Unexplained Highs

Over the past week or so all my readings at each meal and before bed have been high.
I yesterday decided to test my BG about 2 hours after each meal and the readings have been about 9.5mmol/l. But when I test before I eat or before bed it's around 14.5mmol/l. What could be causing this? I've got a feeling it's maybe my BI. As, I usually feel hungry and eat about 6 hours after a meal. So, it can't be the QA still having an effect. Anyone have any other thoughts on what it could be? I don't feel at all ill, and it's been high for a few months now.

Welcome to the forum.....

If your have no QA insulin left by the time bedtime comes then its a good guess to assume its your BI running out......!!

Is your BI dose once a day or twice...?

If once you may need to increase your dose, if twice then you may also need to increase your daytime dose or look at timings of dose. eg. a 12 hour split would get even coverage, however some people take their evening dose just before bed to assist in dropping morning readings, if this is the case for you, then moving your evening dose to a few hours before bed may help also...........lots of options I know.......

Thanks.

My BI is once a day, at about 12:30am. I'm on Lantus. I have increased the dose, twice in about a week, actually. I usually got to bed at about 5:00am (I know, very late, indeed.) And when I check my BG before bed it's around 7-9.
I have a feeling it's the Dawn Phenomenon in the morning raising it (because I usually get up late), and it stays high throughout the day. But only after my QA is running out. So, it's most likely the BI. But, when I do raise it again, wouldn't it cause me to be to low before bed?

WOW.....................

so you go to bed at 5 in the morning, are you on night shift or something?

Never the less its all relative anyway.........being on once a day in my opinion is not very flexible for any lifestyle but it works for some people.........

I also suffer from Dawn Phenomenon, I get up at 6:30am every day, apart from weekends, so my hormonal response happens at about 4:30-5:00am every morning, and if I dont have any carbs it will continue to rise, even if I have corrected the high reading at 6:30...

What time do you actually wake up at? Is every day the same?

With Lantus you need to wait about 3 days to see the effect any change of dose has had, so twice a week is normal in this case.....

If you increase you dose it doesn't necessarily mean you will go low over night, your BI requirements might have just increased to a much higher amount, for no obvious reason, that's the beauty of diabetes............

If your QA has run out and your levels are continuing to rise well into the day, then it is your BI for sure..........increasing it doesn't mean you will be low before bed, but it might.........the reality is that your liver releases glucose at different rates throughout the day, so being on a single dose cant really deal with this well, you may need much less BI from waking to sleeping than you do overnight and vice versa.........hence the split, you can also do this with Lantus, but the best thing to do is test your BI with carb free/or no meals to see what is really going on, and also discuss it with your diabetic team.......................

Nah, I just stay up late at nights on the computer, as I don't have a need to get up in the morning.

So, I would need to get up at like 10am to check to see if the Dawn Phenomenon is having an effect.

I wake up at like 1-2pm everyday. So, what should I do? Split the Lantus, or increase it?

I would increase your lantus dose, but you should still do a 3am test, or in your case a 10 or 11am test to see if your going low........

Is your daily routine likely to stay like this, I would think that if your not forced to stay up this late with a job its unlikely.......and so making any permanent change might be in vain......

What are you doing on the computer, fun games I hope........lol

Well, I've been going to bed this late for like a year now, so it's not going to change soon, I would think.
It will do when I get a job. Unless I get a night job, then I don't have to change my sleeping pattern much.
I have my Lantus injection at about 12:30am, which is what it's been since I was diagnosed. So, it'll be about 5-6am, just before I go to bed, usually, unless I need to get up earlier then usual.

Your life is your own, but I would think its best to get back into a normal day/night routine............it will make control a lot easier and will allow other like myself and your diabetic team to help you more easily............

How are you looking for jobs?Surely getting up early will help you look for jobs and prepare you for getting up for work when the time comes........

I think splitting your dose at this time might not be the best, as you might not be out of bed to give yourself the other dose on time, on the other hand it may encourage you to start getting up........

It will be a hard routine to get out of, I have seen it happen to friends, family even myself..........

Good luck.........

Just figured I should update this. I didn't do anything to the Lantus, like I said I would. Which was probably the right idea. because the day after I said I would change it, but didn't, my BG in the morning was 7.4. Then at lunch it was 8.3. it used always be above 12. It's been around 6-10 at lunch now. Which is better then it was. But still a bit on the high side, maybe?
Which means the Lantus take about 4 days to have an effect on me.

I'm fine with going to bed late, and getting up late, as I do want to get a night time job. So, if I started getting up early again, it would make it harder to stay up late.

thats a valuable bit of info in terms of the Lantus action, now you will know how long to wait before seeing an effect of any change...........

good luck with the job hunt............