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Re: [IPp] Dawn Phenom...

My daughter Sarah (age 4) also goes high after going to bed.  We have had to
increase her basal rate from 8pm to 12midnight.  She gets 0.3u from 8 to 12
and only 0.1u the rest of the day.  It took a couple weeks to get the timing
and dose right.  We check her every night around 10:30pm to make sure there
is no sign of her going low.  If she is below 100 we start a temp basal of
0.0u for one hour.

Good luck,   Shannon

-----Original Message-----
From: Leanne Dalton <email @ redacted>
To: email @ redacted
<email @ redacted>
Date: Tuesday, January 14, 2003 10:29 PM
Subject: RE: [IPp] Dawn Phenom...

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>Gosh -- I thought I was the only one???
>My son, who is 3 1/2 just started on the pump last week (yay!!) but now
>I'm able to confirm what I've known intuitively for some time.
>Anyway, Oliver's blood sugars ALWAYS rise until about 2AM or so (and
>they rise like crazy -- to above 20 mmol/L even if he went to bed in
>range) and then between 2-6AM the BGs fall to the point where he's just
>about to go low at 6:30 or 7:00 in the morning, which is a heck of a
>drop (the steepest part of the fall is between 4-6 as you have described
>with your daughter).
>We are just starting to work out his basals, so I haven't yet figured
>out what to do with it (I've been experimenting with a higher basal rate
>from 7pm to 1am and then lowering it from 1am to 6am, but it's just a
>first crack at it and Oliver's been sick with flu so I can't really say
>if it's working yet).
>Anyway, just thought I'd respond as I too was thinking that Oliver was
>the only person in the world with "early" dawn response!
>Mom of Oliver, b 6/99, dx'd 10/01
>-----Original Message-----
>From: email @ redacted
>[mailto:email @ redacted] On Behalf Of Cheri
>Sent: January 14, 2003 8:14 AM
>To: email @ redacted; email @ redacted
>Subject: [IPp] Dawn Phenom...
>I am posting this to both lists in hopes of satisfying my curiosity?!
>I think my daughter has reverse dawn phenom. She goes high when she
>goes to sleep at night so I have been making adjustments to nighttime
>basals for several weeks trying to leverl her nightime bgs out.  She is
>getting from 1.0 to 1.1 from 9 p.m. to 12 p.m. We decrease from there to
>about .6 at 4-6 a.m.  Anyone else experiencing this?  Amelia is growing
>and maturing at a rapid rate. She is 9 1/2.
>Just curious?
>Cheri McCurdy
>Date: Fri, 10 Jan 2003 11:08:02 EST
>From: email @ redacted
>Subject: Re: [IP] Dawn Phenom...
>My Joshua has DP and his rates run 0.8 from 4-8 AM.  He is 11 and IPer 3
>years now.  All his rates increase as he grows.  He is in early stages
>puberty now as well.  Don't forget that the basal rate you have this
>doesn't start to affect your BGs for about 90-180 minutes later.  See
>INSULIN by John Walsh, 3rd edition if you don't have it already.  He
>all about this.  Anyway, with the delayed reaction, plan on starting
>basal rate a few hours before you think your liver starts to kick in. !
>think it is around 5:30 AM for Josh.
>Good Luck....OH, you can find the book and many other good books online
>through this list's book page and this list will receive a much needed
>donation frrom Amazon anytime you buyy through this link!!
>mom to Joshua
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