Group 7-day waking average?

Morning

5.9 this morning after not feeling well during the night, can't remember the last time I had a reading in the 5s. Got to take mum for her cataract appointment this afternoon, she has to have drops put in so I am hoping I will be able to leave her in time to go running at 7pm,
 
Jenny65 said:
Good Morning @Gwynn I was interested to see your pulse as mine has been 58-60 each day for the last month, I know if an athlete thats a good sign but not sure what it means for others that are not athletes. I only have that as a resting heart rate but it goes to 70/90 when I have moved around, is that the same with yours and is there anything you can do to jostle it along?

Im jealous of your beach stroll yesterday although not the missing shade bit, and where did the sea go? My strolls are very much around houses and nothing so lovely as a beach insight.

Have a lovely day x
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Hi @Jenny65 , the sea literally went out so far it could not be seen! It does that most days now and high tide does not seem to come in very far. All that will change in the autumn though. High tides here can be very rough in the winter months. So contrasting.

Since I have upped my potassium intake, my pulse has generally been in the normal range. But, I have upped my exercise a lot to about 3Hrs a day, so that might be my excuse for the lower pulse over the last couple of days. I can think of myself as an athlete!!! 🙂

My pulse used to be always very low right down into the 40's. Nothing like that now thank goodness. Time to worry a bit if it goes into the 40's. High 50's should be no problem, but if you are worried seek the advice of your doctor.

And yes it climbs to the mid 70s when wandering about. Even into the 80's if I exert myself.

Hope that helps.

Just been out for 75mins on the beach. A really nice large Alaskan Malamute came and said 'hello' which was nice. Almost no one on the beach this morning. Ahhh peace.
 
4.4 when I eventually got up but 5.9 when I first woke up and injected my Levemir and a lovely straight line overnight after fish and chips late supper.(9.30pm) which sounds like I managed it really well 😎 but actually I had 2 dips into the red 😱 before I got things settled and went to bed on 6.7 at 1.30am. Really, really MUST get back to my low carb way of eating, but Ian asked if I wanted to share a takeaway after we had driven the horses last night (later than usual due to the heat) and I knew I wouldn't get back in the house till well after 9pm and then need to start cooking, so I allowed him to lead me astray. 🙄... It wasn't difficult.

@JACK123456789 as others have said, our liver trickles out glucose stores in the absence of food to keep our vital organs fueled and functioning and this is what out basal insulin is there to deal with. During the depths of our sleep the liver usually reduces that output, but towards morning it starts to ramp up release of glucose to give us energy to start our day and this is referred to as Dawn Phenomenon or it's lazier relation Foot on the Floor Syndrome. For some reason our liver has not yet realized that we have come quite far from needing to hunt down a wooly mammoth or gather berries for breakfast and walking into the kitchen and opening the fridge doesn't really need that much glucose 🙄, so it continues to pump out this unnecessary glucose and make our diabetes management challenging.
Unless you are on a pump, you don't have a means of ramping up your insulin dose to deal with so your levels rise. I am lucky that my liver is lazy and doesn't kick in until I swing my legs out of bed. I set my alarm an hour earlier and inject my morning Levemir and then go back to sleep so that by the time I get up my big dose of daytime Levemir is kicking in to deal with my "FOTF". Some people get a pump because their DP/FOTF pushes their levels very high on a morning. Some people just accept that it happens and most people were unaware of it until Libre allowed them to "see it"
 
rebrascora said:
4.4 when I eventually got up but 5.9 when I first woke up and injected my Levemir and a lovely straight line overnight after fish and chips late supper.(9.30pm) which sounds like I managed it really well 😎 but actually I had 2 dips into the red 😱 before I got things settled and went to bed on 6.7 at 1.30am. Really, really MUST get back to my low carb way of eating, but Ian asked if I wanted to share a takeaway after we had driven the horses last night (later than usual due to the heat) and I knew I wouldn't get back in the house till well after 9pm and then need to start cooking, so I allowed him to lead me astray. 🙄... It wasn't difficult.

@JACK123456789 as others have said, our liver trickles out glucose stores in the absence of food to keep our vital organs fueled and functioning and this is what out basal insulin is there to deal with. During the depths of our sleep the liver usually reduces that output, but towards morning it starts to ramp up release of glucose to give us energy to start our day and this is referred to as Dawn Phenomenon or it's lazier relation Foot on the Floor Syndrome. For some reason our liver has not yet realized that we have come quite far from needing to hunt down a wooly mammoth or gather berries for breakfast and walking into the kitchen and opening the fridge doesn't really need that much glucose 🙄, so it continues to pump out this unnecessary glucose and make our diabetes management challenging.
Unless you are on a pump, you don't have a means of ramping up your insulin dose to deal with so your levels rise. I am lucky that my liver is lazy and doesn't kick in until I swing my legs out of bed. I set my alarm an hour earlier and inject my morning Levemir and then go back to sleep so that by the time I get up my big dose of daytime Levemir is kicking in to deal with my "FOTF". Some people get a pump because their DP/FOTF pushes their levels very high on a morning. Some people just accept that it happens and most people were unaware of it until Libre allowed them to "see it"
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Thats very nicely worded and much better than my explanation. I particularly enjoy a woolly mammoth or 2 for breakfast 🙂
 
Morning all and 7.2 for me. Looks like the increased carbs/.decreased insulin hypo avoidance plan came home to roost overnight.

Rehearsal / photo shoot today in the urban decay that is Keighley.

Have a good day everyone.
 
Jenny65 said:
Thats very nicely worded and much better than my explanation. I particularly enjoy a woolly mammoth or 2 for breakfast 🙂
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Can't take credit, the "wooly mammoth" explanation is legendary here on the forum.
You will need a big plate for two of them! o_O
 
pawprint91 said:
From my own experience I would say that's still a drop ( was told to think if you were going to bed with 'normal' readings - say 10 - and you dropped by that amount what would you be- so if you were going to bed at a 10 and dropping by the amount you say you would be perhaps be a 3 or 4, so a bit low) - do you mind me asking what insulin you are on (if any?) far be it from me to offer advice but your basal might be a bit high if you are dropping by 10, that's what happened to me anyway!
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10 units of levermirr at the start and end of each day. then novorapid thro out the day. they have told me a need to uip my night time levermirr as my BG is to high at night leading into the morning. i have not done this yet as i was worried about the drop as you have said.
 
JACK123456789 said:
10 units of levermirr at the start and end of each day. then novorapid thro out the day. they have told me a need to uip my night time levermirr as my BG is to high at night leading into the morning. i have not done this yet as i was worried about the drop as you have said.
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I would agree with you on this one. Could you ask them about having more novorapid maybe with your evening meal to stop the spike being so high? I'm new to this myself so just thinking about what I would be asking if I was in your situation!
 
Morning all - welcome to paradise! Yes, another lovely day. I feel very sorry for those who suffer in the heat. It must be awful. I love it, I'd be better off living somewhere on the Med.

Anyway 6.3 this morning which I am happy enough with after a burger in a bun, fried onions and chips last night. Lazy cooking! Will try harder tonight with a chicken stir fry.

Today's highlight will be an appointment with the new DSN. I am quite excited to meet her as she is a T1 on a pump and I am sure she will understand the vagaries of T1 far better than a DSN who doesn't have it. Just checked and my Hba1c is not back yet... but apparently my kidney function is a worry - I'm pretty sure that's due to BP meds, so need to get in touch with the GP.

@ColinUK glad you enjoyed the ice cream with pain killer sauce. Lots of (very gentle) cuddles from me.

@Gwynn thanks for the explanation re: the proton pump inhibitors. Completely different to the reason I was on them, but you should have been tested for B12 deficiency before now. Trouble is not a lot of GPs are aware.

@Elenka_HM was reading an article about dental care in the SW of England. Apparently 98% of private practices are not taking new patients on. It's a shocking situation!

@JACK123456789 I probably shouldn't stick my oar in, but it looks as though your overnight basal might be a little too high if you are dropping 10 mmol/l overnight. At this point you will need to talk with your DSN about this. I thoroughly recommend the BERTIE course though that is more concerned with carb counting for T1s. I would also recommend a couple of really helpful books. "Think like a pancreas" by Gary Scheiner (easy to read and explains a lot of T1 stuff that your DSN probably forgets to tell you) and "Type 1 Diabetes in children, Adolescents and Young Adults" by Ragnar Hanas. Despite the title it does apply to anyone with T1. Hope this helps.
 
After a nightmare night with all the heat it's a late rising for me this morning (10.35).

Anyway, going to bed my reading was 8.3, and this morning 5.7 - happy with that.
 
Pattidevans said:
Morning all - welcome to paradise! Yes, another lovely day. I feel very sorry for those who suffer in the heat. It must be awful. I love it, I'd be better off living somewhere on the Med.

Anyway 6.3 this morning which I am happy enough with after a burger in a bun, fried onions and chips last night. Lazy cooking! Will try harder tonight with a chicken stir fry.

Today's highlight will be an appointment with the new DSN. I am quite excited to meet her as she is a T1 on a pump and I am sure she will understand the vagaries of T1 far better than a DSN who doesn't have it. Just checked and my Hba1c is not back yet... but apparently my kidney function is a worry - I'm pretty sure that's due to BP meds, so need to get in touch with the GP.

@ColinUK glad you enjoyed the ice cream with pain killer sauce. Lots of (very gentle) cuddles from me.

@Gwynn thanks for the explanation re: the proton pump inhibitors. Completely different to the reason I was on them, but you should have been tested for B12 deficiency before now. Trouble is not a lot of GPs are aware.

@Elenka_HM was reading an article about dental care in the SW of England. Apparently 98% of private practices are not taking new patients on. It's a shocking situation!

@JACK123456789 I probably shouldn't stick my oar in, but it looks as though your overnight basal might be a little too high if you are dropping 10 mmol/l overnight. At this point you will need to talk with your DSN about this. I thoroughly recommend the BERTIE course though that is more concerned with carb counting for T1s. I would also recommend a couple of really helpful books. "Think like a pancreas" by Gary Scheiner (easy to read and explains a lot of T1 stuff that your DSN probably forgets to tell you) and "Type 1 Diabetes in children, Adolescents and Young Adults" by Ragnar Hanas. Despite the title it does apply to anyone with T1. Hope this helps.
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I have just downloaded "Think Like A Pancreas" - will let you know what I think.
 
Morning all on this beautiful day. Mine was 6.2 this morning Two hypos yesterday 3.2 and 3.6.jelly babies and a small tub of vanilla ice cream sorted that out .. pleased I called in that coffee shop down by the river whilst out on my walk
 
JACK123456789 said:
thank you this dose help. i can going to bed recently in the high 20 and waking up at low 20 high teen most morning
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Depending upon what you ate and when you ate and when you took your meal time insulin, a drop of almost 10 could indicate that your evening Levemir is too much as others have mentioned, especially if you had your evening meal nice and early so that your meal time insulin was all spent before that bedtime reading.
It is interesting to note that you are on even doses of Levemir and whilst that is something which they often start you our on, it usually needs adjusting..... I think generally people need less Levemir at night and more in the morning, but there are always exceptions. Your levels dropping from high 20s to low 20s or high teens would suggest it is too much, ignoring the fact that your levels are obviously higher than we would all like at the moment.... but increasing the evening Levemir would not be the ideal way to tackle that in my opinion although clearly there is little risk of you hypoing at night with levels that high, so it wouldn't necessarily put you at risk now, but once you start to get your levels down with more regular insulin usage, then it could do, so it seems an odd suggestion. Maybe your nurse doesn't know about other issues that you have mentioned here that may be affecting things. Just as an example I have a big discrepancy between day and night time doses and I currently use 24 units in the morning injected an hour before i get up to target that Foot on the Floor problem but just 5 units at night, sometimes less....
Something else to consider is when you test on a morning? Do you test after you get up and have been to the bathroom and maybe made a coffee or do you test as soon as you wake up before you get out of bed. That in itself can make a difference of several mmols. My levels can rise 3mmols in that 20min time period, no trouble at all if I didn't already have my morning Levemir injected an hour in advance.

Have you ever been offered a DAFNE course or whatever your local equivalent is. BERT1E as mentioned is very similar but doing a face to face course is so much better than online because you learn so much from the other Type 1s on your course. Just spending time with other Type 1s is a huge bonus in the same way as this forum is so great. Everyone has their own issues and difficulties and it really helps to understand that we are all normal even though we are all slightly different. I learned to be much more confident about injecting in public from the young girls on my course who were just so casual about exposing a bit of midriff and injecting into it at lunchtime each day whereas I had been sneaking off to the toilets to inject when out in public prior to that. The course educators are trained to be non judgmental because they are there to help everyone whatever their problems including drug addicts and alcoholics and sugar addicts like me 🙄 . The aim of the course is to keep people as safe and healthy as possible using insulin with a view to reducing/preventing emergency hospital admissions for DKA or severe hypos.

Anyway, something else to ask your nurse about at your next appointment but if you stick around this forum you will learn a lot anyway.
 
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