Help please! High morning BG

2 posts, 2 contributors

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Lucyx78 DAFNE Graduate
Northern Care Alliance NHS Foundation Trust – North East Sector Hospitals
11 posts

Hi
I would appreciate some advice please as I am struggling with morning BG.
I Have been going to bed around 8-8.5 and waking up around 13-17mmol. I have done a couple of 3am checks and I have had readings around the 10-11 mark. I am absolutely baffled as to why it is happening but it is really frustrating me. I do 17 units of BI at bed and the same in the morning (I'm on levemir). Do I continue to monitor and increase my BI at night 10-20%? Any advice would be appreciated. Thank you

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria
423 posts

Hi Lucy,

I'd suggest from what you have said, that increasing your evening BI would be appropriate. Increase by 10%, and then leave for three days to see how much of a change it makes.

Often BGs will increase in the morning due to dawn phenomenon - the rush of hormones that increase insulin resistance, but this tends to occur after 3 a.m. The fact that you are higher than desirable at 3 am, indicates that you can increase your evening BI without necessarily experiencing overnight hypos.

You may or may not have dawn phenomenon. If you start getting 3 am readings in a good range, and then before-breakfast readings in a high range, then DP would be indicated. For now, from what you have said, it appears just to be a lack of evening BI.