Dawn Madness!!

I am having this blood sugar rise a lot lately when I wake. I can go for weeks without going over 105. But, for the past week I have been in the 200+ and I want to be able to control this. ANy suggestions?
T1 for 22 yrs.

[JDRF-Team-SS]

Hello Cinnabon74,

Thank you for posting. I am a volunteer, not a medical professional, so my advice and input should NOT be taken in place of your endocrinologist's. My advice is based on my experience in caring for my son, now 10 who was diagnosed at the age of 3. My sis was dxd 2 years before my son. She was 24 yrs. old and is now 33.


The 1st question that comes to mind is:  Are you on the pump???
My son is.  The same thing happened to him where all of a sudden he was waking up higher than usual.  His doc told us (me) to do this (below) for 3 nights:

To not give him anything to eat after 6pm (unless low)
Test him at 10pm, 12am, 2am, 4am, & 6am
If he was over 250 at any of those times, give a correction
If he was under 100, give 15 grams of carbs
If he was bewteen 100 - 250, do nothing AND
Write doan all of the BG readings...

Well, I never did this exact routine because we were not seeing highs at 10pm, so I would have him not eat after 8pm, unless low and then test him around 12am, 3am and 6am.  The key was to try to see an approx. time when I notice the BG rising.

Now, if you are not on the pump, but on insulin shots, this is what your doc might suggest.

My son used to be given NPH & humalog.  When he started having mornign highs upon awakening, the doc changed his dinner NPH shot to bedtime and this helped.

Please talk to your doctor.  I hope I helped a little bit.

The testing every 2 hours dung the night can be exhausting, so the 12am, 3am and 6-ish might do.

Take care,
SS

[JDRF-Team-SS]

Cinnabon,

LRS is SO right,
I am so sorry I forgot about that.  My sister has type 1 and during pms she has a definite increase in her BG's.
If you are on the pump and it has the capability to create different basal patterns, you could have a Pattern A for that time.

[JDRF-Team-LRS]

Welcome back, Cinnabon -
If you're female, it's not surprising to go weeks (3, perhaps) with predictable BGs and then WHAM, one week is crazy high.  That's a PMS effect.  Some of us increase our basal rate for 4-7 days before our period -- and we figure out when/if to do that based on patterns that don't exist the rest of the month.

If you're female, talk with your endo about PMS and insulin dosing.  Many women also tend to run LOW during their period and not only do we need to stop with the extra 20% basal, we also have to cut our basal lower than normal; sometimes by as much as 20%.

I now have 3 basal profiles related to hormonal cycles:

Plus 20% (PMS)
Normal
Minus 20% (during period)

If you're approaching menopause (and female), hormones go awry then, too.

Waking up at 105 is OUTSTANDING!!  :-)) and I hope you can get back to that again, soon.

[JDRF Team SGG]

Allergies can also cause a rise in glucose levels. We are approaching allergy season, and if you are just now finding allergies to be a problem, this could be the root cause of the glucose rise. If so, there are allergy meds that can help the problem.