morning peak - not dawn phenomenon

[Ella1]

Hi!

I have a quesiton.. Has anybody experienced a BG peak in the late morning, round 10 am. There is a normal dawn, which is present there too between 4-6 am.. and it's not as pronouned. But the second one take BG by 15 mmol/l within a couple of hours. Liver dumps glucose so fast.. And it's not food related, as we tried to see what happens with or without food.

Could this be a liver problem of some sort?

[rzrbks]

If you've ruled out slow releasing foods, then I would say it's time to go to endocrinologist.

I do wonder though,

1. when does your BF inject his Lantus? and

2. since he's on NovoRapid, is he staying to a specific time to eat breakfast or does he adjust eating time to suit schedule ?

Mostly idle wonderings, I'd head for the endo, if possible, 15/270 is more than I'd want to fool with.

[Harold]

rzr's right he should see an endo, it maybe time to adjust his insulin.

[Oradev]

I am having the same problems. When I woke up today my bloodsugar was 216. So I bolus 2 units to get me down and 3 units for what I ate which was two pieces of pump with Peanutbutter. Two hours later my bs was 377! It shouldn't have went that high from eating just that. I don't know what else to eat. I think I've tried everything. I usually eat frosted flakes and it never goes up that high after eating it. Anyone got a suggestion?

[Scoobs]

I'm Ella1's boyfriend, the person she's actually referring to in her post. As she says, im having a complete nightmare getting my BS to below 19 (340) at the moment.

I've tried various methods from fasting, to increasing Lantus (injected at 10pm every night) to injecting large amounts of insulin and nothing seems to work. My sugar control up until a few weeks ago wasn't too bad at all. My HBA1C was 7.0 and my sugars averaged about 8 (144). The rise in BS level has coincided with starting a new job so im wondering if this is a factor. Hoever, Im not stressed at all and am not shy about being diabetic (obviously im not shouting it around the office) so i cant believe this would be the case.

My diabetic nurse believes there's a problem with my lantus and has told me to continually increase the dose until i see some improvement, she has also recommended that i start using a syringe as opposed to the optipen to ensure an accurate dose. Im not holding much faith in this. At the moment, im trying to eat the same breakfast, lunch and dinner and slowly increase my insulin till i get it right.

I'm Desperate to see some improvement, ive never had any hint of complications in my three years as a diabetic but now my eyes have started to sting and legs seem to ache...v scary indeed!

Like Oradev, I would be unbelievable grateful if anyone has any great ideas or suggestions. Im seeing the specialist next Friday so hopefully he'll come up with something.

Cheers
Jamie

;)

[DeusXM]

Sadly, it's part and parcel of having diabetes. As I've mentioned elsewhere before, your insulin needs are directly related to the food you eat, the amount of exercise you do, the phases of the moon, the postion of that new planet NASA discovered in relation to Andromeda, whether Shy's winding me up and whenever you last saw 'The Magic Roundabout'.

Insulin requirements just seem to change for no apparant reason unfortunately. Probably there's something going on with why your metabolism's changed but there's not a great deal you can do about it though, apart from take more insulin.

A rather risky approach to dealing with this (and therefore, it's the one I use :D ) is to just really jack up the amount of insulin you take until you start going hypo. I remember one time around Xmas when my BS just wouldnt go under 20 (360). I kept injecting 5u of humalog every hour without eating, and it was doing sod all. I got bored so I gave myself 20u of the stuff in one go (that's more than what i usually cumulatively take a day).

Did the trick too...after an hour I was finally back to about 8ish (144).

Although that's kinda different (since obviously you eat sugary stuff more at xmas), it's amazing sometimes just how much you have to change your insulin dose. There was another time earlier this year when I was having 6 hypos a day, and the only way i could stop it was to stop bolusing completely and by shrinking my basal dose by 3 quarters, so I was on 5u a day of Lantus and still my sugars were around the 5 (90) mark.

Basically the best advice I can give is to ride it out, and if you're confident, don't be afraid to be quite drastic with your doses.