extremely high blood first thing in the morning

7 posts, 5 contributors

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tommo DAFNE Graduate
Norfolk and Norwich University Hospital
6 posts

Just recently I have been experiencing blood sugars of 11.0 to 18.3. My HCP has changed the timing of my Levemer from last thing at night to after breakfast as she believes I am hypoing in the middle of the night without knowing it.
Has anybody else experienced this? What is the remedy as at present I am tweeking my Novarapid at meal times to try to reduce the high blood sugars during the day.

I would welcome anyone's thoughts!

sjohno DAFNE Graduate
Royal Derby Hospital
28 posts

Hi Tommo

Have you tested your bloods around the 3amish in the early mornings? It's a pain but you can see if you are dipping into a hypo as suggested by your HCP.

You could also be subject to the Dawn Phenomenon please find below a link that you can read up on.

https://www.diabetes.co.uk/blood-glucose/dawn-phenomenon.html

With your Levemir are you on one dose or a split dose? I too am on one dose of Levemir 13 units daily at 5pm and with me it does last 24 hours BUT I understand from reading other T1 diabetics it doesn't last the full 24hrs so they are on a split dose i.e. morning/night.

Good luck with sorting it all out Smile

Sarah

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,795 posts

I would agree with everything said so far......

Does sound like it could be a contribution from the liver, which is perfectly normal......

Testing at 3am should confirm it and of course you could set alarms to test throughout the night, in the absence of a flash sensor....

Levemir can last all day for some, but mainly it is chosen to accommodate a twice daily BI injection....so depending on what dose you are on....you could consider splitting it......so that you have a dose right before bed [therefore helping stave off highs on waking due to the liver] and one in the morning for the day time, both of which can be tested and adjusted independently of each other....

tommo DAFNE Graduate
Norfolk and Norwich University Hospital
6 posts

Thanks to sjohno and novarapidboi26. I will certainly try testing at 3.00am to try to see if that tells me anything. I am seeing my HCP on 29th Jan. Any information I can show her will, no doubt, help.

sjohno., I was on 4 units of Levemir at night, My HCP changed this to breakfast time, but I was then getting very high BG readings in the morning - average 15 with quite low readings by the time I was to have my evening meal - so I decided to administer my Levemir 2 units at night and 2 units after breakfast. So far this system seems to have helped. I am afraid now what my HCP will say as she thought it would not be a good idea to split the dose.

torana DAFNE Graduate
Royal North Shore Hospital, St Leonards, NSW
30 posts

Hi tommo. I agree with all above and worth a try. Another way to see what’s going on is to have an early dinner or at least the carb section of the meal and have the protein and veg etc later on. Many decisions made in diabetes is for “average” diabetics and as we know there is no such thing. Most people may have dinner when they get home from work around 6pm-7pm. For diabetics we then have to stay up for hours waiting to see how the fast and long term insulin are operating. I myself have the carbs around 4.30pm and levemir at 7-8pm. It gives me plenty of time to ascertain what’s happening as the short acting component has completed its life and hence another variable is taken out of the equation. Keep to a constant regime in order that any changes or variations can be understood as outside the control component. In diabetes it’s hard to suit others so always just suit yourself.

sjohno DAFNE Graduate
Royal Derby Hospital
28 posts

tommo said:
Thanks to sjohno and novarapidboi26. I will certainly try testing at 3.00am to try to see if that tells me anything. I am seeing my HCP on 29th Jan. Any information I can show her will, no doubt, help.

sjohno., I was on 4 units of Levemir at night, My HCP changed this to breakfast time, but I was then getting very high BG readings in the morning - average 15 with quite low readings by the time I was to have my evening meal - so I decided to administer my Levemir 2 units at night and 2 units after breakfast. So far this system seems to have helped. I am afraid now what my HCP will say as she thought it would not be a good idea to split the dose.



tommo If it works your HCP shouldn't criticise your actions, you are the one who lives with diabetes Very Happy

BlackSpider
East Lancashire Hospitals Diabetes Team
4 posts

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