Dawn Phenomenon possibility?

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novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,800 posts

I see on the 25th you had a carb free lunch, but went high for dinner..............! As you can see its not that much of a rise, some may even say its acceptable if you take in the error margin of the meter. So it would suggest that your 11 BI is pretty much there......

the next day is full of snacking so cant really give any useful information......

good result at lunch today.....whats your result NOW? Should be peaking about now!!

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,800 posts
Fri
27/04
Time 06:45 09:00 12:20 13:30 14:50 15:50 17:05 18:30 20:30 23:00 [12:20] ate within 5 minutes...
[13:30] not good...
CP 2 - 10 - - - 12 - - 4
BG 9.9 9.7 4.4 12.6 11.3 6.1 5.8 4.8 6.1 9.3
QA 6+2 - 15 - - - 18 - - 6+2
BI 28 - - - - - - - - 36
Ratio (QA:CP) 1:3 - 1:1.5 - - - 1:1.5 - - 1:1.5
QA Site - - Left Thigh - - - Left Arm - - Left Arm
BI Site - - - - - - - - - -
Type BFAST AFBF LUNCH AFLUN OTHER OTHER DINNR AFDIN OTHER BI
Ketones - - - - - - - - - -

My results are crap today.........my peak is too high in my opinion, all because a colleague got chatting to me and I had my lunch immediately after injecting...... Evil or Very Mad

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

9.9 to 4.4 to 5.8... I'd love results like that on a more frequent basis!

Not sure what to say about the mid meal peaks though. I know they can be very unpredictable. Sad

Here's my most recent tests... getting a bit slack again with multiple injections in the evening.. but I those hypos.. I just don't get them at all. Sad This used to happen when I was adjusting my ratios.

Emailed my health team too.. shall see what they suggest.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,800 posts

Whats your thoughts on the hypos last night? seems strange, you corrected with 2.5 units for a 17.9 and went low, I would need 12 units to get me back on target............its amazing how different we are, well, its quite easy to explain, I am a good few stone over weight, and you are probably skin and bone........ Wink

What mid meal spikes specifically are you concerned with........

also remember to get BG readings when you are eating/injecting, they are most useful and are greater priority than the mid meal ones.......... Smile

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

Ah, the mid meal comment was in response to your previous post (sorry for taking so long to reply to it!).

Yes, I find last night and yesterday afternoon quite remarkable. I am wondering if my correctional amount changes after my evening BI injection... but by how much I am not sure. So hard to keep track of all this stuff lol. Completely puzzled by the afternoon low the day before....

I wouldn't say skin and bone - enjoy food too much to be that skinny! Very Happy I'm your typical 5'5" 10 stone odd gal.

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,800 posts

I am trying to picture you..........lol...........so far its looking good......... Laughing

Are you quite active then?

Sorry about the mid meal confusion there, it can be quite hard to get back in the zone after a few days break from the thread.....

No concrete conclusions on your background behavior yet?

My correctional patterns go by blood sugar level, but most go by insulin resistance, which makes sense as well, its perfectly possible that at different parts of the day you need different correction factors............

try and record how much 1 unit drops you by at different times, obviously ensuring the carb count/ratio/background is spot on first is needed......I done this, but I noticed a pattern with the BG level after reading it again in the handbook.....

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

Oh behave! Razz I'm not sure how active I am considering I don't go do any sports on a regular basis. I just do stuff like walk to work every day and that gives me about 30 mins exercise in total most days... walk to most places if I can. You know, nothing really stands out to me... but perhaps I'm more active than I realise? :/ My boyfriend does a run once a week and cycles to work these days... he thinks I'm more active than him but I can't see how if I'm honest.

My DAFNE team think that I should not adjust my BI doses anymore so I haven't done. My last carb free (lunch) was 25th (have added it to show).

Golly I hope I don't have too many different correctional factors. >_< These hypos are a frequent occurance... I will have another look at time of the month stuff just to rule that out too...

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,800 posts

Its not good to be adjusting BI all the time, but the harshness of life is that our BI needs fluctuate all the time......

So I wouldn't discard the basal testing just yet, but work with your team, they can cater for your specific needs.

What about your waking on high levels, has this been sussed out yet, and if so, what the plan to tackle it?

I think some folk can just be naturally sensitive to insulin, or it may just be that you are normal and I am abnormal, that sounds more likely............... Laughing

I have 4 correction factors, you may have seen me outline them in other threads.......basically the higher my BG is, the more I need..........fortunately I only ever use 2 of these on a regular basis, 1u/2.5mmol/l if below 10, and 1u/2mmol/l if between 13-15mmol/l. And if I am bad and over 17, then 1 unit drops me by only 1 mmol/l. For you though, these would definitely not work due to your increased sensitivity.....

If your not going to be moving your BI, the only way to tackle the frequently occurring lows is QA, and its seems that you cant really go much lower, you could push it down a wee bit further maybe..................if not, its time for the pump........... Wink

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

I'm gonna sit on it for a bit at the moment. Shall post again soon.