Recent Posts - DAFNE Online

Jul 8, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - times

What time do you take your Lantus?

Jul 8, 2013

chrisinbrum 41 posts

Topic: Questions for HCPs / Hyperglycaemia in early hours of the morning

Although I don't train/exercise like you, I've struggled with the same high morning BG and extra QA (humalog) at bed time or during the night to correct high BG then often has no effect. Even doses as high as 6 or 8 units do nothing, and I've ruled out hypos being involved.

I'm on a split dose BI (levemir) and although this helped a bit, it wasn't great. I think for me the morning levemir wasn't lasting until bed so I was starting to creep up then and found it hard or impossible to correct, so ended up with high morning BG.

I've brought my bedtime dose of levemir forward to tea time now, so I have more of a 12ish hour gap, but not an even dose split: 7units at breakfast, 12 units at dinner. This seems to work better for me most of the time, although if i eat and therefore have any QA after about 7 or 8 in the evening my bedtime and then morning BG can get very unpredictable again so I try to avoid any evening snacking!

So I'd recommend levemir and possibly a split dose, if your DSN thinks that would be suitable for you.

Jul 8, 2013

Garry 328 posts

Topic: General Discussion / Cycling and exercise

Good read. Thanks Warwick.
Regards
Garry

Jul 8, 2013

Warwick 425 posts

Topic: General Discussion / Cycling and exercise

An inspirational article:

http://www.guardian.co.uk/lifeandstyle/2013/jul/07/type-1-diabetes-cycling-team-novo-nordisk

Jul 8, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Hyperglycaemia in early hours of the morning

Hi,

You should basically review you overnight BI requirements.....

When you increase your dose, remember to do 3 am tests, more if you like, so you can paint a picture of whats happening over night.....

It could be you need more BI, or it could be the Dawn Phenomenon, or could be you bouncing back from a hypo.........

you can quickly rule out the hypo by taking some overnight results........the dawn phenomenon doesn't really ever go away, everyone gets it, its just some see a much more noticeable effect.......there are means to tackle it though.....

For some one as active as yourself the only way to go is on a split BI dose, preferably Levemir..........have you considered Levemir.....?

Do you not suffer from regular hypos due to the activity and the inflexibility of the Lantus......?

The HGH, which I have limited knowledge on probably isn't having this effect. From reading about it, it builds muscle, increases energy, so in fact the insulin requirements and effectiveness will likely increase, which may make you hypo rather than high......but as I say, don't know much about it.....

Jul 8, 2013

eelong 3 posts

Topic: Questions for HCPs / Hyperglycaemia in early hours of the morning

Age: 22
Type 1 diabetes for ~4 years
Insulin: Lantus & Novorapid
Activity level: high - regular exerciser, sports participation and active job (Personal Trainer by profession for last two months)

I am struggling with elevated blood sugar in the mornings. I generally have good control over my blood sugars (all my HbA1C tests have been between 6.5 and 7.5) but my readings before breakfast are always high. In the last two months I have increased my training intensity as I have begun a resistance training programme; and things seem to be getting a bit worse.

I am finding myself waking up a lot more frequently between 02:00am and 04:00am needing to go to the toilet due to high blood sugar. Sometimes when I wake up in these early hours of the morning needing to pee, I will do an injection to try and bring me back down by the time breakfast comes around - but my blood sugar doesn't seem to change, and sometimes i end up even higher by breakfast time! I've been gradually increasing my lantus does to try and counter high blood sugar during the night but this hasn't seemed to have done anything yet. I have done a little bit of research about elevated blood sugar in the morning and I think I am struggling with either the Dawn Effect or the Somogyi Effect.

I know that the biggest HGH secretion comes during deep sleep and that HGH has a countering effect on the action of insulin. So would higher levels of HGH (induced by all this resistance exercise I'm now doing) be the cause of my elevation in blood sugar in the mornings?

Shall I just keep increasing my lantus (and reducing my novorapid doses during the day) to try and lower the nighttime blood sugar levels?
Or would splitting my lantus doses help?

Any thoughts/advice would be greatly appreciated!

Thanks
Tom

Jul 6, 2013

youone 102 posts

Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split?

SA2010 said:
That is very good.

I would be happy with 2nd QA dose being no more than an hour after the first - I would still be ok with my personal 5 hour rule for measuring BG not before 5 hours elapsed after a QA dose.

I will try and do that - With this I can go to a Pizza Express again and eat a whole Pizza !

Thanks

Hi
I think the last time I was at pizza express a full 12 inch was 150g of carbs according to the manager, in fact he said all their pizzas are 150g
In this case you could try two options
1 x 8 + 7 1 hour later
Or
1 x 10 + ? If like me you decide to have a Pud
Hope you have a good meal
Regards
Brian
Type 1 42 yrs

Jul 6, 2013

SimonC 78 posts

Topic: DAFNE Online Mobile / iPhone app redesign

Simon said:
SimonC - you can now print the charts on their own - see the small 3-bar icon at the top right hand corner of each chart.

Simon - with the added bonus of selecting a file type to download! many thanks

Jul 6, 2013

Simon 578 posts

Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc...

Understood Smile

Jul 6, 2013

SA2010 69 posts

Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc...

words - again ! sorry.

I do not mean feed as in RSS.

I do mean email because I do not often look at RSS feeds but I do always read emails

Jul 6, 2013

Simon 578 posts

Topic: DAFNE Online Mobile / iPhone app redesign

SimonC - you can now print the charts on their own - see the small 3-bar icon at the top right hand corner of each chart.

Jul 6, 2013

Simon 578 posts

Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc...

Ah I see - when you say feed do you mean an email or an RSS-like feed which you can subscribe to?

Jul 6, 2013

SA2010 69 posts

Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split?

That is very good.

I would be happy with 2nd QA dose being no more than an hour after the first - I would still be ok with my personal 5 hour rule for measuring BG not before 5 hours elapsed after a QA dose.

I will try and do that - With this I can go to a Pizza Express again and eat a whole Pizza !

Thanks

Jul 6, 2013

SA2010 69 posts

Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc...

Thanks Simon but that defeats the object of knowing what has happened without actually remembering to go to the site

For months I do not login to Dafne Online and whenever I login I find relevant and useful stuff

I would prefer a feed that comes to me rather than me having to go and look for it. But doing what you suggest could be phase 1 of what I am after. Phase 2 would be introducing the setting for each user to indicate if the updates list/summary/detail should be emailed or not and if weekly or daily and remembering when last feed was made.

Jul 6, 2013

Simon 578 posts

Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc...

Maybe rather than an email we could do a section with 'recent updates' - expanding the current recent posts bit?

// Tech speak starts

Most records on the site have an updated_at field so we could do something with that?

// Tech speak ends

Jul 6, 2013

Simon 578 posts

Topic: DAFNE Online Mobile / iPhone app redesign

Keep the ideas/feedback coming!

Jul 6, 2013

Simon 578 posts

Topic: DAFNE Online Mobile / iPhone app redesign

Hi Youone,

It sounds like you work in app/web design? If you'd like to help out then we're always open to offers ;) Good idea though, I'd already thought about changing the home tab to have more information on. Regarding the calculation - the app already does this (see auto-calc in the settings) - is this what you mean or have I interpreted it wrongly?

SimonC/Garry - thanks for the feedback, some good ideas. I'll also take a look at the graphs on the site and see what we can do to make printing easier.

Simon

Jul 6, 2013

youone 102 posts

Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split?

Hi
I note your remarks.
I had a MacDonald's meal on Saturday which was 20cp
By BG was 8.2 before meal at 6pm
I took 10mmol at the start of meal and another at 7pm
I peaked 90mins later at 11.4
At 11pm I was 7.4
In the ,morning at 5.30am I was 7.2
In this case no correction was needed because it stated on their site the meal was 20cp
So I could match close With the QA.
I think large carb meals are OK if you've got a ture CP amount to match too

Type1 42 yrs

Jul 6, 2013

youone 102 posts

Topic: Questions for HCPs / exercise

novorapidboi26 said:
ive been doing intense cardio for 30 minutes 4 days a week after dinner............blood sugars are brilliant, the odd hypo of course, but makes your supper taste better.........

Hi
That's omg good I'm only at 2 km runs at the moment, taking it easy on the knees.
I've seen a cut in my insulin by 2/3 with better BG ,still been carful I've never been this low at 5 to 6 for a long period as I'm now.
But your right I've never enjoyed food as much as I do now. Very Happy

Jul 6, 2013

youone 102 posts

Topic: Questions for HCPs / Figures muddle me!!!

Hi
I would put behind you any BG results until you start taking your BI insulin at the same time
In my previous post I said start with lunch since its mid day

If your BI insulin is correct you should be able to go 4 to 5 hours without taking carbs.
Notice the time period I've quoted. This matches the period between taking your QA and its effectiveness.
This makes sense since any carbs taken need matching with QA
Remember the rule
QA is taken to control any carbs taken
BI is to control the back background level or your body.
Of course other things effect both but that's for another time.

Jul 6, 2013

MaryJC 10 posts

Topic: Questions for HCPs / Figures muddle me!!!

Thank you for trying to help me. I am posting my diary for last 10 days as i realise 1days reading is not enough to go on. Any input gratefully received
I have started trawling through all previous posts to see what I can learn from everyone on here

Mary

Jul 6, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / exercise

ive been doing intense cardio for 30 minutes 4 days a week after dinner............blood sugars are brilliant, the odd hypo of course, but makes your supper taste better......... Smile

Jul 6, 2013

SA2010 69 posts

Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split?

Thanks youone for that. I have now read through the related topic "Dealing with large carb meals" and see that you and Warwick split the dose. I will now try to restrict the CPs in my meals so that I do not exceed 10u of QA or split. I also agree with comments made on that thread about getting misleading measure of BG if done after 2 hours of QA Novorapid dose - I do not measure again unless 5 hours elapsed unless I am feeling hypo coming on or sometimes a spike in BG 1-2 hours after some meals.

If I split I would do the second dose based on the initial BG pre meal measurement and the CPs for the meal rather than measure again again - leaving a correction to the measurement 5 hours after the meal. But this would lead to a potential problem for me - as to get any real accurate BG measurement I find i have to wait for 5 hours to pass after a QA dose. It is bad enough at the moment having to stay awake till 1am to do that. So I don't know... Probably better option is to keep my evening meals at 11 CPs max (I am on a QA:CP ratio for evening meal of 0.9:1)

Jul 6, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Figures muddle me!!!

you only need to test with one meal, you can then get 2-3 days worth of results over the same meal time and then make a decision on what you need to do with the BI dose.....

no doubt there are some who can manage a whole day, I know I couldn't.....

I sometimes don't even wait 2-3 days.........I would miss lunch on the Monday, then dinner on the Tuesday ,then lunch on Wednesday, dinner on Thursday......

its obviously quite easy to do overnight tests as you wont be eating anyway......

Most would tackle the overnight first because of this, and because its quite important to get your morning reading right, so as to set you up for the day......

That's what you should do , and its obvious you need to from the results you posted.......you overnight results show a large drop, this is down to too much BI, would be good to get a similar result again to confirm, but you will be reducing in my opinion.......

Jul 6, 2013

MaryJC 10 posts

Topic: Questions for HCPs / Figures muddle me!!!

Thank you for replies.
Sorry to be a dunce but when you say no carbs for testing BI does this mean all day or just for one meal. I could probably manage that but would be very hard for me to go all day.
Feeling fed up with it all so very down this week. Ready to give it all up. Sad

As for injecting Bl at same time, I've never seen this anywhere but it certainly makes sense now I've seen it in print. Thank you for that. I have been injecting at any ol time of the day whenever I remembered. So from this morning I shall try 10am / 10 pm
Something puzzling me from last night is....
Went to bed high. 22.5 mmol
At 3:30am reading was 5.4 mmol.
With nothing to eat or drink in between my reading is now 10 mmol.
I always imagined that BG wouldn't rise if you had no food? Am I misunderstanding.

Jul 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - times What time do you take your Lantus?

Jul 8, 2013 chrisinbrum 41 posts	Topic: Questions for HCPs / Hyperglycaemia in early hours of the morning Although I don't train/exercise like you, I've struggled with the same high morning BG and extra QA (humalog) at bed time or during the night to correct high BG then often has no effect. Even doses as high as 6 or 8 units do nothing, and I've ruled out hypos being involved. I'm on a split dose BI (levemir) and although this helped a bit, it wasn't great. I think for me the morning levemir wasn't lasting until bed so I was starting to creep up then and found it hard or impossible to correct, so ended up with high morning BG. I've brought my bedtime dose of levemir forward to tea time now, so I have more of a 12ish hour gap, but not an even dose split: 7units at breakfast, 12 units at dinner. This seems to work better for me most of the time, although if i eat and therefore have any QA after about 7 or 8 in the evening my bedtime and then morning BG can get very unpredictable again so I try to avoid any evening snacking! So I'd recommend levemir and possibly a split dose, if your DSN thinks that would be suitable for you.

Jul 8, 2013 Garry 328 posts	Topic: General Discussion / Cycling and exercise Good read. Thanks Warwick. Regards Garry

Jul 8, 2013 Warwick 425 posts	Topic: General Discussion / Cycling and exercise An inspirational article: http://www.guardian.co.uk/lifeandstyle/2013/jul/07/type-1-diabetes-cycling-team-novo-nordisk

Jul 8, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Hyperglycaemia in early hours of the morning Hi, You should basically review you overnight BI requirements..... When you increase your dose, remember to do 3 am tests, more if you like, so you can paint a picture of whats happening over night..... It could be you need more BI, or it could be the Dawn Phenomenon, or could be you bouncing back from a hypo......... you can quickly rule out the hypo by taking some overnight results........the dawn phenomenon doesn't really ever go away, everyone gets it, its just some see a much more noticeable effect.......there are means to tackle it though..... For some one as active as yourself the only way to go is on a split BI dose, preferably Levemir..........have you considered Levemir.....? Do you not suffer from regular hypos due to the activity and the inflexibility of the Lantus......? The HGH, which I have limited knowledge on probably isn't having this effect. From reading about it, it builds muscle, increases energy, so in fact the insulin requirements and effectiveness will likely increase, which may make you hypo rather than high......but as I say, don't know much about it.....

Jul 8, 2013 eelong 3 posts	Topic: Questions for HCPs / Hyperglycaemia in early hours of the morning Age: 22 Type 1 diabetes for ~4 years Insulin: Lantus & Novorapid Activity level: high - regular exerciser, sports participation and active job (Personal Trainer by profession for last two months) I am struggling with elevated blood sugar in the mornings. I generally have good control over my blood sugars (all my HbA1C tests have been between 6.5 and 7.5) but my readings before breakfast are always high. In the last two months I have increased my training intensity as I have begun a resistance training programme; and things seem to be getting a bit worse. I am finding myself waking up a lot more frequently between 02:00am and 04:00am needing to go to the toilet due to high blood sugar. Sometimes when I wake up in these early hours of the morning needing to pee, I will do an injection to try and bring me back down by the time breakfast comes around - but my blood sugar doesn't seem to change, and sometimes i end up even higher by breakfast time! I've been gradually increasing my lantus does to try and counter high blood sugar during the night but this hasn't seemed to have done anything yet. I have done a little bit of research about elevated blood sugar in the morning and I think I am struggling with either the Dawn Effect or the Somogyi Effect. I know that the biggest HGH secretion comes during deep sleep and that HGH has a countering effect on the action of insulin. So would higher levels of HGH (induced by all this resistance exercise I'm now doing) be the cause of my elevation in blood sugar in the mornings? Shall I just keep increasing my lantus (and reducing my novorapid doses during the day) to try and lower the nighttime blood sugar levels? Or would splitting my lantus doses help? Any thoughts/advice would be greatly appreciated! Thanks Tom

Jul 6, 2013 youone 102 posts	Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split? SA2010 said: That is very good. I would be happy with 2nd QA dose being no more than an hour after the first - I would still be ok with my personal 5 hour rule for measuring BG not before 5 hours elapsed after a QA dose. I will try and do that - With this I can go to a Pizza Express again and eat a whole Pizza ! Thanks Hi I think the last time I was at pizza express a full 12 inch was 150g of carbs according to the manager, in fact he said all their pizzas are 150g In this case you could try two options 1 x 8 + 7 1 hour later Or 1 x 10 + ? If like me you decide to have a Pud Hope you have a good meal Regards Brian Type 1 42 yrs

Jul 6, 2013 SimonC 78 posts	Topic: DAFNE Online Mobile / iPhone app redesign Simon said: SimonC - you can now print the charts on their own - see the small 3-bar icon at the top right hand corner of each chart. Simon - with the added bonus of selecting a file type to download! many thanks

Jul 6, 2013 Simon 578 posts	Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc... Understood

Jul 6, 2013 SA2010 69 posts	Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc... words - again ! sorry. I do not mean feed as in RSS. I do mean email because I do not often look at RSS feeds but I do always read emails

Jul 6, 2013 Simon 578 posts	Topic: DAFNE Online Mobile / iPhone app redesign SimonC - you can now print the charts on their own - see the small 3-bar icon at the top right hand corner of each chart.

Jul 6, 2013 Simon 578 posts	Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc... Ah I see - when you say feed do you mean an email or an RSS-like feed which you can subscribe to?

Jul 6, 2013 SA2010 69 posts	Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split? That is very good. I would be happy with 2nd QA dose being no more than an hour after the first - I would still be ok with my personal 5 hour rule for measuring BG not before 5 hours elapsed after a QA dose. I will try and do that - With this I can go to a Pizza Express again and eat a whole Pizza ! Thanks

Jul 6, 2013 SA2010 69 posts	Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc... Thanks Simon but that defeats the object of knowing what has happened without actually remembering to go to the site For months I do not login to Dafne Online and whenever I login I find relevant and useful stuff I would prefer a feed that comes to me rather than me having to go and look for it. But doing what you suggest could be phase 1 of what I am after. Phase 2 would be introducing the setting for each user to indicate if the updates list/summary/detail should be emailed or not and if weekly or daily and remembering when last feed was made.

Jul 6, 2013 Simon 578 posts	Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc... Maybe rather than an email we could do a section with 'recent updates' - expanding the current recent posts bit? // Tech speak starts Most records on the site have an updated_at field so we could do something with that? // Tech speak ends

Jul 6, 2013 Simon 578 posts	Topic: DAFNE Online Mobile / iPhone app redesign Keep the ideas/feedback coming!

Jul 6, 2013 Simon 578 posts	Topic: DAFNE Online Mobile / iPhone app redesign Hi Youone, It sounds like you work in app/web design? If you'd like to help out then we're always open to offers ;) Good idea though, I'd already thought about changing the home tab to have more information on. Regarding the calculation - the app already does this (see auto-calc in the settings) - is this what you mean or have I interpreted it wrongly? SimonC/Garry - thanks for the feedback, some good ideas. I'll also take a look at the graphs on the site and see what we can do to make printing easier. Simon

Jul 6, 2013 youone 102 posts	Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split? Hi I note your remarks. I had a MacDonald's meal on Saturday which was 20cp By BG was 8.2 before meal at 6pm I took 10mmol at the start of meal and another at 7pm I peaked 90mins later at 11.4 At 11pm I was 7.4 In the ,morning at 5.30am I was 7.2 In this case no correction was needed because it stated on their site the meal was 20cp So I could match close With the QA. I think large carb meals are OK if you've got a ture CP amount to match too Type1 42 yrs

Jul 6, 2013 youone 102 posts	Topic: Questions for HCPs / exercise novorapidboi26 said: ive been doing intense cardio for 30 minutes 4 days a week after dinner............blood sugars are brilliant, the odd hypo of course, but makes your supper taste better......... Hi That's omg good I'm only at 2 km runs at the moment, taking it easy on the knees. I've seen a cut in my insulin by 2/3 with better BG ,still been carful I've never been this low at 5 to 6 for a long period as I'm now. But your right I've never enjoyed food as much as I do now.

Jul 6, 2013 youone 102 posts	Topic: Questions for HCPs / Figures muddle me!!! Hi I would put behind you any BG results until you start taking your BI insulin at the same time In my previous post I said start with lunch since its mid day If your BI insulin is correct you should be able to go 4 to 5 hours without taking carbs. Notice the time period I've quoted. This matches the period between taking your QA and its effectiveness. This makes sense since any carbs taken need matching with QA Remember the rule QA is taken to control any carbs taken BI is to control the back background level or your body. Of course other things effect both but that's for another time.

Jul 6, 2013 MaryJC 10 posts	Topic: Questions for HCPs / Figures muddle me!!! Thank you for trying to help me. I am posting my diary for last 10 days as i realise 1days reading is not enough to go on. Any input gratefully received I have started trawling through all previous posts to see what I can learn from everyone on here Mary

Jul 6, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / exercise ive been doing intense cardio for 30 minutes 4 days a week after dinner............blood sugars are brilliant, the odd hypo of course, but makes your supper taste better.........

Jul 6, 2013 SA2010 69 posts	Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split? Thanks youone for that. I have now read through the related topic "Dealing with large carb meals" and see that you and Warwick split the dose. I will now try to restrict the CPs in my meals so that I do not exceed 10u of QA or split. I also agree with comments made on that thread about getting misleading measure of BG if done after 2 hours of QA Novorapid dose - I do not measure again unless 5 hours elapsed unless I am feeling hypo coming on or sometimes a spike in BG 1-2 hours after some meals. If I split I would do the second dose based on the initial BG pre meal measurement and the CPs for the meal rather than measure again again - leaving a correction to the measurement 5 hours after the meal. But this would lead to a potential problem for me - as to get any real accurate BG measurement I find i have to wait for 5 hours to pass after a QA dose. It is bad enough at the moment having to stay awake till 1am to do that. So I don't know... Probably better option is to keep my evening meals at 11 CPs max (I am on a QA:CP ratio for evening meal of 0.9:1)

Jul 6, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Figures muddle me!!! you only need to test with one meal, you can then get 2-3 days worth of results over the same meal time and then make a decision on what you need to do with the BI dose..... no doubt there are some who can manage a whole day, I know I couldn't..... I sometimes don't even wait 2-3 days.........I would miss lunch on the Monday, then dinner on the Tuesday ,then lunch on Wednesday, dinner on Thursday...... its obviously quite easy to do overnight tests as you wont be eating anyway...... Most would tackle the overnight first because of this, and because its quite important to get your morning reading right, so as to set you up for the day...... That's what you should do , and its obvious you need to from the results you posted.......you overnight results show a large drop, this is down to too much BI, would be good to get a similar result again to confirm, but you will be reducing in my opinion.......

Jul 6, 2013 MaryJC 10 posts	Topic: Questions for HCPs / Figures muddle me!!! Thank you for replies. Sorry to be a dunce but when you say no carbs for testing BI does this mean all day or just for one meal. I could probably manage that but would be very hard for me to go all day. Feeling fed up with it all so very down this week. Ready to give it all up. As for injecting Bl at same time, I've never seen this anywhere but it certainly makes sense now I've seen it in print. Thank you for that. I have been injecting at any ol time of the day whenever I remembered. So from this morning I shall try 10am / 10 pm Something puzzling me from last night is.... Went to bed high. 22.5 mmol At 3:30am reading was 5.4 mmol. With nothing to eat or drink in between my reading is now 10 mmol. I always imagined that BG wouldn't rise if you had no food? Am I misunderstanding.