Advice if possible.

Most of us are taking an extra dose of QA( witih nothing to eat)in the early hours. Times range from 3am to 7am. Thsi does cover the dawn phenomena though but of course you need totry to find what time to take your extra jag, and work out how much you need.

Although waking in the early hours may tackle the DP, I would never settle with doing it, that is just too much in terms of quality of life being destroyed.............

I tackle mine, not totally successfully, with the highest dose of BI AT 2230pm I can take without going low overnight, the closer to bed time you take it the more you will have left inside by the morning, this strategy gets me down to single figures at least................previously I had been on a 12 hr split of BI, for full coverage, but the increased amount left in the morning is what helps me.............

So definitely need a split BI to tackle it....................

But if this doesn't work then the pump is the only solution, and DP is one of the criteria that will make you eligible, still might need to fight for it in some parts of the country.....

I agree with you novorapidboi that it's not worth a mid night alarm call! I don't fancy the pump at all - a couple of people specifically went on my DAFNE course so they could be considered for it. I was wondering whether my BI needed some adjustment to counter it. What I plan to do is monitor it for a while and discuss it with my DSn at the six week follow up, but it certainly needs addressing as I am already getting fed up of waking up with BGs within or close to targets, and having to correct at breakfast to set myself straight for the rest of the day!

If you are just outside the targets then it shouldn't take much effort to pin down, a later evening dose perhaps, I was in the high teens constantly, was really fed up, and really tired, I just didn't want to get up.....

IAS for the dawn phenomena, I am the same. i wake up okay, but if I don't take a QA with my BI first thing, at 7am by 8am I have gone high. I would also do what novorapid boi suggests try an uneven split on BI. I do this as well taking BI at 10pm and 7am. it is a really sensible suggestion. You need to try one thing and then the other, and then the two in combination though.
If you wake up ok, you may get away with just a small QA dose as soon as you wake up. If not, I would try the uneven split.

Good luck

I'm on Lantus - as it is supposed to be a 24hr ish BI, can you split it or would I need to consider going on to levemir?

Welshmapleleaf said:
I'm on Lantus - as it is supposed to be a 24hr ish BI, can you split it or would I need to consider going on to levemir?

Garry said:
Almost certainly sickness affecting your Diabetes.
On your exercise query:
on the opening Forum page - use the search facility to search for Exercise. Brings up about six threads to have a look at.
These have helped me better understand the sometimes puzzling effect of exercise and BGs.
Regards
Garry

Welshmapleleaf said:

Burning under the skin must be a pain, is that both types of insulin?I know Levemir is slightly acidic and can sting and give rashes

I know the pH of Lantus is slightly acidic (4.5 ish) which can create a slight sting, whereas Novorapid, for example, is nearer pH 7 so is more neutral to the body.
That may explain why it hurts when the insulin is physically injected rather than the needle being inserted into the skin.

The reason why the BI s have to be slightly acidic is because when they are injected, the body reacts to raise the pH nearer to 7, releasing the insulin in a more stable and prolonged way - a process that's not needed in the QA insulins.

Novorapidboi26 – the burning under the skin comes from my QA insulin, considerably less often from my BI. I have tried novorapid, humulinS and im now on humalog. I am unsure about what causes my physical symptoms at the moment, as my average BG is around 7-8 I don’t know if this is just too high for my body. I have seen my doctors frequently, but they keep trying to put me on anti-depressants to help deal with my mood, headaches and pain-receptors. I am still unsure.

Athena – I didn’t realise that your honeymoon period could still be going on even after 2 years, although my diabetes was caught very early, so this could be true in my case.

Those with the dawn phenomena, have you tried testing to see if your split dose of BI is lasting the correct amount of time over night, as I myself am unsure if I am experiencing the dawn phenomenon or if my BI is running out to soon. I have tested and recorded my BG over many months now and my BI, Levemir, seems to only last 6-7 hours during the night before my BG starts to rise (for example, from 6.5 to 14.0 in the space of 2 hours in the morning around 7oclock). I have started waiting to take my BI as late as possible, resulting in a habit of going to sleep about midnight. This seems to be working at the moment, as my BG only rises between 3-5 points and doesn’t make me feel as much like ive had a hyper in the night.

Welshmapleleaf I think that if you are having difficulties with your BI, in my personal opinion it would probably be worth changing to a split dose BI (even if its just to see how effective it works for you) as it is easier to control and adjust so you can get the dosage right, without having to deal with the consequences for too long if you accidently get the dose wrong, i.e. 10-12hrs instead of 20-24. x