Measuring fasting levels

[Tuesday]

I'm supposed to adjust my supper insulin based on morning fasting. But I get up before 7am and have a coffee. I don't have a drink with my insulin until 9am.
So this isn't true fasting. Does anyone have an idea on how to get around this? Or should I just not measure until just before 9?
And count that as the fasting number?
9am is already pushing my body around nausea to not wait to drink (higher calorie drinks) or eat before noon.

 

[Inka]

Take your blood sugar when you wake up at 7am @Tuesday

 

[Tuesday]

I couldn't understand how if a person must always measure before an injection doing it 2 hours before is just before an injection. And it could drastically change in that 2 hours too. Plus you can't eat for 30 minutes after an injection.
I don't remember having all these questions last time. Maybe I was never doing it right.

 

[Lucyr]

I'm supposed to adjust my supper insulin based on morning fasting. But I get up before 7am and have a coffee.

Take your blood sugar fasting, ie before you have the coffee

 

[Lucyr]

I couldn't understand how if a person must always measure before an injection doing it 2 hours before is just before an injection.

You measure before an injection because if you’re low you would fix that before the injection. Other people measure before an injection to decide how much insulin to give.

Plus you can't eat for 30 minutes after an injection.

Thats probably guidance rather than a rule, to give the fast acting part of the mixed insulin time to start working

 

[Inka]

I couldn't understand how if a person must always measure before an injection doing it 2 hours before is just before an injection. And it could drastically change in that 2 hours too. Plus you can't eat for 30 minutes after an injection.
I don't remember having all these questions last time. Maybe I was never doing it right.

If you need to or want to you can test before the meal too, but a waking/fasting test is when you wake up basically.

And yes, you need to allow time for the insulin to get working before you eat. If the mix has isophane in, which I think yours does, you also need to tilt and roll the cartridge/pen to ensure an even mix.

 

[everydayupsanddowns]

And yes, you need to allow time for the insulin to get working before you eat. If the mix has isophane in, which I think yours does, you also need to tilt and roll the cartridge/pen to ensure an even mix.

Yes, Novolin 70/30 looks to be Isophane and Regular (human) insulin - so perhaps similar to the old Mixtard?

I think one of the challenges of delaying your 'fasting' BG until you've been up several hours is that your levels may have risen since waking and you getting out of bed if your liver has released glucose to kick start your day. This is part of the natural circadian rhythm, and everyone has this to some extent (with or without diabetes). For some people the rise happens in the early hours "the Dawn Phenomenon", while for others the release is triggered by rising (on the forum we call this Foot on the Floor).

Perhaps take both readings for a week and see if you get relatively consistent results between them - then you'll be able to see whether it's worth continuing to take both readings or if one is sufficient.

Hope the change of insulin reduces the aches and pains you were experiencing.