I talked to my educator and she said that I need to stop adding extra phantom carbs and the algorithm with eventually know how much insulin I need. I am very doubtful. Especially since I don’t get up at the same time every day. I have chronic fatigue so just go by how I feel. I also take naps and my blood sugar will rise after getting up after a nap. Fun fact: If I have a low during the night all I have to do is get up and urinate and my BS will go back to normal.
Will keeping a rigid schedule make any difference?
When using the 780g in manual mode, my night time basal rate was .5 - .6u/hr and I set a 1 hour rate of 2.2u/hr for after I get up. That’s a huge increase.
So far, the auto mode hasn’t been able to catch up. This morning my BS went up to 13 mmol (234) after a breakfast of 12 carbs. (Greek yogurt, blackberries and coffee) I also wait 15 minutes before eating after I bolus. Now I want to shower, but my BS also goes up ~3 mmol during a shower. I’m going to be chasing this high all day.
Thanks for the unit trans BTW; we Americans are monolingual so sometimes communication can be a problem for us
Yeah:
I’ve used phantom carbs too if I start to have FOTF. I don’t always have it, I haven’t seen it for a few months now, but I certainly have it. I will have a massive rise in BG for a minor (2-4g) intake of carbs, but I’m completely regular in what I eat (but not when I eat it). I get woken up by the dog when the sun rises, my kind wife brings me a cup of tea and then the rise starts:
That’s a low of 111mg/dL(6mmol/L) at 7:40AM (at least 10 minutes after first tea) to a high of 188mg/dL(10mmol/L) at 8:35AM. I didn’t attempt any correction.
I had to search back several days to find that; it does not always happen for me.
I’ve swapped, mostly, from phantom carbs to pre-emptive insulin. It helps a little if I do one or two IU when I get up before I drink tea (mostly, nothing quite beats being brought tea in bed.)
I don’t record shower events. I should because I certainly see a massive jump; 2-3 is about right for me. I’ve not fingersticked it enough to be sure but I’m pretty sure it’s a temporary temperature related overread in the CGM I use (a Dexcom G7). I’m also moderately sure it doesn’t happen for cold showers but that may be because we feel cold water more than hot whereas the sensor depends directly on the water temperature vs its current temperature.
Overall I feel extra insulin is better than phantom carbs; the insulin is real and the AI in smartguard or AAPS (which is what I use) will deal with it correctly. When I use a manual system my morning IU rise was pretty much the same as yours, however at that time I really didn’t get up at any predictable time (the dog helps, it’s always first light) so what the pump could do (a clock time) was highly inaccurate.
At the end of the day I consider a log like the one I posted above as just fine. I just wait for the HbA1c (or use a home test kit) to get a true picture.
I have predawn effect and I also have large spikes due to hot showers and coffee, yes black coffee. I will correct them sometimes but usually I’ll go up to 180 and come crashing down again.
It’s such an odd thing because if I don’t correct, where does that sugar go? Reabsorbed by liver as glucagon? Maybe, I don’t know but it’s hella difficult to dose for these things.
If I put that reading in my omnipod and let it calculate, I’ll get 3-4 units, but if I took that it would be a roller coaster.
Sometimes we need to just know how our bodies react. FoTF is no different really. Probably similar to predawn, just later on.
So we need to learn how our bodies react, and before you even think it, I already know that you can do the same thing for a week and on day 8 it goes nuts. There is an inherent randomness to this disease.
I’ve swapped, mostly, from phantom carbs to pre-emptive insulin.
John, could you please explain what you mean by pre-emptive insulin? The only way I know how to get extra insulin is to phantom carb, unless I go back to manual mode on the 780g.
