Hyperglycemia in the morning
03/12/2020 2:42 p.m.
Good to all.I wanted to consult something, to see if you give me opinion.I have been with hyperglycemia for a week or something else from 9 in the morning to one or so and I don't know what it can.Before I had Lantus and Humalog but I changed Toujeo for very fat nocturnal hypos.It seemed to go well although it is true that it is difficult to start.I have been uploading toujeo and I now put on 24, 6 or more than Lantus, I start working at 8, with what breakfast slightly at 7 and then at 11, at 7 I take Maria cookies day with a decaffeinatedand at 11 and toasted music.For the first I have put 5u and at 10 I had 245 and climbing, I have corrected myself, at 11, 210, stable, I have put 7u for breakfast and at 12.30, 276!.I have correct myself again and now before lunch at 14.30 120 and going down with the vertical arrow.Do you understand something? Does the rations be wrong?I thought about putting the toujeo at 7 in the afternoon instead of 11 at night, as it seems that it costs to start ... What do you think?
03/12/2020 2:42 p.m.
And I have lunch and I have not put any insulin when I saw that it was in 120 and going down quickly, at the 80s and now at two hours 115 ???
03/12/2020 4:32 p.m.
If you put the corrections somewhat together it is complicated, its power multiplies.You have corrected yourself at 10 and 12:30.Something close
On breakfast one, repeat for three days the same breakfast and snack pattern.If you fail you increase the rapid.I suppose that the rations.Sign up your factor.Ration / u ratio.Insulin.And you change it at 3 days.You can have specific hormonal or cycle problems.
All the best
03/12/2020 7:20 p.m.
DM1 desde Marzo 2018 (53 años). 7-10 unidades basal: Abasaglar (insulina glargina). NovoRapid. Factor 1.0/1.5.
Vivo en Alemania. CarboH total dia 70-80 gr. Deporte Gym todos dias L-V 1h-2 h
HbA1c 5,5% (Abril 2022)
Dexcom G6
But look, it's half past seven in the afternoon and still with 113, without any fast insulin.And it is worth that they may have been a little together, maybe it was something later, but it is that what I miss is that in the morning to those in 72, perfectly, and after two cookies and a decaffeinated that I put on 5 ui, ISo much, right ?, Of course, I tell rations, and before it did not happen to me, I speak to you that I have been like this for more than two weeks, I don't think hormonal.I have thought about putting the toujeo four or five hours earlier, so maybe start acting before in the morning, I don't know.
03/12/2020 7:37 p.m.
Oh
I understand you
Then maybe changing the time of the toujeo.
03/12/2020 7:45 p.m.
DM1 desde Marzo 2018 (53 años). 7-10 unidades basal: Abasaglar (insulina glargina). NovoRapid. Factor 1.0/1.5.
Vivo en Alemania. CarboH total dia 70-80 gr. Deporte Gym todos dias L-V 1h-2 h
HbA1c 5,5% (Abril 2022)
Dexcom G6
@meginer
No matter that you put the slow toujeo insulin at 7 in the afternoon or at 11 at night, but always, always, always at the same time (you have to try to be very constant).It will last, completely, 24 hours, without almost peaks.And how it takes to start occurs with changes (dose and/or schedule).
Fast insulin must be administered before intake (breakfast in your case) and wait for a while (normally 15 minutes) between the "prick" and the first "bite".
Finally, rapid insulin corrections should be carried out, at least 2 hours (better 3) after the last insulin administration.And always taking into account active insulin.
You also have to know that corrections take their "time" to be made (usually 90..120 minutes at night, and 180..240 minutes for the day [with food]).This time also depends on the value of blood glucose and the duration of that hyperglycemia.
03/12/2020 9:20 p.m.
I am constant in the schedules, and I do not change doses or schedules, so I miss me, it lasts perfectly at 24 h, in fact I am always lower in the afternoon night than in the morning, I continue in 102 and I have not put on fast insulinFrom this morning, I will have dinner now and I will put it but it is strange to me.
03/12/2020 9:58 p.m.
You have to respect, as scrupulously as possible, the waiting times of each insulin you use.
HC rations are calculated with a scale and nutritional information of each food.
Finally, you could also be suffering inadvertent hypoglycemia with subsequent rebound (hormonal problems that have told you).
Use a blood glucose sensor and/or talk to your endocrin@.
03/12/2020 11:51 p.m.
Hypoglycemia I do not have the.One unit, I have put more and 200 ml milk another.It is what I miss me, I will talk to the endocrine.Thank you.
03/13/2020 6:53 a.m.
You have to know that the insulin ratio (what you know as 1 ration = 1 U.I.) varies throughout the day, being habitual that during breakfast is worth twice as much during lunch.
03/13/2020 10:42 a.m.
@meginer, what happens to you from time to time.I upload and up the insulin for 5 days and then I suddenly return to the normal guideline: either it usually coincides with the ovulation or with menstruation and not every month.
My endo does not know what to tell me, I think it is due to hormones that generate resistance tables at certain times.
I spent yesterday, I put my 3 Fiasp units for breakfast (novorapid use for the rest of meals), low soybean drink (1 ration) and 1 toast (1 ration) and stayed at 3 hours in 198, theBefore I did not go from 90 and today I am in hypoglycemia to 60 because instead of 3, I have put 4 thought that yesterday it was fatal.
I am rigorous with the hours of insulins and meals, but .... This is impossible to guide !!
03/13/2020 12:24 p.m.
Lada enero 2015.
Uso Toujeo y Novorapid.
Already, today I have folded the breakfast dose at a ratio of 2: 1, I have put 10 u !!For a glass of milk and a half toasted with oil, before I corrected with 2 u pq I had at 10 (after three hours of my first breakfast) 199. Well at 11 I put the 10 u and now I am 203, so daughter, I don't know ..., ovulation is not because I have this way more than a week, the rule either, then in the afternoon I am very well, short and without abruptness, all very uniform, it is in the morning until one and peak thatI am fed up.
03/13/2020 1:09 p.m.
I understand your anxiety to want to be in Normaglycemia as soon as possible, but the time that insulin takes to correct is the one that has been explained.You have to wait.
03/13/2020 1:54 p.m.
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03/14/2020 5:24 a.m.
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