14 posts, 4 contributors
Search the DAFNE Online Forums
ruthhutchinson 39 posts |
My BG rises dramatically between 5am and 7am (obviously dawn phenomenon) but even if I give myself a couple of units of Novorapid when I notice at 5 it does not come down until lunch time. I have just changed to a split dose of Levemir (11 units at 7 am and 11 units at 10 pm). Should I increase my 10pm dose? And if I do this should I decrease my morning dose? |
Alan 49
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 284 posts |
Yes, Ruth - that's what I would do - increase the 10pm Levmir by 1 unit and see what effect that has. You may have to increase it again, if you're still high in the morning. I would leave the morning dose unchanged. |
ruthhutchinson 39 posts |
Thanks. I will give that a go this evening. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
as you have now split the dose you can evaluate evening and morning doses separately and adjust them separately too...... |
ruthhutchinson 39 posts |
Thanks for this advice. Unfortunately I have taken a really bad cold so everything is on hold until I battle through. When you say to eat something do you mean before bed or when I notice my BG starting to rise. And do you suggest carbs or something else at that time. Sorry for all the questions but I would like to get this sorted. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
When I say eat something I mean when you wake up, now this isn't always feasible at 5am when the rise starts, but certainly when you normally get up..... |
ruthhutchinson 39 posts |
I am now taking 13 units before bed and 10 in the morning. Night time readings have improved butv i do have a peak mid morning. It quickly comes down without correction so I don't want to change my bolus. This diabetes lark ain't easy. 😄 |
ruthhutchinson 39 posts |
Another question....Is it more sensible to take the split dose 12 hours apart. I think Levemir has a 16 hour duration so I sometimes wonder which dose us currently working. I inject at 6.30am and 10.00pm. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
As I too suffer from dawn phenomenon, I actually took my split Levemir right before bed, which varied, and then in the morning..... |
ruthhutchinson 39 posts |
No. My evening numbers aren't too bad. Low if anything. Just the peak mid morning which is puzzling me. |