Since when does dawn last until lunchhtime?

18 05 2007

For some time now I’ve been battling with Dawn Phenomenom, one of the pains in the arse for diabetics generally. Some time around dawn your liver will try to give you a little boost of glucose to set you up for the day. If you aren’t a diabetic then this is no problem, you just wake up at a reasonable blood glucose level, or maybe a fraction high, but nothing your body can’t cope with and actually quite like. If, however, you are an insulin dependent diabetic, your liver will keep pumping the glucose out because there is no insulin to tell it to stop. So you can end up going ridiculously high. This is what’s been happening to me more and more of recent weeks and, folks, it’s bugging me, SERIOUSLY bugging me.

I’ve been uping my Lantus (basal insulin) a little and still it doesn’t make a difference. Yesterday evening I had a bit of a binge on chocolate and fruit gum type things. Well, no surprise, they shot me up. But I had a couple of good hits of NovoRapid (quick insulin) to deal with it. I went to bed at 00:45 and I was 14.1 (254) but I still had a fair bit of NR in me to bring me down.

At 03:15 I woke up with cramp in my right leg which took me a while to get rid of. I tested at 10.8 (195). Still high, but not ludicrously so. There wouldn’t have been much NR left by then, but I would have expected what was in there to get me down into the nines (~165).

Since I woke up this morning I’ve had the following numbers.

07:47 - 16.6 (299)
09:52 - 18.4 (331)
10:20 - 19.7 (355)
10:39 - 16.6 (299)
11:44 - 12.4 (233)
13:09 - 7.3 (131)

During that time I have had one slice of toast (~16.5g carb) with a little spread and yeast extract. I’ve had my normal AM basal of 18u Lantus and Somewhere over FORTY units of NR.

This is geting me down big time.







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