Re: [IPk] high morning bg's
Just to add to Sara's advice below, if you are on Lantus then you make
changes by 1 unit at a time and it takes a few days to show affect. If
you are on Detemire, you should make changes by 2 units at a time, as it's
a weaker insulin, and the results will be immediate.
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Hannah Lawrence
Project Coordinator, BMJ Programme Management,
BMJ Publishing Group Ltd, BMA House, Tavistock Square, London, WC1H 9JR
Tel: 020 7383 6511
email @ redacted wrote on 27/10/2005 15:51:38:
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> Jane
> recently i did the dafne course and they tell you that if your high
> in the morning then it is your background insulin that needs upping,
> but before you do this I would definitely do a few 3am blood sugars
> to check for hypos. Then if you are not hypoing I would go up 1 unit
> at a time (bcakground insulin) and leave it for a few days to settle
> before adjusting again! Also on the dafne course they tell you to go
> to bed with a blood sugar between 6 - 8.5, so it maybe that you are
> going to bed with it too low at 5.4 hence having a hypo then waking
> up with it high. Try having a small snack before bed, I have a 1-2
> cream crackers or something similar (about 10grams carbs) which would
> probably take you up from 5's to around 7-8.
> Hope this helps.
> Sara Davies
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