levels. If the BG rise was in the middle of the night it sounds more likely to have been basal-related or another issue, than your dosage of Novarapid. If you're confident in your calculation of the carbs, and you haven't previously done so, you might want to discuss checking your carb ratio - insulin dosage for carbs - and running basal rate tests with your diabetic team as it could be that either or both would benefit from tuning. A continuous glucose monitor will be very helpful for this, Libre or similar. Bear in mind that you may have different carb ratios at different times of the day, as insulin sensitivity is affected by physical activity. This also applies to correction doses. FWIW, with these numbers correct, I sometimes find my BG rising significantly overnight without a clear cause. I have eaten exactly the same meals, and had the same sort of day twice running. One night is fine, during the other my BG has risen steadily by 6-8mmol/L. Potential causes could include infection, dietary intolerance, previous activity, but once these are ruled out, sometimes it just happens was the eventual conclusion of my hospital team. It's frustrating but I try to correct it as soon as I spot it happening. Good luck and let us know how you get on. [/QUOTE]
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