T1 Dawn Qu

[CALSHOT]

Hello,

Any T1's with good control except for the dawn phenomenon high?

I've been in this trap for a while and it's becoming a drag. My averages are good throughout the day. I don't eat Carbs after 6pm and my sugars remain level for many hours until about 4am when they start to go up. The peak at 0530 is a sugar of 16 on most days.
I wake naturally from being high. A jab on Novorapid and fall back to sleep. Wake for 0700.
I feel exhausted from this event most mornings, the gradual change in sugars upwards, the aggressive drop in sugars from the Novorapid... and of course disrupted sleep.

By 7am my sugars are good again and i could drift of to sleep.... but its time to get ready for the day.

Any one else suffer in this way. It just ruins the day for me.
Any lower leading to the DP would cause a hypo in night... Carbs etc have been restricted the evening before.... but still the Liver wakes up at the same time.

 

[trophywench]

That's exactly why using an insulin pump gives better control - because you can program them to give however much insulin you actually need at the times you need it.

 

[rebrascora]

Hi.
I am curious to know what basal insulin you are on and when you take it. A split dose of Levemir, if you are not on that, might help. To go that high sounds like your basal insulin might be running out, particularly if you take it in the morning, rather than this being a true DP effect.

 

[Lucy Honeychurch]

The only way I could manage this was with a pump. Have you asked your team about a referral to the pump clinic?

 

[mikeyB]

I use split dose Levemir which works just fine. Or at least it did until I got PLS, which can make me very tired and I can sleep for England, often till 10 or 11, (12.50 is my record) so that's the time i can take my morning Levemir. My second dose 12 hours later usually does the trick, but it always runs down (it's half the morning dose) and allows the DP to emerge, particularly if I wake up later.

Its for that reason that I expect to avail myself of a pump when I see the consultant in a couple of weeks, then I can sleep as much as my decrepit body needs.