Wake up at 8 at a good level, say 107. No breakfast and test at 182 at noon. I have been spiking like this in the morning for a couple of weeks. Even spiked once from 95 to 285 in the same scenario above. Stopped drinking coffee/caffeine completely and there has been no change in this pattern.
Basal: my a.m. basal is the highest of the day at .6 from 6 am to 4 pm, when it drops to 2.5 during drive time. I upped it to .7 from 6 am to 11:30 am when it goes to .6
Other part of the day: Go to bed with a BG of 91 at 9, three hours after the meal. By 10:30, my pump starts to buzz that I am low. I treated with 8 oz of apple juice (32 carbs) and even with the juice, BG continue to go down and am 53 at midnight. Eight oz more juice and starts to go up slowly and I hit 98 at 1:00 am. Woke up with the 107 noted above.
Now bolus and basal. I bolused 1.5 units with a 30 minute square wave (tried square to see if tat helped)last night for about 20 carbs. normal C:I is 1 u to 10 carbs. So I took 25% less than normal. My basal goes done to a minimum .375 at 6:00 and then up to .4 at midnight.
First, I don't get how I can drink 64 carbs of juice over a two hour time period (that is more carbs then I eat in a normal day) and still crash. I am going to lower the 6 pm basal again to .35 and see if that helps.
This has happened in various degrees for the last three weeks. I was traveling, and afraid to make changes on the road. Sound like the right changes? My husband is getting really irritated with the night ones, as they are happening as I go into REM sleep and do not react well to the timing. Suggestions? Ideas?
yes, me too....that's why my I:CR is so high in the morning, like 1:6 or 1:7, it's DP and I too have to take insulin and some food or I'll just keep going up up and away. good, informative post.
Made all the suggested changes, plus lowering the basal. I am eating breakfast (13 carb toasted waffle) on my way out the door. Hovered between 80 and 100 last night until 4:05 am when I dropped quickly to 63. Treated with onne glucose tab, Thirty minutes later, it beeped again, so I took another tab,(Those are disgusting, but seemed to work well) and stayed steady until I got up at 7:00 and thenpump alerted I was 69, but when I tested, I was 75.
Last night was much better and I think I will dial the basal down another notch.
Will report on this morning laster on today.
Mmm, waffles sound yummy! We're all out though so toast for me. Great job getting things worked out though! I am totally a morning person and the whole AM BG "song and dance" always annoys me.
Yay! Great job!
Taking mental notes for when I get a pump :)
Glad to hear things are coming in line!
I do recognize everything you write about being high in the morning if I don't get breakfast..but it can also be a result because of al those lows during the day..then your body starts to make cortisone and this makes the sugar go higher..it is a natural reaction of the body.
You also write that you do take dextrose tablets when you are low, or applejuice..but these sugars are fast..it is better to take a couple of dextrose tablets and a peace of brown bread with cheese or something like a banana..some slow sugars..it isn't enough to eat or drink superfast sugars..this is what my docter explained to me when I was diagnosed 16 years ago and had a lot of hypo's..I just drank a glas of orange juice and that's it..my docter was not surprised about the lows..nowaydays I have a small juice and a banana or a peace of brown bread with some dextrose tablets after a hypo..it works better.
The first time I heard the slow carb thought it was from a paramedic about 2 years ago, and I thought he was crazy. I have never had rebound lows, ever (that is a lot evers--50 years worth!). Once the carbs bring my BG to a good level, I am fine. Last night 1 tablet was not enough. My pump waits 15 minutes to alert again. After the second tablet, I was fine.
Now, those things are DISGUSTING and I know there is a lot of talk here about Skittles (which I carry in my purse) and jelly beans. Will they work as well (and, please, taste more palatable)?
YOU ARE GENUISES!!!!!
8am 128 13 carb waffle (Not that good AR, just frozen and toasted) 1.5 units for the waffle and 128 correction
So maybe I should not discount DP, although this will probably change again at some point.
(And shhh!!! Don't tell my husband. He has been nagging me to eat breakfast for years, and he seems to be correct....)
Thanks again for all your help. I am glad I joined. This is amazing
Yes, I too have never had the need to do the follow up with protein thing. Once I correct and come up I'm there to stay. I have had a couple experiences recently where I took my normal amount of glucose tabs and didn't come up and took awhile to do so, so I have to look at what that's about. But I gain weight way to easily to start haphazardly adding snacks in unless I'm sure they are required.
Wow! I feel vindicated. It is amazing how well we know ourselves and our reactions. I hate to say it, but doctors are often superfulous, and your guys are great.
Thanks again. Let you know tomorrow how the again lowered overnight basal works.
Oh, I know how disgusting those dextrose tablets are..I hate them..I'm from the Netherlands..and sometimes when I work in Germany I go to the organic supermarket and buy the dextrose tablets there, they have about 25 tastes, mango, rasberrie strawberry banana, mint, the mango is the best cause they are a bit sour and fresh..and the tablets there are soft..Jelly beans are great, especially if you have a pack with all the different colors and tastes..
I guess that everybody is different but here in the Netherlands they advise to eat some sugar or lemonade and than something slow like a mueslibar..or banana..
This happend to me for over a year but i was going to my primary doctor so he wasnt able to help me. It wasnt until i started going to an endo that i found out what was going on and was able to fix it