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  #9 (permalink)  
Old 11-13-2008, 06:05 AM
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Subby Subby is offline
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I am a: Type 1
 
Join Date: Feb 2008
Location: Melbourne Australia
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Quote:
Originally Posted by soso View Post
I wondered if it was slightly high basal.. if she was waking up at 80 all well and good, but 50 seems a bit low and it's not too much of a stretch to imagine the liver going into overdrive if it was dropping lower than that. That 2am 80-110 could be it just getting cranked up and into gear..
This is a really good point. I didn't pick up quite how low the figures mentioned are, as I work in mmol/l not mg/dl and didn't use the converter this time.

People know this, but for my own benefit: 50 is really quite low, for the vast majority of human beings . 80 is also technically low, taking standard guidelines. As you say soso, any slip downwards earlier in the morning, and the liver could well be kicking out glucogen, causing the spike.

ebster, I'm sorry I didn't quite realise how low your GF was "walking the line" so to speak. Thing is, don't rule this second scenario out because the early morning correction shot seems to work: it would work in either scenario:

scenario 1: dawn effect (internal hormone/energy release) -> effectively not enough basal insulin (for that small period) -> high

scenario 2: too much basal insulin/less need for basal (many possible causes) -> low during small hours of morning -> liver releases glucogen to prevent coma (good, normal reaction) -> high

Not trying to repeat things or be too obvious, it's just good to come at non-intuitive things like this a few different ways.
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