Help please! - DAFNE Online

January 09, 2012 19:35

Yokel DAFNE Graduate
Somerset NHS Foundation Trust 3 posts

I would be really grateful for some advice - I am struggling to get hold of my diabetes team and wondered if anyone here could help me.
My results first thing in the morning are sky high every morning. This morning is was 26.1! Each morning I then add a correction of approx 3 units which then brings back to an acceptable level by lunchtime, where it stays fine for the rest of the day.
I wondered if I was going hypo in the night which was then swinging my sugar up but this morning I decided that 26.1 was too high for that.
I have lantus at bedtime and humalog through the day.
Thanks for your help and advice!

January 09, 2012 20:29

marke Site Administrator
South East Kent PCT 681 posts

I hate to suggest it, but a 3am test might be useful. It might help pin-point what is happening. You 'could' be hypo-ing but I would suspect that is unlikely. It could be 'dawn phenomenon' but it has been suggested to me that usually you have this from day one rather than it just starting to be an issue. However we are all different and there is no 100% guaranteed solution that works for everyone. It seems unlikely that your BI is not enough since you are on a single dose and if it was going to run out it would be in the evening and not the morning, also Lantus is supposed to be a 24hr insulin. It also seems odd that just 3 units brings you back in range. For most of us if we are that far over it would take a lot more than 3 units to get us back in range. You really do need to talk to your Diabetes team I suspect to help work out what is going on.

January 09, 2012 21:55

ketostix pla... DAFNE Graduate
NHS Greater Glasgow and Clyde 25 posts

Hi Yokel, I think the 3am test is the way forward, but the comment marke made very valid as adjustment of 3 units gets you back in range. Have you been poorly recently or feel you coming down with something. As I had an chest infection recently and really struggled to shake it and found I was waking up high but dropping down in range over course of morning while recovering. Just an idea maybe. hope you get sorted soon! Dean

January 10, 2012 10:26

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

you would almost definitely benefit from a 3am test to confirm if your Lantus dose is enough, which it probably inst going by the blood glucose reading, the dawn phenomenon could be taking place also, a 3am test would also confirm this...............

Illness, as mentioned could also be contributing........

Also surprised about your 3 units correction, everyone is different but I would personally need 20 units on top of any food I was having.......

Speak to the 'professionals' as soon as you can and get that basal tested............... Laughing

January 09, 2012 19:35 Yokel DAFNE Graduate Somerset NHS Foundation Trust 3 posts	I would be really grateful for some advice - I am struggling to get hold of my diabetes team and wondered if anyone here could help me. My results first thing in the morning are sky high every morning. This morning is was 26.1! Each morning I then add a correction of approx 3 units which then brings back to an acceptable level by lunchtime, where it stays fine for the rest of the day. I wondered if I was going hypo in the night which was then swinging my sugar up but this morning I decided that 26.1 was too high for that. I have lantus at bedtime and humalog through the day. Thanks for your help and advice!
January 09, 2012 20:29 marke Site Administrator South East Kent PCT 681 posts	I hate to suggest it, but a 3am test might be useful. It might help pin-point what is happening. You 'could' be hypo-ing but I would suspect that is unlikely. It could be 'dawn phenomenon' but it has been suggested to me that usually you have this from day one rather than it just starting to be an issue. However we are all different and there is no 100% guaranteed solution that works for everyone. It seems unlikely that your BI is not enough since you are on a single dose and if it was going to run out it would be in the evening and not the morning, also Lantus is supposed to be a 24hr insulin. It also seems odd that just 3 units brings you back in range. For most of us if we are that far over it would take a lot more than 3 units to get us back in range. You really do need to talk to your Diabetes team I suspect to help work out what is going on.
January 09, 2012 21:55 ketostix pla... DAFNE Graduate NHS Greater Glasgow and Clyde 25 posts	Hi Yokel, I think the 3am test is the way forward, but the comment marke made very valid as adjustment of 3 units gets you back in range. Have you been poorly recently or feel you coming down with something. As I had an chest infection recently and really struggled to shake it and found I was waking up high but dropping down in range over course of morning while recovering. Just an idea maybe. hope you get sorted soon! Dean
January 10, 2012 10:26 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	you would almost definitely benefit from a 3am test to confirm if your Lantus dose is enough, which it probably inst going by the blood glucose reading, the dawn phenomenon could be taking place also, a 3am test would also confirm this............... Illness, as mentioned could also be contributing........ Also surprised about your 3 units correction, everyone is different but I would personally need 20 units on top of any food I was having....... Speak to the 'professionals' as soon as you can and get that basal tested...............