i dont know if im experiencing dawn phenomenon, because im not waking up at like 200 or anything. i am lada or honeymooning and waking up at like 130, 140, which frustrates me to no end, having only eaten a salad for diiner with chamomile tea-no cheese, meat, nuts, just olive oil and vinegar on top. and having gone from 5 units to 7 of levemir. i am going to see if this changes anything over the next couple of nights, but then maybe ill change the time to a bit later. the thing is, when this was happening a couple of months ago, brian suggested doing the levemir earlier (i was doing it at 11pm) and so i changed ti to 7pm, and it worked like a dream. now my D has decided it doesnt like it at that time or something. and then after the time change, if that doesnt work, then add yet ANOTHER unit, omg i am more diabetic than ever...if anyone has any other suggestions i am all ears!
thanks for all the advice,
em
oh, and i arrive home from work late, at 11pm. i walk or cycle home (45/30 minutes) and am always about 100. ive tried injecting and eating the carbs and dne the no carbs thing. neither works. but im hungry after working all afternoon and evening! i would go the drsoosie route but oh what punishment, being sent to bed with no dinner!
Do you take split doses of Levemir? In case you're not, it doesn't last close to 24 hours. Since you're LADA or honeymooning, you may only need an evening dose. You didn't mention what your other readings are.
What time do you go to sleep? Eating late is fine if you're going to bed late. Just a different time schedule.
Don't worry about being more diabetic & possibly having to increase doses. You need what you need.
hello gerri, im splitting my levemir but very wonkily: 2 units in the am and 7 in the pm. i usually go to bed by 1am but trying to get myself in by 1230. its hard to wind down after work in such a short time though.
my readings thru the day are ok. for lucnh im usually around 100 and again for dinner.so i think the 2 units of levemir (given at 930am) are doing their job, along with the unit i have for each 30 carb meal.
i know i shouldnt worry about being more diabetic. i have been so positive about D recently (as positive as you can be), feeling like i know what im doing, but when my insulin needs go up i am reminded of the forverness and the its never going to leave me alone feelings that just make me so angry and sad!
Zoe, I didn't say it is easy, the OP wanted to know if it is a realistic goal, not whether it is easy and also how did people achieve it. Some have posted they have gone low carb, others don't eat before bed or after 9 pm. I also didn't say I am always below 100, what I wrote was that my average fbs was 104 which would indicate it is higher than 100 on some occasions. This morning it was 64.
I don't understand why you have to always make a comment on something I post, and yet let slide Gerri, droosie, Super_sally, bsc and the multitude of others here.
Why don't you just comment to the OP's question and stop the snide comments I understand PWD, not just T1's are suject to variability Zoe but thanks for the update.
I think that a target of 100 is the way to go. I've said before but I think that a target of 140 is like shooting arrows at the side of a barn. I think that is the big mistake the medical industry has made in treating us. It doesn't mean that using a target of 140 makes patients who've aimed at that bad but I really think that it makes it much harder to keep your BG in line with the targets which I understand are the targets that most doctors recommend and which are very much in line with the results we can see reported in the TuAnalyze world map showing the average for us to be around 6.9-7.? (it would be interesting to see an "amalgamated" report showing all the data put together for everyone but I only seem to be able to see this by mousing over each country, which is still fun...). I don't think that I'm magic, I have very pronounced DP but still am able to beat that all the time (*knocks on wood*). I don't think I'm special but, like Clare, I aim at a lower target. I don't beat myself up when I miss it (although perhaps I wasn't always this jolly during the NPH years when by BG was, in fact, all over the place?). I'd like to see a large study that might explore whether aiming at a lower target, whether you hit it or not, might have some benefits. I will bet $100 that it would have benefits and that diabetes communities might benefit from giving it a whirl. Carefully and armed with lots of test strips, of course.
Sorry that was snide. Zoe the OP wanted to hear from people on MDI with fbs of under 100. Since you are neither on MDI nor have an fbs under 100 I guess I just don't understand why you would even comment, whether to me or to the OP.
It's a beautiful day here on the East coast. 29 degrees and sunny. Just got finished with a nice walk with Cosmo and am not headed to work. Hope you have a nice day.
Wow, I had forgotten you were in Spain. The Spanish always eat late. I know that you are worried about waking at 130 or 140 mg/dl, but really the goal should be about sleeping and waking with a predictable and controlled number. In the end, I just decided that while I cared about my DP, I had to choose my battles and just do the best we can. So if I awake too high, I just correct and get on with my day.
yeah, we eat really late here, especially in the summer, sometimes dinner is at 11 or even midnight. when i visit family back in the states it is completely alien to eatdinner at six or seven!
but with regards to these waking numbers, if i see a 140, i am constantly wondering, omg where was i at 5am and how long was i up there excursioning maybe into the 200s?! i just dont know whats happening in those four or five hours, how bad it really is. my a1c went up almost a whole point in four months an while it wasnt all the fault of the night numbers (my own fault for not adding insulin due to stubborn "this is going to fall back into line in a couple of days" type thinking), i dont want the night numbers to remain a contributor in raising my a1c. maybe i am concentrating too much on numbers :)
thanks.
Thanks for the reply. I think I have some gastroparesis as well. It's amazing, but if I eat even a handful of nuts after 9:00 pm I will always get high morning numbers. The more I stuff into my stomach at dinner the higher my numbers are the next day. I do pretty well myself with the mornings but every now and again I am like 'what the heck???" It's what makes diabetes a "head scratchers" disease.
I've also taken Levemir at wonky times, closer together, further apart, attempting to see what works. Oh, yea, really hard to unwind & just go to sleep. Even harder for you eating late & not knowing the full effect of dinner bolus.
Only needing 1 unit for 30 carbs is great.
Hear you on feeling angry & sad.
This is a topic I’m interested in delving into to some extent. I don’t want to use diabetes as a reason to drink more than I should, but having one too many sure as hell does seem to help with the glucose levels the following day, doesn’t it?
god, yeah! lets me pig out with my hangover hunger!
I just wanted to say thank you for this brilliant idea for NPH injection schedule.
Let me ask you - do you find you need significantly less insulin around 2-6 pm? As in, if you were to exercise or do something different, do you tend to go low then?
I would go off my pump if I could figure out a way to cover all the times around 2-6 and not go low during that time frame. I've been experimenting with NPH because (in theory) I'm hoping it will be mostly out of my system around that time.
Thank you!! And I'm open to any ideas you may have if you are in a similar situation.