My mornings have gone to pot

My mornings have gone to pot!!!!

I get up around five for work, but I don’t have my breakfast until 8. Until recently my morning ratio is 1:1 (two shredded wheat and milk = 4CP) which has been fine for ages.

Then last few mornings I have been 6.5 at 8:00, then at 10:00 I am 17.0!!

So I increased my ratio to 1.5:1, but still by 10:00 I would be though the roof, so I increased then next day to 2:1 but still really high at 10:00.

I have been doing a correctional dose at 10 (2 units novorapid to bring me down) and have been having a late lunch at 2 where I am have been 2.6.?

I am having a split dose of levermer 16 at night and 8 in the morning.

What’s going on is my body resistant to the first dose, but all the other ratios have stayed the same, and I don’t know what to inject in the morning as it doesn’t make any differents.

Any input would be great.

Hi. I bet this is frustrating. I have had a similar morning issue. Whatever I try sometimes works, sometimes does not. I used to eat porridge in a morning but the gi meant that my food was lasting longer than my insulin. so high after lunch time. I also get a form of dawn phenonomen but it is off set and kicks in later in the morning. This is usually caused from my body clock not catching up after ive been working abroad. I have experimented with over lapping BI slightly.

Options: 1/stay as you are and see if it is a blip. ( i have so many of those) 2/ on a non work day don't have breakfast but test the same to see if it is the breakfast insulin that needs adapting. also see what happens in the afternoon. 3/ If not your breakfast insulin look at your morning BI. You have a great advantage that you are up early. You could change the timings slightly or increase you daytime BI. ( the 2.6 in the afternoon is probably from too much short acting since you increased your ratio.)

The best indicator of how you are going to be is to look at how you have been. Best of luck and judgment.

There could be issues with your QA and possibly with your BI dose during the day................

However, you have not told us what your blood results are at the 12:30-13:00 point are.............obviously you are testing at 10:00, see a high and correct..............

But you should not be doing this...............your insulin dose at 8am needs 4.5-5 hours to do its magic.........do you know this..........?

The 17 and similar blood sugars you have been recording at 10am have been a spike caused by mis timing of your 8 am dose............

The low you experienced at 2 was because you gave yourself a correction dose that you did not need.........

Confirm your ratio at 8am is working by testing before breakfast at 8am and before lunch/5 hours later 12:30-13:00, if its not adjust your ratio up, if it is bringing you on target at that time.............you need to consider taking your breakfast dose, 15, 20, 30 minutes before actually eating it...........the exact time will need to be established by trial and error, as matching the insulin profile to the the absorption of the food is different with everyone, for different foods and different times of the day...........

Hi. You say that your BG is 6.5 at 8am, but what is it at 5am? What's your BG like before bed? It's possible that you could be having hypos at 3am, and your BG is bouncing back mid morning. Are you checking at 3am?