All excellent feedback and astute feedback. Some more details.
- The fast drops on glucose are due to insulin pressure (extra) during day. At early morning
and late at night prior to any lantus - BG will sit very stable at whatever number I leave it at and as long as liver nailed down by metformin, BG will slowly drop on tiny amounts my pancreas put out in absence of humolog/startlix/lantos.
- Reason for nasty dawn effect (238) and liver emergency at 278-311 is due to natural basil insulin is small and only ramps up on starlix type - glyburide pills.
- I take 21 units of 75/25 humolog in am and ride till lunch and in fact it is the smoothest part
of my BG charts. I just have to watch some hot spots of the slower parts of Humolog at 10:00 am and near lunch. I take at 5:10 am and usually out of body by noon. No starlix in am at all. That did cause riot then.
- I try to count carbs as best I can then back in balance of diet.
- first starlix I take at lunchtime synced to eating lunch. I try for snack at 1:15 to 1:30 am. My digest time is 2 to 2.5 hours - slower and faster based on carbs type, fat and glycemic type. I usually ensure of Have some high glycemic content to ensure starlix digestion of 20 min initial up in blood and 1.5 max to full strength does not outpace gut sugar risetime out.
6 second starlix at dinner usually 5:00 pm synced to dinner eating.
7 i ride this till digestion complete and starlix exhaust.
8 at 10:00 pm on , i look at bg and hit with lantus shots - usually 2 of about 7 to 10 units.
I try to organize last lantus shot at 12:00 am or as close as possible and I usually find that BG will flatline to 120- 128 till I wake up at 5:00am at which point I watch my stinking liver banging up the BG with glucose in am - no food or sgars or carbs at all. As I take metformin
at 5:00am , with 21 nits of 75/25 humolog by 8:30 am liver gets caged and stops that. I can stop that early by having good alcohol drink and roll it over early at 148 to 150.
Brteakfast at 7:30.
I never wanted to be checking on my BG as much as I found myself but it really is liver adding all the fun. Metfomin at 10:00pm and 12:00am -\500 mg locks down dawn effect.
Metering allows me to watch zones where gut is coming up/down and whether I need to jump in and add glucose tabs to block sub 100. Doctor said no sub 100 please.Ie my liver buffering does not work with a crap and sugers me up.
WHat this means folks that prior to catching my liver’s nonsense on dawn effect and buffer control, my H1ac was 13.3 %, eyes had hemorriging, on actos, body leaking water, overweight etc. After metformin change at midnight and playing liver buffer with glucose tablets, H1ac was 6.9, eyes healed, actos booted, lwgs and water gone and my weight started dropping after metformin change.
Metformin in blood up to strenth as best as I can tell shuts off the crtc switch in liver from make sugar to fast mode. Salk institue published this fact. I routinely can tell when liver caged and not pumping in extra sugar. I aslo take 500mg charge at 7:00 pm of standard metformin ( 2.5 hours in, 2 hours up in body and exits in 1/2 hour. Monster large charges are waste of medicine and the 500mg charges work fine.
Yes, I am type 2 but with a need to play type one watching my BG does not trip off liver to do emergency sugar add.
Previously to this nonsense, I was walking 2 hours a day routinely to burn morning sugar \off that was so bad cells could not take any more glucose. Actos will ram more in.
Some would call that insulin resistance. I called that cells saturated with glucose from liver. Once I walked off the excees glucose, I would see humolog work and finally get BG to 100 by lunch. Rest of day was normal.
Regarding customer service at DEXCOM and some other fine folks, this is the trouble with the complexity of this disease and well meaning non diabetics trying to work with crib sheets looking for the magic silver bullit one answer to try and help - not.
Prior to design, I was involved in DEC field service when they where still in business and a pharmacist whom we put on line with computers told me - I realize you and the company cannot fix all problems but in the Spirit of the Japanese Iron chef , I will always be pleased as long as you do your best to help me.