[T2] New to insulin- question about high morning numbers
Quick stats: T2 since March 2014. Recent A1C: 6.0 Just wake up BG: 93-110 30min-2 hours after (no food): 130-150
I recently found out I'm expecting and had my first endo appointment. They put me on 10 units of levemir twice a day (morning and night) to try to get my "fasting" numbers below 90. My frustration is that when I first wake up my numbers are very close to normal, but then what I can only assume is "dawn phenomenon" happens and my bg gets wacky. It always comes down to normal after breakfast so it's strictly a morning issue.
Have any of you had experience with morning highs? Will more insulin at night/in the morning help with that? My fear is that upping my levemir at night will make me go low in the morning before that wonderful dump when I do get up and move around.
Just wanted to hear from some others as this whole insulin thing is new to me and it doesn't make sense to up my doses if I'm almost in normal ranges.
Posted Jan 16, 2015, 6:56 PM UTC
What you're experiencing is known as "dawn phenomenon". The rise in sugar is caused by hormonal changes in the body as it transitions from sleep mode to waking mode.
Those of us who pump will sometimes need to program a higher basal insulin rate for a few hours after their normal wake-up time to compensate.
thanks for the info. I just wasn't sure if it was "normal" and what other people do about it.
Yes, normal, and likely carbs will hit your blood sugar harder at breakfast then the rest of the day.
Yep it's totally normal and I've actually been having a tough time with it the last few weeks too. Talk to your endocrinologist about it and see what they say. Hope you get it figured out!
Thanks! I will be working closely with my endo on this, it's just hard because this is all new to me so I'm questioning everything.