RE: [IPk] high morning bg's

["Boswell, Jane \(Education & Children's Services, Children & Young People - Solihull MBC\)" <email @ redacted>]

Hannah

 I've never heard of most of these insulins, i'm on Humalog and Humalin I, I
feel like i've been in a time warp for the last 20 years.

Jane

-----Original Message-----
From: email @ redacted [mailto:email @ redacted]On
Behalf Of Hannah Lawrence
Sent: 27 October 2005 16:38
To: email @ redacted
Cc: email @ redacted
Subject: Re: [IPk] high morning bg's


Insulin Pumpers is made possible by your tax deductible contributions.
Your donation of $10, $25, or more... just $1 or $2 per month is 
needed so that Insulin Pumpers can continue to serve you and the rest
of the diabetes community. Please visit:

    http://www.insulin-pumpers.org/donate.shtml

Your annual contribution will eliminate this header from your IP mail

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.

----------
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:

> Insulin Pumpers is made possible by your tax deductible contributions.
> Your donation of $10, $25, or more... just $1 or $2 per month is 
> needed so that Insulin Pumpers can continue to serve you and the rest
> of the diabetes community. Please visit:
> 
>     http://www.insulin-pumpers.org/donate.shtml
> 
> Your annual contribution will eliminate this header from your IP mail
> 
> 
> 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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