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Hello all, any advice?

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Gareth Dorrian

Gareth Dorrian

New Member
Relationship to Diabetes
Type 1
Hello everyone, this is my first post. I'm a 40-year-old Type one and have done Dafne. But recently, for some reason, I've been testing quite a lot and notice (despite taking Lantus dosage in the evening before bed) that my levels are high upon waking.
Is this about delivery of the insulin, maybe a problem with the pen or site I'm using? Or, could it be dawn phenonema? I hesitate to conclude it's that as I've also recently often woke up with lower sugars.
I'd love to have your thoughts. Thank you
 
Hello and welcome to forum. Someone will be along who can offer suggestions
 
Hi Gareth, welcome to the group, I'm sure that someone will have a suggestion
 
Hi Gareth, welcome to the forum. I have recently done DAFNE and the members of the group who were in Lantus were recommended to switch to Levemir and to split their doses, and thus making adjustments to basal easier. Have you ever thought about changing?
As to the morning numbers, I suggest the best way of finding out what is going on would be a couple of night testing at 3 am to find out what your numbers are then.
 
Hi Gareth
Before I started on the pump, I found that the behaviour of my basal insulin was unpredictable as you are finding. One consultant told me that part of the reason for this is differences in absorption caused by variations in the molecular structure under the skin (or something like that, it was a while ago!). I found that doing what I could to reduce the dose I needed helped, such as switching to Levermir and splitting the dose, getting more exercise and eating less carbs. Ultimately though it was the pump which helped most, although I do still find things unpredictable on occasions!
 
Exactly - all 'longer acting' insulins are a bit of a blunt instrument really. Since being on the pump, I have found I actually rarely have two consecutive hours where the amount of insulin my body needs, is the same. Most bodies bear some similarity to mine. (in this respect I mean, LOL, I wouldn't wish it on em in any other way!)

So the hunt is constantly on to bend longer acting insulins to a body's needs - and it's by no means an exact or infallible system. Some people split Lantus - but I had zilch success doing that so I changed to 2x Levemir. I mean if it gives you better control of your BG, one extra jab a day is nowt stressy. It was like a breath of fresh air really which lasted several years until that went the same way.

Did have to do more testing and tweaking with the two doses for about the first 9 months. It finished up an uneven split at uneven times - am was about 14u around 7am and pm was c 4u at 9.30pm. I now take a total daily basal dose of 10 point something units!
 
stephknits said:
Hi Gareth, welcome to the forum. I have recently done DAFNE and the members of the group who were in Lantus were recommended to switch to Levemir and to split their doses, and thus making adjustments to basal easier. Have you ever thought about changing?
As to the morning numbers, I suggest the best way of finding out what is going on would be a couple of night testing at 3 am to find out what your numbers are then.
Click to expand...
Hi Stephknits, I knew I made the right decision registering on here. I will look into Levemir asap. Thanks so much.
 
trophywench said:
Exactly - all 'longer acting' insulins are a bit of a blunt instrument really. Since being on the pump, I have found I actually rarely have two consecutive hours where the amount of insulin my body needs, is the same. Most bodies bear some similarity to mine. (in this respect I mean, LOL, I wouldn't wish it on em in any other way!)

So the hunt is constantly on to bend longer acting insulins to a body's needs - and it's by no means an exact or infallible system. Some people split Lantus - but I had zilch success doing that so I changed to 2x Levemir. I mean if it gives you better control of your BG, one extra jab a day is nowt stressy. It was like a breath of fresh air really which lasted several years until that went the same way.

Did have to do more testing and tweaking with the two doses for about the first 9 months. It finished up an uneven split at uneven times - am was about 14u around 7am and pm was c 4u at 9.30pm. I now take a total daily basal dose of 10 point something units!
Click to expand...


Hi Jenny, that is excellent thank you so much.
 
Radders said:
Hi Gareth
Before I started on the pump, I found that the behaviour of my basal insulin was unpredictable as you are finding. One consultant told me that part of the reason for this is differences in absorption caused by variations in the molecular structure under the skin (or something like that, it was a while ago!). I found that doing what I could to reduce the dose I needed helped, such as switching to Levermir and splitting the dose, getting more exercise and eating less carbs. Ultimately though it was the pump which helped most, although I do still find things unpredictable on occasions!
Click to expand...
Thank you so, very much appreciated.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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