Extremely High Morning BS

[mum2westiesGill]

Booked in to see my GP later this pm due to this mornings & yesterday mornings extremely high bs. Yesterday was 30.6 but went down as the day went on, i ate breakfast, lunch and tea and injected usual amounts of insulin according to how many carbs eaten, apart from breakfast when i also did a 2u correction in sheer panic. This morning was 33.1! I've checked my insulin pen to make sure insulin is coming out and all seems ok.

I'm Type 1 (as you may see) & on humalog before breakfast, lunch & dinner then on lantus taken at bedtime. I currently don't feel ill apart from usual everyday aches or pains.

 

[novorapidboi26]

I would make sure your meter is functioning, not a lot of meters actually record as high as that...........

Also, normal corrections will probably not even touch levels that high....🙂

 

[imtrying]

Hi Gill,

Have you done any 3am tests to see what's happening over night? It would be good to do so you can see if you are gradually rising, or maybe going going hypo during the night.

I hope your doctor can give you some help, but this would definitely be something that you should do to help..IMO! then you can go from there once you know.

Hope you don't feel too bad with those 30s...I know they're not nice!

 

[Monica]

Did you test your Lantus? Or did you even forget to inject that?
Mind you if you'd forgotten, you'd probably feel very sick.

 

[mum2westiesGill]

I would make sure your meter is functioning, not a lot of meters actually record as high as that...........

Also, normal corrections will probably not even touch levels that high....🙂

Meter is deffinately functioning & i've just done a control solution test.

 

[mum2westiesGill]

Did you test your Lantus? Or did you even forget to inject that?
Mind you if you'd forgotten, you'd probably feel very sick.

I deffinately took my lantus.

 

[Twitchy]

WHiya...if it was me getting those results i'd suspect a few posibilities including possible overnight hypo & bounce back - if u test a couple of nights at around 3am u'll start to get a feel for whether your levels are dropping off to hypo level or not. What are your levels before bed? Do you eat long before bed? If it looks like hypos i'd reduced the background insulin a couple of unit & check again the next few nights) Alternately it might be that the levels are steadily creeping up overnight - if this is happening it could either be not enough background insulin (don't increase by too much at once, i was always told 1u at a time but everyone has different insulin sensitivity)... Or 'Dawn Phenomenon', which is where your liver gets a bit carried away dumping sugar into your system from the wee hours. Either way do you have a hospital dsn or consultant u could call to discuss this with? Most gps are not too experienced in dose tweaking & there might be other issues to do with injecting technique or sites that they might not pick up on...as a t1 on insulin i think u should be under the care of a specialist... 🙂

Whatever u do, adjust with caution, small changes are safer!

 

[mum2westiesGill]

So, had my appointment with my GP. he basically wrote down for me in a none scientific way doses for corrections and said to do the doses in one go ie not a bit here and a bit there. The doses he wrote down for me are as follows:

If BS (pre meal) is >12 (greater than 12)
>12 to <15 - extra 2u
>15 to 20 - extra 4u
>20 to 25 - extra 6u
>25+ extra 6u but check again after 1 - 1/2 hrs, if still >20 give further 4u

My extremely high bs on both mornings did go down but only very slowly as the day went on.

I went to "thread tools" and printed out my thread & posts (along with a printed copy of my blood glucose diary) to take with me and he patcicularly liked the post by Twitchy. I crossed out the part about "gps are not too experienced......"

if it was me getting those results i'd suspect a few posibilities including possible overnight hypo & bounce back - if u test a couple of nights at around 3am u'll start to get a feel for whether your levels are dropping off to hypo level or not. What are your levels before bed? Do you eat long before bed?

On my printed copy of my blood glucose diary i had a few notes, one being how i'm managing my diabetes ie insulin to carb ratio.......and he was pleased to see that i'm having my carbs.

Looking back on my sudden appointment for my sudden 2 x high BS maybe i should have left it a few days or a week to see if i had the same results and then go for an appointment. I did have a BS this morning of 22.6 and so acted on my GP's correction doses ">20 to 25 - extra 6u" along with my usual insulin to carb ratio dose. It's now 2 hrs later 19.5 so have done an extra 4u and will keep checking!

 

[trophywench]

You STILL need to check your Lantus is right. Please see

http://www.diabetes-support.org.uk/info/?page_id=120

scroll down the page till you get to the bit about how to test it's right or not, if you already know what the rest of the article tells you.
.

 

[mum2westiesGill]

Hi trophywench,

Thanks very much for this

You STILL need to check your Lantus is right. Please see

http://www.diabetes-support.org.uk/info/?page_id=120

.

I take my BI / Basal Lantus at bedtime. Can i do the "Daytime" test or does it have to be "Nightime"?

 

[trophywench]

Hi trophywench,

Thanks very much for this




I take my BI / Basal Lantus at bedtime. Can i do the "Daytime" test or does it have to be "Nightime"?

Sorry - you really DO need to do the night-time one - you HAVE to know what's happening overnight. But you actually need to do the whole 24 hours bit by bit, to make complete sense of it.

And no you can't sit up and stay awake till 3.00am - the body does different things when it's awake to what it does when sleeping.

PITA I know, I hate the night-time tests myself.

 

[imtrying]

yep I agree with Trophy...you defo need to be doing a 3am test. You shouldn't be waking up to those figures every morning. Though be warned...I'd had high readings 4 days in a row, set alarm to do 3am testing and my levels behaved themselves!!!! frustrating, but I need to perservere (sp!)

Good luck with yours 🙂

 

[mum2westiesGill]

yep Good luck with yours 🙂

Thank you 🙂

Last night's overnight basal test:
BEDTIME (2314PM) = 4.2
0255am = 6.7
0806am = 7.3

have got my alarm clock set for the next couple of nights. 😡

 

[Twitchy]

Thank you 🙂

Last night's overnight basal test:
BEDTIME (2314PM) = 4.2
0255am = 6.7
0806am = 7.3

have got my alarm clock set for the next couple of nights. 😡

Aah, that would be what we technically call 'the diabetes fairy' at work!! 🙄 Good move redacting my comments re the gp lol! . 3am tests are a drag but a necessary one i'm afraid...keep us posted & well done for sticking with it - tweaking doses can be a pain but is worth it!

 

[mum2westiesGill]

Good move redacting my comments re the gp lol! . 3am tests are a drag but a necessary one i'm afraid...keep us posted & well done for sticking with it - tweaking doses can be a pain but is worth it!

Lol again about the GP 😱

This 'diabetes fairy' must deffinately be at work!! Don't constantly want to be posting my bs results and boring people with my problems but after the 0806am test

BREAKFAST (when i actually had my breakfast as can't eat early on) 1045am = 20.3!!! what on earth is going on?

You said to keep you posted so will do another overnight basal test tonight and let you know tomorrow.

 

[trophywench]

What's going on? - Dawn Phenomenon!

You need to eat pdq after you get out of bed ! - that was nearly 3 whole hours. You don't need to eat a whole breakfast - just have ONE small biscuit with your early morning cuppa. Get the sort you can dunk if you aren't keen an chewing dry stuff at that time. (Thinking here 'Marie' or Arrowroot biscuits, I think even custrad creams are only about 8g each. But anyway - even McVitie's digestives are only 10g (supermarket own brand ones are probably less as they are smaller, but I just don't like em - too hard) and they are pretty big)

Then get on with whatever you do and then have your brekkie. But do have that little thing asap to satisfy Mr Liver and keep him off your back.

THEN have your shower etc.

 

[mum2westiesGill]

What's going on? - Dawn Phenomenon!

You need to eat pdq after you get out of bed ! - that was nearly 3 whole hours. You don't need to eat a whole breakfast - just have ONE small biscuit with your early morning cuppa. Get the sort you can dunk if you aren't keen an chewing dry stuff at that time. (Thinking here 'Marie' or Arrowroot biscuits, I think even custrad creams are only about 8g each. But anyway - even McVitie's digestives are only 10g (supermarket own brand ones are probably less as they are smaller, but I just don't like em - too hard) and they are pretty big)

Then get on with whatever you do and then have your brekkie. But do have that little thing asap to satisfy Mr Liver and keep him off your back.

THEN have your shower etc.

Yes thank you. I seem to remember me saying to my DSN at my last appointment in Dec that i can't eat until late morning and remember her saying to at least have a biscuit (like what you've just said) to give my body like a kick start or re "Mr Liver and keep him off your back." A biscuit would be better as i always get up to do the brews in a morning but not toast etc until later when i'm properly awake.


Can i just say a biiiig thank you for everyone's help. 🙂

 

[mum2westiesGill]

Hmmm ok here goes with last night's overnight basal test:

BEDTIME (2309) = 12.7
0303am = 12.5
0754am = 17.4

at 0754am had 1 x plain digestive with my early morning brew

What's going on? - Dawn Phenomenon!

You don't need to eat a whole breakfast - just have ONE small biscuit with your early morning cuppa. Get the sort you can dunk if you aren't keen an chewing dry stuff at that time. (Thinking here 'Marie' or Arrowroot biscuits, I think even custrad creams are only about 8g each. But anyway - even McVitie's digestives are only 10g (supermarket own brand ones are probably less as they are smaller, but I just don't like em - too hard) and they are pretty big)

BREAKFAST (when i'm about ready for eating) 1042AM = 29.2!!! grrr
at this stage i've followed my GP's advice as mentioned earlier.

If BS (pre meal) is >12 (greater than 12)
>12 to <15 - extra 2u
>15 to 20 - extra 4u
>20 to 25 - extra 6u
>25+ extra 6u but check again after 1 - 1/2 hrs, if still >20 give further 4u

 

[fencesitter]

Hope this isn't a silly question 😱 but did you have insulin with your biscuit? Think you would need to do that.

 

[mum2westiesGill]

Hope this isn't a silly question 😱 but did you have insulin with your biscuit? Think you would need to do that.

Ermm nope 😱, as was waiting until i had my breakfast and doing this

But do have that little thing asap to satisfy Mr Liver and keep him off your back.

Should i have had a little insulin and if so how much for the biscuit?