Quote:
Originally Posted by drummingfool  This is about what happens every morning.
I woke up this morning, 5:45 @ 120 exactly. I had 8oz of milk and my vitamins and took my novolog for the milk. At about 10-10:30 my BS was in the 260's..... |
It sounds like your DP effect overwhelms the Lantus action in the mid-morning. I have the same issue. You could try eating a low-carb breakfast (no milk), and covering it with Regular (eg. Actrapid, Humulin R) . In addition to covering your breakfast, the Regular makes up the shortfall in Lantus action. It acts over a much longer period than Novolog. It takes 45 minutes for regular to get up to speed, so you need to inject it as soon as you wake up.
You could also try using a basal insulin with stronger peak action, like Levemir or NPH. You need to time it so that the peak from the before-bed shot coincides with your increased insulin need. You may need to split the dose between morning and bedtime shots to get good 24 hour coverage. You can also mix and match. Take NPH before bed to deal with the DP, and Lantus in the morning for more consistent daytime cover.
To help work out what would work best for you, consider the action profiles of these insulin in the graph (Lantus = Glargine, Levemir = Detemir).
As you can see, Lantus has a weak peak action. While this is good for most people, for some of us it is a problem. Levemir has a somewhat bigger peak, and NPH has the biggest one.
Before you do anything, you really need to do basal testing. Skip breakfast and test you BG every hour until lunchtime. You will then be able to see if your morning basal action is adequate or not.
