Replies to This Discussion

Permalink Reply by onesaint on May 17, 2011 at 9:25pm

Sorry to hear you ended up in hospital Donovan! Ending up with DKA can be a real bad experience. Hope all is well now that your on the mend.

Thanks for the rates and timings!

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Permalink Reply by jrtpup on May 17, 2011 at 10:02pm

Donovan, hope you're back to good health soon!

Got an email from my CDE today in response to sending her reports from dex/ping. She suggested a few tweaks to my basal rates, hopefully I'll end up flatter.

I do have DP, it kicks in as soon as I get up, no matter what time it is, so makes it difficult to address with a basal. Happens if I nap, too. Lie down... BG goes down, sometimes way down. Get up, it goes up. I may talk with the CDE about doing a small bolus as soon as I get up.

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Permalink Reply by jrtpup on May 18, 2011 at 4:40pm

Let me bounce this idea off you guys. I'm like onesaint... lie down, I go low. Get up, I go high. I'm back to around 100 (where I want to be) within 1 1/2 hours of getting up. I'm wondering if a small bolus before I even get out of bed would help? Will discuss it with my CDE too. My basal seems to be right on as I recover from the high and stays pretty flat.

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Permalink Reply by Karen on May 18, 2011 at 4:44pm

I bolus two extra units for DP, if I change my basal it does not work as DP only happens after I get up in the a.m.

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Permalink Reply by jrtpup on May 18, 2011 at 4:46pm

Thanks Karen, glad I'm on the right track here!

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Permalink Reply by 1type2go on May 18, 2011 at 7:49pm

Hi Jrtpup.

I too was in the mode of trying to wake up to a shot in the early AM of 2u humalog and yes this did work for me as well. I just could not get into the habit .....I guess I shold have set my alarm !!! lol

P.S. Onesaint and Jrt, thanx for the well wishes I't has brought me back to the forum.I am doing well Donovan

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Permalink Reply by Natalie ._c- on May 18, 2011 at 5:53pm

I experience the same thing, jrt. But for me, the difference is not extreme -- maybe 30 mg/dl. How much do you vary?

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Permalink Reply by jrtpup on May 18, 2011 at 6:08pm

Usually around 40, but it can go up or down as much as 60. A 39 in the middle of the night, a 157 an hour after waking up.... *sigh*

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Permalink Reply by nel on May 18, 2011 at 7:28pm

I am blessed ??!! ...I don't seem to have the DP problem some ( or is it most ?? ) are mentioning here ...my Pump Nurse used to say " I am different " ...I agree ...I am :)

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Permalink Reply by 1type2go on May 18, 2011 at 7:44pm

Hi Nel
I'm glad to report I do not have the DP now that I've switched to the pump ....I've now been on the Medtronic VEO for six months.
I lived with a BG of 5-6 at 4am then shot up to 13 at 7am most mornings I would eat one egg and three egg whites for breakfast NO Carbs for ......I tnink 8years I hated not having toast.

Donovan

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Permalink Reply by Mike W on May 18, 2011 at 7:46pm

For what it's worth, this is precisely what I do. I leave my pdm beside the bed and when my alarm clock goes off I immediately give myself a bolus of 0.8 units. I then wait a few minutes before I get up. This helps alleviate the immediate spike from going vertical from horizontal. It's a weird phenomenom but it's good to hear it's a shared problem and one that, for my part, I believe can be solved. In my view this is very much separate and distinct from the otherwise predictable DP. Good luck with your regimen! Mike.

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Permalink Reply by jrtpup on May 18, 2011 at 8:15pm

Thanks Mike, glad to know it's not a totally off the wall idea and might actually work. I think I'll try .25 tomorrow morning. I like to make changes slowly.

Yes, I agree it's not the same as DP. If I nap, no matter what time, I experience the same thing. The rest of my day can be virtually flat or off the wall, doesn't seem to matter. I believe it was onesaint who said the same thing happens to him, as did Natalie above. Maybe I'll start a new thread.

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