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   using fast acting insulin with no food to control Morning phenomenon (Diabetes board)

8th April 2008
My numbers in the morning are out of control.

I have for the last week or so been trying some fast acting Insulin - Novolog in the morning to keep my numbers down.

my schedule is like this:
4:30 am wake up - check glucose - take 25-30 units of Novolag
6:30 check glucose and take 25-35 units novolog and have LOW Carb breakfast - maybe 5-10 carbs
11 am check glucose - take 25-40 units of novolog and have lunch (most often Tuna salad - maybe 20 carbs if i eat a little something with it.
6 pm check glucose - take 25-40 units of novolog and eat dinner (often higher carbs - 40 to 50 carbs
10pm currently up to 110 units of Lantus - they (doctors) want me to keep adding until my morning numbers get under control.

I take a lot of insulin and I still take 2000 mg of metforming and 8 mg of glimepride.

I do not feel right about all this since I am 46 and my dad is diabetic and doing 500 mg of metformin and good


so anyway - does any one else take a fast acting insulin with NO FOOD to control their Morning Phenomenon
9th April 2008
[QUOTE=nwmud;3522255].... does any one else take a fast acting insulin with NO FOOD to control their Morning Phenomenon
Yes,I inject Regular as soon as I wake up, at about 5:30. It counteracts the DP, and it also covers a low-carb breakfast I eat at about 6:30. Regular is longer-acting than Novolog and is more suitable for dealing with the DP. For most people the DP lasts from 3am - 11am, and rapid acting insulin finishes too quickly. It means that your breakfast shot also has to cover the DP.

Regular works well for me as my DP seems to start later than most. As you need coverage from 4:30, you could inject NPH before going to bed and shift the Lantus shot to the morning. NPH has a pronounced peak at 6-10 hours, so it is ideal for counteracting the DP if you inject it before bed. ;)
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