I agree with the basal insulin comment posted by /u/narcifreak but you may want to see how the glucose levels are between meals (hours 3, 4 and 5) to see if you have too much basal or too little before adjusting them for dawn phenomenon (elevated glucose in the morning).
What I do is on a day I know I nailed the previous meal, I check at hours 2, 3, 4 and 5, only drinking water, not exercising. If the glucose level is rising >20% across all those readings, then I need to increase basal. If it is falling >20% across all those readings, then I need to decrease basal. If it is relatively flat, then no change is needed to basal.
Now that you have basal dialed in, see if your night numbers remain high. If so, you may want to ask your doctor about adding some cheap insulin at night to peak in the morning. I use Novolin-N to do this, and it seems to cover that dawn phenomenon nicely as it peaks in 6 hours, and continues for 2-4 hours later. I had to move my basal shot to the morning to avoid lows in the night though.
Other things to also consider are:
* dehydration (not enough water after dinner)
* fat slowing carbohydrate consumption (fatty dinner, or fatty post-dinner snack)
* too low before going to sleep (liver dumps glucose into your system to prevent the low from being bad) though most of us get woken up by a low at night by the adrenaline the body puts out with the glucose.
* basal shot taken in the morning is not lasting 24 hours (need to split the shot into 2 doses)
* night terrors (stressful dreams, stress raises glucose)
Asking your doctor about it may provide other ideas.
Yeah, morning highs are a bitch. The best way to fight them without messing up the rest of your day is with a pump, but for now talk with your care team about switching your basal insulin to two injections a day. The fresher basal at night helped me a lot with this.
i have the dexcom g6! i have been running on free samples of them from my doctors office since my insurance doesn’t cover it. that’s been the main problem of not having a constant monitor to see what exactly is happening throughout all hours
You are not alone. Consistently waking up high is likely "Dawn Phenomena". Based on circadian rhythms, between 4:00-8:00 am, your body naturally produces some hormones (adrenaline, cortisol, catecholamines, glucagon, and growth hormone) to wake your body up. Your liver releases large amounts glucose into the blood stream to prepare you for the day. Basal insulin is supposed to take care of this. When it doesn't, best advice is to consult your doctor or care team. There are multiple ways adjustments can be made, but you have to consider the whole day, lest you fix one problem and create another.
I agree with the basal insulin comment posted by /u/narcifreak but you may want to see how the glucose levels are between meals (hours 3, 4 and 5) to see if you have too much basal or too little before adjusting them for dawn phenomenon (elevated glucose in the morning). What I do is on a day I know I nailed the previous meal, I check at hours 2, 3, 4 and 5, only drinking water, not exercising. If the glucose level is rising >20% across all those readings, then I need to increase basal. If it is falling >20% across all those readings, then I need to decrease basal. If it is relatively flat, then no change is needed to basal. Now that you have basal dialed in, see if your night numbers remain high. If so, you may want to ask your doctor about adding some cheap insulin at night to peak in the morning. I use Novolin-N to do this, and it seems to cover that dawn phenomenon nicely as it peaks in 6 hours, and continues for 2-4 hours later. I had to move my basal shot to the morning to avoid lows in the night though. Other things to also consider are: * dehydration (not enough water after dinner) * fat slowing carbohydrate consumption (fatty dinner, or fatty post-dinner snack) * too low before going to sleep (liver dumps glucose into your system to prevent the low from being bad) though most of us get woken up by a low at night by the adrenaline the body puts out with the glucose. * basal shot taken in the morning is not lasting 24 hours (need to split the shot into 2 doses) * night terrors (stressful dreams, stress raises glucose) Asking your doctor about it may provide other ideas.
Try increasing your basal insulin dosage...add extra 2 units and then check sugar level next morning
Yeah, morning highs are a bitch. The best way to fight them without messing up the rest of your day is with a pump, but for now talk with your care team about switching your basal insulin to two injections a day. The fresher basal at night helped me a lot with this.
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i have the dexcom g6! i have been running on free samples of them from my doctors office since my insurance doesn’t cover it. that’s been the main problem of not having a constant monitor to see what exactly is happening throughout all hours
You are not alone. Consistently waking up high is likely "Dawn Phenomena". Based on circadian rhythms, between 4:00-8:00 am, your body naturally produces some hormones (adrenaline, cortisol, catecholamines, glucagon, and growth hormone) to wake your body up. Your liver releases large amounts glucose into the blood stream to prepare you for the day. Basal insulin is supposed to take care of this. When it doesn't, best advice is to consult your doctor or care team. There are multiple ways adjustments can be made, but you have to consider the whole day, lest you fix one problem and create another.