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<blockquote data-quote="Marie 2" data-source="post: 2433324" data-attributes="member: 475037"><p>Hi, you need to do a basal test. Your basal rate should be based on a dose that you don't get a hypo on. It's supposed to only cover what your liver decides to put out. It should not cover random increases, food etc.</p><p></p><p>You might be getting what's called DP Dawn Phenomenon. Around 5 in the morning your liver gives some people a blood sugar rise in preparation for awakening. And it can be irregular. One night it helps a lot, another night not at all . Usually there is a bare minimum that it rises each day, but sometimes it can just vary. But that high in the morning can just as easily be the extra food to treat a hypo every night.</p><p></p><p>If you are on MDI shot you should not be increasing it to catch the varying amounts because then you end up too low when DP didn't act up or you didn't eat as much at dinner. Usually you test for DP by waking up at 4 am and checking your BG level, which should be around your "normal" level. And then when you get up you are higher. Most people on MDI either wake up to give a corrective (fast acting) shot around 6 am or give themselves a correction when they get up. The new Libre's have an alert that you can set at what level you want so you can awaken when you go too high and give a correction.</p><p></p><p>But going too low constantly is not what we aim for. If you stopped using your fast acting because you were going too low it sure sounds like your basal is too high for during the day too. So start with a basal test and then do a correction with fast acting when needed for DP. You will probably need to do a basal test a few times since it is irregular. Adjusting basal constantly isn't recommended. You really need to carb count and use the fast acting for food and not use the basal to cover everything which I have a sneaky feeling is what your basal is doing right now and when you don't eat as much you are dropping.</p><p></p><p>Also I want to comment . too low is really subjective per person, you might ask your diabetic team when you should worry. They will not want you to hit 3.1 and will probably tell you an adjustment to your basal is necessary. If I go too low for me I will consume some fast acting carbs in something like pineapple or OJ and usually only treat it with anywhere from 4-10 carbs..</p><p></p><p>I would not consume a half of a bagel which is about 28 carbs and after glycogel, which also has carbs. For one thing a bagel is not fast acting, hence the slower rise and then a really high number when you awake. Usually you would use more of your quick carb to bring it up enough, then maybe a complex carb in a small amount to retain your levels. If your daily basal is off it would make sense you drop each night as it is too high and covering food during the day, so then a drop at night when you are not eating and then you have to eat a larger amount of food.</p><p></p><p></p><p></p><p></p><p><a href="https://integrateddiabetes.com/basal-testing/" target="_blank">https://integrateddiabetes.com/basal-testing/</a></p></blockquote><p></p>
[QUOTE="Marie 2, post: 2433324, member: 475037"] Hi, you need to do a basal test. Your basal rate should be based on a dose that you don't get a hypo on. It's supposed to only cover what your liver decides to put out. It should not cover random increases, food etc. You might be getting what's called DP Dawn Phenomenon. Around 5 in the morning your liver gives some people a blood sugar rise in preparation for awakening. And it can be irregular. One night it helps a lot, another night not at all . Usually there is a bare minimum that it rises each day, but sometimes it can just vary. But that high in the morning can just as easily be the extra food to treat a hypo every night. If you are on MDI shot you should not be increasing it to catch the varying amounts because then you end up too low when DP didn't act up or you didn't eat as much at dinner. Usually you test for DP by waking up at 4 am and checking your BG level, which should be around your "normal" level. And then when you get up you are higher. Most people on MDI either wake up to give a corrective (fast acting) shot around 6 am or give themselves a correction when they get up. The new Libre's have an alert that you can set at what level you want so you can awaken when you go too high and give a correction. But going too low constantly is not what we aim for. If you stopped using your fast acting because you were going too low it sure sounds like your basal is too high for during the day too. So start with a basal test and then do a correction with fast acting when needed for DP. You will probably need to do a basal test a few times since it is irregular. Adjusting basal constantly isn't recommended. You really need to carb count and use the fast acting for food and not use the basal to cover everything which I have a sneaky feeling is what your basal is doing right now and when you don't eat as much you are dropping. Also I want to comment . too low is really subjective per person, you might ask your diabetic team when you should worry. They will not want you to hit 3.1 and will probably tell you an adjustment to your basal is necessary. If I go too low for me I will consume some fast acting carbs in something like pineapple or OJ and usually only treat it with anywhere from 4-10 carbs.. I would not consume a half of a bagel which is about 28 carbs and after glycogel, which also has carbs. For one thing a bagel is not fast acting, hence the slower rise and then a really high number when you awake. Usually you would use more of your quick carb to bring it up enough, then maybe a complex carb in a small amount to retain your levels. If your daily basal is off it would make sense you drop each night as it is too high and covering food during the day, so then a drop at night when you are not eating and then you have to eat a larger amount of food. [URL]https://integrateddiabetes.com/basal-testing/[/URL] [/QUOTE]
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