Quote:
Originally Posted by Gangrel  21:52: 10.3
00:05: 8.4
03:51: 5.5
06:04: 5.8
I slept a tad past my 3am alarm  but it's close enough.
Assuming the last of my Humalog was still working between 9pm and 10ish, that might account for the drop from 10.3 to 8.4.
But, the 3 point drop between midnight and 3am concerns me, though I don't understand why it then levels out?
So, looking at this I am going to try either 15 or 14 units tonight, a reduction of 1 or 2. Does this make sense to you? Or are you seeing something I'm missing (which is very possible)
If I do an afternoon test, I'll post it in this thread too. |
For many diabetics, our basal metabolic rate and how much glucose our livers pump out is at its lowest from midnight to 3 AM. That's because we expect to be sleeping at that time, so the liver conserves energy stores until a time we might start needing it, like around 3 AM to begin priming our bodies to wake up. Such metabolic cycling is no problem for non-diabetics since they have beta cells that can respond correctly by releasing more insuling.
But for you, you've got to deal with the flat profile of Levemir. Like I've got to deal with the flat profile of Lantus.
For me the best solution has been getting my dose titrated such that from midnight to 3 AM I'll see a drop of about 40 points, which I think is around 2 in your measurements, and then after 3 AM I'll see my levels begin to rise, usually back to about where I started at bedtime. So my deal is I try to go to sleep at around 140 mg/dl, which gives me some margin against hypos, but also keeps me at a reasonably decent BGL overall. I've also found that margin useful for the times I go to sleep and I'm exhausted. I've observed that my dawn phenomenon will not show up until after I wake up if I'm really tired and my mind and body are demanding rest, and sometimes I've been exhausted enough that even after falling asleep at about 140 mg/dl I'll wake up the next morning on the low side as my liver never kicked in to wake me up.
