High Morning Blood Sugar

3 posts, 3 contributors

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Wendycurtis DAFNE Graduate
South West Essex PCT
3 posts
Mon
11/08
Time 07:00 12:30 16:35 16:46 18:50 21:45 [12:30] Think it's a good idea as work on Mon & Wed to reduce insulin by 1 unit
CP 4 4 2 - 4 -
BG 7.6 5.7 3.1 4.8 15.8 8.9
QA 6 6 - - 7 -
BI - - - - - 14
Ratio (QA:CP) 1.5:1 1.5:1 1.5:1 - - -
QA Site - - - - - -
BI Site - - - - - -
Type BFAST OTHER HYPO CORR DINNR BED
Ketones - - - - - -
Tue
12/08
Time 08:45 12:45 16:45 19:30 22:12
CP 4 4 - 7 -
BG 4.7 4.7 4.8 6.2 6.0
QA 6 6 - 7 -
BI - - - - 14
Ratio (QA:CP) 1.5:1 1.5:1 - 1:1 -
QA Site - - - - -
BI Site - - - - -
Type BFAST LUNCH HYCHK DINNR BED
Ketones - - - - -
Wed
13/08
Time 07:30 12:30 19:00 19:42 22:06 [19:42] Don't know why morning reading was so high, let's see what tomorrow brings!
CP 4 4 7 - -
BG 11.0 6.2 7.1 - 6.2
QA 8 6 7 - -
BI - - - - 14
Ratio (QA:CP) 1.5:1 1.5:1 1:1 - -
QA Site - - - - -
BI Site - - - - -
Type BFAST LUNCH DINNR OTHER BED
Ketones - - - - -
Thu
14/08
Time 08:30 12:10 18:00 22:00 [08:30] Reduced insulin due to low blood sugar
CP 4 6 5 -
BG 3.8 5.4 6.3 8.0
QA 5 9 5 -
BI - - - 14
Ratio (QA:CP) 1.5:1 1.5:1 1:1 -
QA Site - - - -
BI Site - - - -
Type BFAST LUNCH DINNR BED
Ketones - - - -
Fri
15/08
Time 07:45 12:00 18:00 21:15 [07:45] Did one less as BS was low
CP 4 6 7 2
BG 4.2 8.7 6.2 5.6
QA 5 9 7 2
BI - - - -
Ratio (QA:CP) 1.5:1 1.5:1 1:1 1:1
QA Site - - - -
BI Site - - - -
Type BFAST LUNCH DINNR SNACK
Ketones - - - -
Sat
16/08
Time 09:20 12:15 18:15 22:15
CP 4 4 - -
BG 5.5 4.7 9.4 6.5
QA 6 6 - -
BI - - - 14
Ratio (QA:CP) 1.5:1 1.5:1 - -
QA Site - - - -
BI Site - - - -
Type BFAST LUNCH DINNR BED
Ketones - - - -
Sun
17/08
Time 09:40 11:30 13:30 18:30 22:40 [11:30] Don't know why is so high think May be getting ill!
CP 4 - 5 7 -
BG 15.7 15.5 3.6 4.9 6.8
QA 9 3 8 7 -
BI - - - - 14
Ratio (QA:CP) 1.5:1 - 1.5:1 1:1 -
QA Site - - - - -
BI Site - - - - -
Type BFAST CORR LUNCH DINNR BED
Ketones - - - - -
Mon
18/08
Time 06:45 13:00 19:30 22:00
CP 4 4 7 -
BG 10.2 9.9 4.7 13.4
QA 7 7 7 2
BI - - - 14
Ratio (QA:CP) 1.5:1 1.5:1 1:1 -
QA Site - - - -
BI Site - - - -
Type BFAST LUNCH DINNR BED
Ketones - - - -
Tue
19/08
Time 09:00 13:00 18:48 21:09 22:24 [09:00] BS very high don't know why, all I can think is I am getting an infection so have taken 2 paracetamols
CP 4 4 6 - -
BG 22.1 12.1 4.6 6.6 9.8
QA 12 8 6 - -
BI - - - 14 14
Ratio (QA:CP) 1.5:1 1.5:1 1:1 - -
QA Site - - - - -
BI Site - - - - -
Type BFAST LUNCH DINNR BED BED
Ketones - - - - -
Wed
20/08
Time 07:29 12:00 17:30 19:00 22:30 [07:29] Felt ill today, struggled all day to keep BS down!
CP 4 4 - 9 -
BG 23.3 16.0 8.3 7.8 6.5
QA 6+6 6+3 - 9 -
BI - - - - 14
Ratio (QA:CP) 1.5:1 1.5:1 - 1:1 -
QA Site - - - - -
BI Site - - - - -
Type BFAST LUNCH OTHER DINNR BED
Ketones - - - - -

Hi there,

I completed the DAFNE course just under 2 weeks ago, I have been following the adjustments accordingly but on the last three mornings my readings are extremely high like 20 and 23, And I then spend the rest of the day trying to bring them back to normal. I am not sure if it's because I don't feel too good,but my BI has been checked and is fine, so I was not adjusting that, it just seems to go up in the night after doing my Background Insulin! Do you have any suggestions what I can do to alleviate this?

Allan P DAFNE Graduate
South West Essex PCT
3 posts

Have you tried the dreaded 3 am test to see if you get the morning rise? If you are ill and if it was me I'd up my BI by 1u just while I'm ill and I'd also follow the sickness stepwise thing. You could try 1u of QA if high before bed and no CP. Keep locazade handy though just in case. There is also the DAFNE team from SWE center.

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria
389 posts

Given that your readings look OK previous to this, I suggest that you follow the sick day rules in your DAFNE manual. It looks much more like sickness than Dawn Phenomenon, although if it stays like this for a while, then as Allan says, you may want to try a 3 am test to check. If your 3 am test is within range, but your morning BGs are high, then that would indicate dawn phenomenon.