Type 1 Blood Glucose / No Insulin

[OLVE75]

I should also say that I make that sound much easier than it actually is and in reality I don't get it right all the time..... none of us do.... but learning to adjust it at the appropriate times and having a rough idea of by how much a particular adjustment will impact your levels is just what you find with experience and trying different things.

Thanks @rebrascora. Could you offer any insight to the below:
With regards to Long-Acting (Lantus) was told to increase or decrease if BGL rises or falls by 1.5mmol/L of the bedtime level before Breakfast. I always check BGL upon waking around 6am, with breakfast couple of hours later. Have always taken the upon waking BGL as the check.
Is this incorrect and should I use the pre-breakfast BGL?

 

[rebrascora]

Thanks @rebrascora. Could you offer any insight to the below:
With regards to Long-Acting (Lantus) was told to increase or decrease if BGL rises or falls by 1.5mmol/L of the bedtime level before Breakfast. I always check BGL upon waking around 6am, with breakfast couple of hours later. Have always taken the upon waking BGL as the check.
Is this incorrect and should I use the pre-breakfast BGL?

I would always use my waking BG as my guide as my levels can rise by up to 6mmols in the 45 mins after I get up..... UNLESS I inject 1.5-2 units or bolus insulin as soon as I wake up to cover it. I am not suggesting you do this but just saying that, if I didn't inject that fast acting insulin to deal with Foot on the Floor, my levels would always be about 6mmols higher than when I first woke up and if I used that to assess my basal dose I would probably need to increase it quite significantly which would then almost certainly lead to a risk of nocturnal hypos.
However I use a different basal insulin to you (Levemir) which is split into 2 doses, one taken first thing as soon as I wake up and the other at bedtime, plus I have a very strong Foot on the Floor glucose release by the liver. Other people see a steady rise in their levels from 3-4am (Dawn Phenomenon) and less rise when they actually get out of bed. What does your Libre graph show as your natural circadian rhythm which you can likely see best at the moment since you are not using insulin. Do your levels rise slowly from dawn onwards or do they remain fairly static and then rise sharply once you get up? Remember you are looking for trends not individual results, so looking at your "Daily Patterns" on your Libre might give you a clearer picture.

 

[Inka]

@rebrascora Thanks for the explanation. Whilst on this thread just seen that after a late breakfast around 9:30 and no insulin, my BGL hasn't dropped below 11 in the last 4 and half hours. So maybe have just hit the wall!

@OLVE75 So that’s shown you can’t manage without insulin. Even if someone is only on tiny doses, they’re needed. Without them, blood sugar rises and the remaining beta cells suffer, potentially shortening their lives, not to mention the risk of developing DKA and causing damage to your eyes and other body parts.

@rebrascora I replied to the OP in my first post here, saying a little about how I temporarily stopped insulin to see what would happen - and, importantly, how I went back on it.