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  #9 (permalink)  
Old 11-13-2008, 05:46 PM
Gary_W's Avatar
Gary_W Gary_W is offline
Senior Member
I am a: Type 1
 
Join Date: Jan 2007
Location: UK
Posts: 1,207
Quote:
Originally Posted by xMenace View Post
Your a very common case Mr. Fool.

Your DP raises your insulin need in the early mornings but this need plummets by noon. Your tailing bolus and basal doses are likely double-strength late in the morning compared to early morning which is what is dropping you.

I treat this by superbolussing - cutting my post-prandial basals. As you are not on a pump, a typical solution is to eat a mid-morning snack. If you want to ward off weight gain, perhaps borrow the snack from your breakfast.
I agree with John. The only way I can keep my 2 hour post breakfast number sociable is to super bolus. As you can't do that, eat less breakfast, hit it hard with the insulin and ensure you snack at the 2 hour point. It sucks, but it works. If you DO try this, ensure you test extra frequently during the mornings until you get how it works for you just to be on the safe side and set an alarm for the snack. What you are doing is setting yourself up for a hypo intentionally and then eating to ward it off, so all precautionary steps need to be in place to ensure you keep safe and happy

Apidra helped as well in my case. It's a lot more effective with the peaks than Novorapid ever was and the shorter tail stops the hypo at hours 3 or 4 in most cases. It's evil, unforgiving stuff but I've found it helpful....
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Pumping with Apidra in 'Rumpy 1' from April 08 to May 09

Now pumping with Apidra in 'Rumpy 2' - Electric Boogaloo. And showing my age.
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