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Wooly0000

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Relationship to Diabetes
Type 2
Just a BIG thanks for letting me join, i am T2 and take metformin, gliclazide,sitagliptin, levemir & novorapid, i eat a mainly protein diet and spend around 71% of my time in range, i am waiting for an operation but my a1c was high at 75 and the operation was cancelled at the last minuet, my question is that as i get get up in a morning my readings rocket up to 14 on my libre and then start to fall over then next 1-2 hours and i dont understand why as i havent eaten / drank anything at this point, thanks in advance
 
Wooly0000 said:
Just a BIG thanks for letting me join, i am T2 and take metformin, gliclazide,sitagliptin, levemir & novorapid, i eat a mainly protein diet and spend around 71% of my time in range, i am waiting for an operation but my a1c was high at 75 and the operation was cancelled at the last minuet, my question is that as i get get up in a morning my readings rocket up to 14 on my libre and then start to fall over then next 1-2 hours and i dont understand why as i havent eaten / drank anything at this point, thanks in advance
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You may be one of the many people who suffer from Dawn Phenomenon or Foot on the Floor syndrome depending on when it hits when the liver releases glucose to give you energy for the day in the absence of food. It seems as if it is a hang over from our ancestors who did have to go out and hunt for breakfast.
 
Wooly0000 said:
Hi Inka thanks for your reply, i take it around 16:30 each and take 64ml
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Ok @Wooly0000 Levemir is usually taken twice a day not once, so that might be contributing to your high (ie your 4.30pm dose might be wearing off). Insulin is measured in units, so your dose is 64 units 🙂 (Each 1ml has 100 units in it, so 64ml of insulin would be a scarily large amount!)
 
When you say you mainly eat a protein diet, can you give us an idea of an average day’s food for you @Wooly0000 ?
 
Thanks Inka, i think i have confused you, on my levemire pen i turn 2 x 32 on the indicator, i will try to eat protiene meat with green veg, no or little bread, rice, pasta or potato
 
Wooly0000 said:
Thanks Inka, i think i have confused you, on my levemire pen i turn 2 x 32 on the indicator, i will try to eat protiene meat with green veg, no or little bread, rice, pasta or potato
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Do you have that 2x32 units once a day (ie 64 units in one dose) @Wooly0000 ? Or do you have 32 units twice a day, morning and evening?

I understood you to mean you only took your Levemir once a day?
 
Wooly0000 said:
Hi Inca yes i inject twice around 1630
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Right - so it’s your confusion (or my lack of clarity). It doesn’t matter if you have to dial up twice on your pen to get your 64 units. That’s only because the pens don’t go that high. That’s still one dose. If I gave you a pen that did 80 units, you could do your 64 units in one go. It’s like swallowing paracetamol. If your dose is two tablets, perhaps you might have to swallow one tablet at a time, but that doesn’t mean you’re having two doses, just that you took your dose in two goes one right after another.

Levemir is usually given twice a day, morning and evening. So, for example, someone might have 30 units at 7am and 20 units at 8pm or whatever. That’s what I mean. The reason Levemir is usually given twice a day (roughly 12hrs apart) is that it doesn’t last the full 24hrs.
 
Many thanks for getting back, really appreciate it, what your saying makes sence, i think i should start spliting it up. Thank you
 
Wooly0000 said:
Many thanks for getting back, really appreciate it, what your saying makes sence, i think i should start spliting it up. Thank you
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Don’t split it without checking with your nurse for advice @Wooly0000 The split doesn’t have to be half and half, eg you might need more in the morning and less in the evening - or vice versa. You don’t want to risk hypos. Ask your nurse and get advice about what would be best for you as an individual.
 
Welcome to the forum @Wooly0000

Hope you get some good advice from your nurse about your Levemir.

You aren’t the only one to see a ‘bump’ in their glucose levels when you get out of bed. It’s part of the body’s natural daily ebb and flow of hormones, and seems to hark back to cave-dwelling ancestors who needed a boost early on to fuel the hunt for breakfast (or something!).

Some members find the amount their glucose rises first thing is consistent enough that they can add a small dose of rapid acting insulin to help cover it. While others have to be more cautious as their rise doesn’t happen to the same extent every day.
 
thanks admin, i spoken to my nurse today and i have raised my meds to 68 and at our next meeting they will consider an alternative to Levimere
 
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