Need some help with high blood sugar in the am

  • derek_johnston
    On the water- Minnesota
    Posts: 5022
    July 13, 2012 at 12:01 pm #1278108

    My readings are always 250 in the morning. I’m using Novolog for meals and Lantus/Metformin before I go to bed. But still get high readings when I wake up. I snack after 9pm.

    bret_clark
    Sparta, WI
    Posts: 9362
    July 13, 2012 at 12:06 pm #1083721

    Check your sugar level before bed time, if you are having good readings then bump up your lantus before bed time.

    derek_johnston
    On the water- Minnesota
    Posts: 5022
    July 13, 2012 at 12:12 pm #1083723

    iam at 20 units Lantus before bed

    bret_clark
    Sparta, WI
    Posts: 9362
    July 13, 2012 at 12:35 pm #1083732

    Lantus does not drop your blood sugar it helps keep it from spiking while inactive. If you are testing good before bedtime and not snacking after you last Novolog injection I would bump up the lantus to 25 units. I just went through this 2 months ago. I went from 12 units of lantus a night to 18 and now am waking up at 100 instead of the 230.
    Not sure what your relationship is with your doctor but I was able to get this advise with just a phone call from mine.

    bret_clark
    Sparta, WI
    Posts: 9362
    July 13, 2012 at 12:37 pm #1083733

    I was also told if that didn’t do the trick to get my butt in for the office visit!

    derek_johnston
    On the water- Minnesota
    Posts: 5022
    July 13, 2012 at 12:41 pm #1083735

    Do you rotate your injection sites?

    bret_clark
    Sparta, WI
    Posts: 9362
    July 13, 2012 at 12:53 pm #1083737

    Taking up to 5 a day, most definitely.

    bret_clark
    Sparta, WI
    Posts: 9362
    July 13, 2012 at 1:09 pm #1083742

    Don’t thank me, lets just hope that brings your am levels back to a good reading dude

    Calvin Svihel
    Moderator
    Northwest Metro, MN
    Posts: 3862
    July 13, 2012 at 1:10 pm #1083743

    If you snack after 9pm, take enough novolog to adjust for that snack. Lantus peaks typically 12-15 hours so the morning readings really have not had a chance to be effected by Lantus. Taking the correct amount of Novolog for whatever your snack is will help with your numbers because of the fast acting insulin. Make sure to test before you fall asleep as well. I feel you can never test too much. I am also at 4 shots a day and I rotate injections as well.

    I am meeting with my doctor on Tuesday to look into getting the pump, therefore all I have to do is carry the tester with.

    dentedboatguy
    Posts: 47
    July 13, 2012 at 1:16 pm #1083745

    As a family doc I will give some general advice. Usually the lantus needs to be increased by 2-3 units every 5-7 days until the morning sugar is in 120-140 range. However the specifics of your diabetic care may be best addressed by your doc. This can at times get quite complicated and it is easy to get in the weeds. Very important to keep working on and adjusting the medical care and drug doses.

    derek_johnston
    On the water- Minnesota
    Posts: 5022
    July 13, 2012 at 1:22 pm #1083751

    I should also state I’m taking Zyperxa and seriquel. Both drugs casuse high sugar.

    bret_clark
    Sparta, WI
    Posts: 9362
    July 13, 2012 at 1:25 pm #1083753

    Quote:

    As a family doc I will give some general advice. Usually the lantus needs to be increased by 2-3 units every 5-7 days until the morning sugar is in 120-140 range. However the specifics of your diabetic care may be best addressed by your doc. This can at times get quite complicated and it is easy to get in the weeds. Very important to keep working on and adjusting the medical care and drug doses.

    Amen

    glenn57
    cold spring mn
    Posts: 11820
    July 13, 2012 at 1:48 pm #1083761

    man thats gotta suck!!!!! i can keep mine under control……….so far with a pill in the am and the pm. good luck !!

    Calvin Svihel
    Moderator
    Northwest Metro, MN
    Posts: 3862
    July 13, 2012 at 2:01 pm #1083764

    Quote:

    As a family doc I will give some general advice. Usually the lantus needs to be increased by 2-3 units every 5-7 days until the morning sugar is in 120-140 range. However the specifics of your diabetic care may be best addressed by your doc. This can at times get quite complicated and it is easy to get in the weeds. Very important to keep working on and adjusting the medical care and drug doses.

    Welcome aboard Doc.

    derek_johnston
    On the water- Minnesota
    Posts: 5022
    July 13, 2012 at 2:17 pm #1083770

    what are some good spots to alternate?

    bret_clark
    Sparta, WI
    Posts: 9362
    July 13, 2012 at 2:32 pm #1083779

    Here is a good read for you Derek.
    I stay in the stomach but alternate from top to bottom and left to right with each shot.

    web page

    beck
    Menomonie, WI
    Posts: 90
    July 13, 2012 at 2:38 pm #1083782

    There are a lot more factors effecting BS than you’re going to be able to sort out on the forums. Talk to your doc. He or she knows your case the best including important factors like your history, diet, activity level, weight, entire list of meds and daily dosing regimens, and on and on and on. If your doc sucks, find one that doesn’t.

    Good luck.
    Chris

    tom_gursky
    Michigan's Upper Peninsula(Iron Mountain)
    Posts: 4751
    July 13, 2012 at 2:48 pm #1083785

    Great thread and very helpful…
    Cal, one of the older Yoopers has struggled with severe Diabetes for some time and went on the pump last year…seems to be working well for him.
    I know when I let my weight get too high my sugar also gets near problem levels… So far I have avoided medication.

    Bob/MN
    Posts: 58
    July 13, 2012 at 2:56 pm #1083789

    My suggestion is to get some professional advice and do what the man tells you.

    grumpy
    Iowa, Clinton
    Posts: 489
    July 13, 2012 at 3:10 pm #1083800

    metformin requires at least 1 FULL glass of water when taken..to help break it down in your system,,/.

    MOST OF ALL SEE YOUR DOCTOR, NOW…

    derek_johnston
    On the water- Minnesota
    Posts: 5022
    July 13, 2012 at 5:33 pm #1083868

    Ive seen three doctors and got three opinions. I want the omni pod wireless pump but my medicare doesnt cover it.

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