RoyalBlood
Active Member
- Relationship to Diabetes
- Type 1
Hello everyone,
Looking for some input from those who are pumping and managing to offset morning FTTF BG spikes with increased basal rates. Even more so from those who don't eat breakfast.
When on MDI (Levemir/Novorapid), I was taking a 1.5u bolus upon waking to counter the spike I'd see every morning. This technique worked reasonably well and I'd typically be back in range 5-7mmol within 2 hours or so. This was even with skipping breakfast, a meal I have never particularly enjoyed nor wanted to have.
Since transitioning to a pump I was hoping that I could offset the morning spike with a preempted increased basal rate - however this has proved unsuccessful. Even with a ~200% basal rate starting two hours before waking and running for a duration of two hours. BG's start climbing shortly after getting out of bed and basically continue to do so until I eat. See below an example of basal rates and BG's - every workday morning follows a similar pattern:
0000-0500: 0.75u/hr
0500-0700: 1.45u/hr *wake up at 0645
0700-2400: 0.75u/hr
2230 BG - 7.6mmol
0500 BG - 7.1mmol
0650 BG - 7.3mmol
1040 BG - 12.7mmol *2.3u correction
1200 BG - 13.3mmol
From what I can tell, I have a couple of options.
1) Force down a small breakfast and bolus accordingly, with the possible addition of a small preemptive correction as when on MDI. Seems sensible but does involve breakfast.
2) Continue skipping breakfast and increase 0500-0700 basal rate to a silly/questionably high rate. This idea I'm not overly keen on.
Any suggestions and advice from personal experience would be greatly appreciated. Thank you all in advance 🙂
RB
Looking for some input from those who are pumping and managing to offset morning FTTF BG spikes with increased basal rates. Even more so from those who don't eat breakfast.
When on MDI (Levemir/Novorapid), I was taking a 1.5u bolus upon waking to counter the spike I'd see every morning. This technique worked reasonably well and I'd typically be back in range 5-7mmol within 2 hours or so. This was even with skipping breakfast, a meal I have never particularly enjoyed nor wanted to have.
Since transitioning to a pump I was hoping that I could offset the morning spike with a preempted increased basal rate - however this has proved unsuccessful. Even with a ~200% basal rate starting two hours before waking and running for a duration of two hours. BG's start climbing shortly after getting out of bed and basically continue to do so until I eat. See below an example of basal rates and BG's - every workday morning follows a similar pattern:
0000-0500: 0.75u/hr
0500-0700: 1.45u/hr *wake up at 0645
0700-2400: 0.75u/hr
2230 BG - 7.6mmol
0500 BG - 7.1mmol
0650 BG - 7.3mmol
1040 BG - 12.7mmol *2.3u correction
1200 BG - 13.3mmol
From what I can tell, I have a couple of options.
1) Force down a small breakfast and bolus accordingly, with the possible addition of a small preemptive correction as when on MDI. Seems sensible but does involve breakfast.
2) Continue skipping breakfast and increase 0500-0700 basal rate to a silly/questionably high rate. This idea I'm not overly keen on.
Any suggestions and advice from personal experience would be greatly appreciated. Thank you all in advance 🙂
RB