please help

[anila]

I am a juvenile diabetic patient for the past 25 years.Now I am 33 years old.I am expecting my second baby-30 weeks. I am taking Novorapid and Insulatard. The doses are as follows.
Morning Novorapid 30 Insulatard 32
Afternoon 18
Evening 22 23
Earlier my blood sugar was under control. But now my fasting BS goes very high to 230-250 range.At 3 am , the blood sugar is about 150-170 I would like to know whether there is any problem in using Novorapid during this period? What should i do to lower my fasting blood sugar?

[Steal]

I wish I could provide help, but I am on the insulin pump. All I can tell you is that in the last trimester my insulin needs tripled in all regards - food to insulin ratios and all of my basal rates. It is crazy how much the requirements change. You might just be hitting this part of pregnancy. I hope that you can find others who are on similar meds.

Good luck with it all. I have been T1 for 25 years, as well and am 30 years old and currently preggo with #2. My daughter is 7.5 months old and I am 13 weeks along with #2.

Feel free to write if you need to chat.

-Steph

[Richard157]

The Novorapid is certainly the answer, but I cannot advise you how much to take. Do you know how many points your blood sugar will drop with each unit injected? that is called your insulin sensitivity level. One unit of fast acting insulin will bring my blood sugar down 12 points during the day, but 30 points when I am sleeping. If you know your insulin sensitivity level you can determine the dosage needed to bring you down to 100, or whatever level you want to reach. I hope other members will respond and give you more advice. You should probably contact your doctor about this tomorrow.

[aiah23]

What's your current insulin sensitivity factor? I'm at that point, now at nearly 27 weeks, where if I do have a bedtime snack, I'm jumping from 99-110 bedtime to 160 between 1 and 3 am and I have to take a dose of rapid acting to correct for it. That's what my diabetes educator recommends (she specializes in pregnancy). It's going to be an issue for the rest of the pregnancy. Since you, like me, are on MDI, you can't just increase your basal during those hours where you're spiking high, crazy hormones, you're going to have to get up (and chances are you have to in order to pee anyway) and test your blood and take some fast acting to correct the high. I also found that it helps somewhat to increase my pm basal but I'm on levemir not insulatard and they have different action profiles (levemir is a lot less peaky which is why I opted to stay on it). Best of luck.

Fawn

[Katrina Stovold]

Hi, this is my second baby and the same ridiculous thing is happening to me!! sooo annoying!! I didnt have this problem with first baby!

I check sugars at 3am and they are perfect but between 3am and 7am they sneak right up!!! Like almost double!! Weird! I hve resorted to having 2 units of novorapid to bring it down by 7am and it works wonderfully!

I dont want to increase the protaphane (long acting) because I know that would cause a hypo at 3am.

x