Dawn Phenomenon possibility?

Here's the past few days results.

Thanks for the feedback NB.

I did put it up again (20 to 22 eve BI)... I think I've hit at least near a wall now... I didn't hypo, but I came pretty bloody close... however due to the walk I did to go see family, etc, I'm not going to put it back down just yet. (If I'm honest, I'm quite pleased with today's (11/04/12) results in particular... definitely getting there!) My partner and I are going to work a bit harder through this working out period to eat less in a split dose fashion as you suggest... a lot of the time it's stuff like ice cream from a tub but that can easily be a different option (eg, ice cream on a stick)!

Take care.

Good job.........

Obviously being in the low 4s may feel a bit too low for some folk, but in reality is perfectly safe, if you can hover on those levels your HbA1c would be magnificent. But, not one day is the same though I suppose.........

If the 22 works out, you can proceed to the daytime basal testing..............

Sadly last night the dreaded 3 BG got me twice around 3am... and this was after a much less eventful evening... so I'm going to try 21 tonight. Hopefully then it's all nipped in the bud...

Not sure why my results aren't showing on the previous post.. but here's today's lot.

Update on current progress following on from previous post... Starting to feel again that BI adjustments... be it times or doses adjustements... may be in order still. Planning to put Morning BI up again from 11 to 13... but want to check with DAFNE team and offer here the chance to comment as well.

Saw the hosp doctor on friday... unsure what to advise for me, insulin wise. Frustrated.
Thanks in advance for any helpful responses.

Hey,

I think you still need to tweak your evening BI, you are still waking high but seem to be dropping from your 3 am tests, so this suggests dawn phenomenon, however there are not many 3am test results along side pre bed tests with no corrections, this would confirm what your 22 dose is doing, it should be holding you steady, that's all, if its not, then its wrong..........I also think you should take your evening BI before bed, this may mean compensating with more BI during the day and/or more novorapid to make up for the missing BI at dinner time.........

its also strange as sometimes your correction just don't seem enough, eg 1 1uit for a 16.3, but then you take 2.5 for a 17.3 and you go low, very strange, although the low may have been down to the BI being too much...........

its all about the BI still I'm afraid, there is just no sound evidence yet on what its actually doing..........especially during the day, you need to go carb free......starting with lunch, as you need carbs for breakfast for the DP.........

I see you have been 'down' and 'anxious'! Do you feel this has been effecting your blood sugars, is everything OK?

Hi NB,

Thanks for the reply.

Some time ago (at least 6months) I changed my eve BI from 9pm to 7pm... and have been thinking about putting it back again now, especially after our chat here and some discussion with my partner. I think the reason I put it back to 7pm was because of highs in the evening, but it was such a long time ago, I forget exactly.

I'm unsure how much detail I'm happy to go into here about my problems... It's a lot of different things and unfortunately, my control does seem to be affected. My DAFNE team are aware but tell me to keep correcting with QA for any random highs. When you feel like you're fighting a losing battle, you do get a bit down... I'm not on any depression medication if you're wondering; I'm managing to cope without.

I've gotta go for now...

Don't divulge anything you don't want to, just saying you are having problems is enough to know it can be effecting your levels........

If you feel comfortable, I would definitely think about moving to 9pm or later even............this does run the risk of highs in the evening due to BI running out but it can be compensated for. I find I cant really have a carb free dinner as I need some, even just a little, QA to tide me over till my next BI dose at 10pm..........

Its a real pain in the ass to be honest......cant have carb free breakfast either as i need CP and QA to switch off my liver in the morning......

Its times like these that a pump would come in real handy, but because I am managing OK funding for one would be a miracle, and that's if I didn't live in Scotland.........

Keep us informed of your changes and results, and try for some carb free lunches and dinners, so you can see what is really going on with the daytime Levemir..........

Here's today..
Today has been a curve ball... again... but a nicer one it seems. Had a little spell of stress slightly before lunch too.
I think I will not apply any changes yet. Let's see how well this rolls out...

Body, you sure bloody confuse me. T_T

Is this really happening?

Carb free lunch today.

A general overlook.