I can't figure out why my blood glucose goes up overnight? - blood glucose log
I am newly diagnosed with diabetes. I was more than 45units of Lantus Novolog for breakfast, lunch, dinner and before bedtime, if necessary. I left the hospital with CAD and not my endocrinologist for the first time in two weeks. I keep a dossier of evidence, and when I wake up, and D, A, D, and before bedtime. When I go to bed its been 3 to 4 hours without food, and my blood sugar is around 144th Do not eat or drink anything, and I woke up and my blood sugar is around 240th Every night I wake up about 100 more. I do not understand. If I insulin before going to sleep I wake lows 40 to 50 sweating, tremors and woke up happy. I am very much in control during the day, hit 45 to 60 carbs in a meal. I can not get my right to glucose during the night. No idea why? Suggestions. Many thanks to those who responded.
Wednesday, January 13, 2010
Blood Glucose Log I Can't Figure Out Why My Blood Glucose Goes Up Overnight?
7 comments:
Hello! Topper,
Dawn phenomenon could explain an increase of a few points, but this is very little space is rather suggest that you not get enough of Lantus.
Take your Lantus in the morning?
If so, then the full 24 hours duration, and therefore every morning Lantus is gone, and begins to increase the amount of sugar in the blood.
If your Lantus at night, then you must just need a larger dose of Lantus may be to keep the situation under control.
You should take control of their overnight fast with the number of Lantus Novolog no extra bed. Any reason for the use of Lantus is to avoid these complications.
There are certain people, Lantus does not work completely for 24 hours, and you will see an increase in their blood sugar levels an hour or more before the end of his next step.
If they are not enough Lantus, their numbers tomorrow will be too high. Or you could explain this dramatic increase of glucose in the blood.
If you Lantus in the morningYou should seek your doctor to share the administration of Lantus too. The middle of the night and half the morning and see if the numbers better in the morning. Sometimes the dose makes the distribution function better without increasing the dose.
If not, it would certainly be an increased dosage is required. This will be gradual: it increases a few units at a time, wait three days to see where Stablizers increase, then again, if necessary. Your doctor will tell you that for you.
The point of Lantus is used to obtain telephone numbers to avoid a very good morning to night lows. If you take Novolog at bedtime, a large number correct, there will be at low risk. Instead, you should increase Lantus and avoid more carbohydrates and high care after dinner or in the morning.
Try to get your number after dinner to about 120 or 130. In this way, you do not need a dose adjustment Novolog bedroom. If you are the carbohydrates and the right dose of Novolog are correct, one simply uses corrDose ECTION rare occasions when you can not have the exact number of carbs in a meal. (If you eat and think about it).
I would also point out that carbohydrates at every meal are very high, and if they can be 30 carbs for breakfast, 30 lunches and do 30 to 45 for dinner, then you need less insulin and less problems with the amount of sugar in the blood.
Ideally, you should have your blood glucose levels less than 140 in one or two hours starting at each meal, as is happening there, all kinds of damage to your body when your blood sugar is over 140.
You can read here, scroll to the bottom of the table, from which the amount of damage can occur in any body. Its almost half the page ...
http://www.phlaunt.com/diabetes/14046782 ...
You can learn more about the complication you can read here ...
http://www.phlaunt.com/diabetes/sp3index ...
For more information about the numbers in the morning ALTA ...
http://www.phlaunt.com/diabetes/17561156 ...
For more information about diabetes ...
http://www.phlaunt.com/diabetes/
Recommended websites and books, and a conversion table by hand, so that some recipes on page 2
http://blog.360.yahoo.com/blog-NbDgUzQhf ...
Good luck!
Hello,
Check http://www.movingonwithdiabetes.com
It is a lady who had written a problem as you.
Type 1 diabetes, she was part of the night and almost died as a result.
Personally, I am a Type-2 and had good information, even for me.
Hope this helps.
Rich
Hello,
Check http://www.movingonwithdiabetes.com
It is a lady who had written a problem as you.
Type 1 diabetes, she was part of the night and almost died as a result.
Personally, I am a Type-2 and had good information, even for me.
Hope this helps.
Rich
Dawn Phenomenon
with a small adjustment of the insulin requirement may be able to take control. Monitor glucose continuously over several days can help - ask your endocrinologist about this.
I got lucky with a teaspoon of peanut butter before bed .... I have also heard that some of the morning phantom readings above should not worry, still in touch with your team of health and nutrition ....
You know what that means dawn phenomenon. Here is some information, talk with your doctor as soon as possible.
A very high level in the morning because of the release of certain hormones in the middle of the night. The body produces certain hormones used for hormone-cons who work against the action of insulin. These hormones, including glucagon, epinephrine, growth hormone and cortisol, blood glucose increased, if necessary, having regard to solving the liver to increased glucose and inhibition of glucose utilization in the body.
At midnight, there is an increased amount of growth hormones in the body releases by a rise in cortisol, which in fact above the crankshaft production of glucose in the liver, probably followed by preparing the body for the activities during the day after Lent. In people without diabetes, which is offset by an increased secretion of insulin from the pancreas, blood glucose levels remain relatively stable. However, people with type 1 diabetes whose pancreas does not produceto do, and insulin in patients with type 2 diabetes, the liver does not respond to insulin in order to stop the production of glucose, changes in glucose metabolism in sleep have a profound effect on blood sugar levels in the morning. Normally, the level of glucose in the blood 4-8.
It is important to recognize that the hyperglycemia in the morning can be caused by something else: retrieving the body level of glucose in the blood during the night. Rebound hyperglycemia, including through the release of hormones disadvantages caused, is the defense mechanism of the body against blood sugar. The only way the (two different phenomena, and to check your blood sugar levels in the blood in the middle of the night about 3 clock). If your blood sugar is high, it is likely the dawn phenomenon, and if low, rebound hyperglycemia is probably at work.
If you experience high blood sugar when you wake up, talk to your team of health care. They may recommend additional tests and changes in diet, exercise, or patterns of insulin to control the problem.
It's called the dawn phenomenon. More than 3 clock in the morning, the liver is glucose, while insulin is being eroded. The fact a widespread problem.
Some people are able to fight with a glass of wine before bed (vinegar lowers blood sugar) and dark chocolate. If your serious, a higher dose of Lantus or you need to change the time of dose. If you inject insulin at bedtime and makes you go too low, try half the dose or a snack before bedtime to a complex carbohydrate and some protein, like cheese with insulin Dosw. You do not need to eat too much, just a small appetizer and actually inhibits hepatic gluconeogenesis. Mostly trial and error to see what works for you.
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