High Morning Readings

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Italian_Buju
Italian_Buju Posts: 8,030 Member
Sometimes, I am just baffled by what my bs does in the morning. Typically, I know my bs is going to be higher in the AM than it was when I went to bed. I take Levemir at night, but it still happens.

Yesterday, I ate dinner pretty early, I was done by 5pm as I had a meeting to go to. Two hours after dinner, my bs was 7.0 (Canadian, normal pre-dinner is 4-7 and post dinner is 5-10).....

At bedtime, it was 9.8, I ate NOTHING after dinner. I took 10 units of rapid, because I did not want a high in the morning. Well, this morning, I was still 12.8, dispite all of that.

I just do not get it, I am so confused.

One other thing, I know it is not that I am low in the night, we have already determined that.

Anyone else have this problem?

Replies

  • KristaTellier
    KristaTellier Posts: 270 Member
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    I had this same problem, many years ago. No matter how much my night insulin (can't remember if it was NPH or Ultra Lante at the time) was increased, my morning sugars were always high. At one point I was taking 70+ units just at night! That was cut in 1/2 to 35 units, and my sugars were the same - no difference (really? 70 units vs. 35 units made NO difference?!). I'm on the pump now and don't have any of those same issues. Yes, sometimes my morning sugars are still high - but now I almost always know why (i.e. ate something where I had to guesstimate the carbs and clearly my guess was off; over treated a low in the middle of the night; etc.).
  • lizzielou67
    lizzielou67 Posts: 35
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    What did you eat for dinner? Did you have any drinks?

    I find that when I go out to dinner and eat too much fat, my sugars are much higer in the AM. The fat slows down the release of the carbs into your system. So any rapid insulin you take will not peak at the same time as the carbs (it will peak way too early and those carbs will continue to raise your blood sugar). Not saying that's your problem but look at what you are eating to see if it has a lot of cheese or butter etc.

    My pump has helped that since I can do a bolus that I can spread over several hours to combat this problem.
  • brynnmcguire
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    I agree with the pump to a nice answer to this problem, so if you can get on one. Do it! Helps immensely to give a fast acting bolus over the length of an hour AFTER dinner especially if it was food high in fat...Good luck!!
  • Italian_Buju
    Italian_Buju Posts: 8,030 Member
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    They asked me almost a decade ago if I wanted to go pump, and I said no. To be honest they scare me. The kind of work I do, and I am clumsy, I will end up ripping it out twenty times a day....
  • adaniels75
    adaniels75 Posts: 1
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    I thought the same thing about the pump. I have been using it ow for 4 years and I love it. Now I can't say that I have never ripped it out I just make sure I always have supplies with me in case it does happen. The one thing that sucks about the pump is you can pretty much eat anything you want. So losing wieght isn't easy. I have been having high sugars in the morning too lately but I really think that has to do with stress. Getting married in 3 months. LOL Good Luck!!!!
  • T1Life
    T1Life Posts: 15
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    I'm sorry to ask this, I couldn't see anything relating to it in any other posts.

    Have you tried testing your levels at 3am? I'm also currently suffering from high BG's, I fluctuate with my weightloss/exercise. At the moment I am going low at 3am...which sucks as I have to eat which means more calories!

    My Doctor has said that at 3am-ish our liver does a glucose dump (everyone and anyone gets this), if you're running low your body tries to overcompensate and dumps a lot of glucose into your system, thus leads to high levels, He recommended I ate about 10g - 15g of carbs to stabalise.

    However if your level is high at 3am, try correcting it and that should help bring it down too.

    This is just a temporary fix though, overall you may need to adjust your background insulin by either splitting into 2 doses and taking more in the evening than in the morning, or taking a couple of units more daily until your morning levels stabalise. (I'd speak to your specialist before adjusting/changing insulin times/levels)

    I'm from the UK and getting a pump is near to impossible, so I can relate to MDI systems (:

    This is the advice I was given.
  • shep1397
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    I've had that problem too, and I found that working out early in the morning before breakfast keeps the BS lower in the morning hours.