@Michael12421
Firstly, well done! You hit the morning target range I set you of 10-12. That's a great start!
As others have said, the rise in BG could well be down to Dawn Phenomenon or "foot on the floor" syndrome where the liver pumps out glucose when you get out of bed to start the day. I used to have to inject 1 or usually 2 units of NovoRapid to cover it, even if I was having breakfast, otherwise my BG would increase 5-6 mmols. Some people find that having something to eat straight away stops it but we are all different and that doesn't seem to work for me. Our bodies and environmental factors are also always changing and so we need to review these tactics if we see they no longer work. A couple of months ago, for some inexplicable reason, I have stopped having such a dramatic foot on the floor response and currently my BG only increases by a few decimal places after I get up so I just inject the normal amount of insulin needed for my breakfast with no extra correction and if I don't have breakfast I don't need any NR. I can't figure out why things have changed but I just need to accept that they have and adjust my management. Regular testing is key to spotting these trends and making the necessary adjustments and figuring out how our particular body responds to different foods and exercise and correction doses of insulin.
Personally I don't think there was any harm in you going for a walk this morning as it can lower your levels. From what I was told, it is recommended to avoid more exertive, cardiovascular exercise when readings are above 15 but gentle exercise like walking is good.
You do however need to be looking to take conservative corrections to keep your levels in that 10-12 range though, so a correction dose of 2 or 3 units as suggested would have been a good idea when you saw you were 16 and testing kit with you to check half way round your walk that all was still well. At least that is what I would have done but I understand you would be wary of doing a correction and then going out for a walk after your recent incidents, so perhaps delaying the walk until the correction dose had worked might have been a better option.
If you can manage to wake up tomorrow with a reading between 10 and 12 again, try one digestive biscuit with your cup of tea which is about 10g carbs with 3 units of NR..... ie 1 unit for the biscuit and 2 for Dawn Phenomenon/Foot on the floor.... if your BG is lower than 10 in the morning just use 2 units with the biscuit just to be safe. If it is under 7, just bolus 1 unit of NR for the biscuit and no correction for DP and see what happens. That way you can see if eating the biscuit works to stop DP but if it doesn't you should end up about 10 which is ok for now.
Make sure to test before you walk Missy and test whilst you are out, so be sure to have jelly babies and testing kit with you and test again when you get back.
I know you will probably feel like we are all getting at you but it is because we care so please stick with us here.
The chances are a lot of this stuff has been going on unnoticed by you because you were not eating and therefore not testing by the sound of things except first thing and then at night for dinner. I found that testing 8-10 times a day was when I started to see what was really happening and figure out how best to manage it.
Please make sure to get in touch with the surgery and get plenty more test strips. We don't want you running out. If they are difficult about it, explain that you need them to keep you from having another emergency ambulance and hospital visit and speak to the doctor if necessary to get it sorted.
Hoping you can get another reading in the 10-12 range tomorrow morning and hopefully keep it there most of the day. X
xx
