I’ve been struggling amongst dawn phenomenon (high morning blood sugars) for the past few weeks. Because I accept changed my fitness routine too diet recently (more than carbs, heavy lifts to make muscles together with very petty cardio), I have seen an overall increment in my basal needs, and mornings particularly take been tricky to go right.
To figure out the best way to bargain alongside my dawn phenomenon, I accept experimented amongst unlike timings for my morn basal. Today I want to part the results with y’all, as I intend they are quite interesting. It hasn’t been straightforward, and then buckle up, I’k taking yous for a ride.
Adjusting my basal insulin timing to avoid Dawn Phenomenon
I’thousand on MDI (multiple daily injections) too dissever my daily basal dose inwards ii. One shot inward the forenoon, and one at dark. I don’t take every bit much insulin during the dark, so splitting my dose helps me avoid fighting lows all night (assuming I accept the right sum, of form).
As I mentioned earlier, my overall basal needs accept increased of late together with settling on the correct insulin dosage has been challenging. I’ve gone from taking ten units full (7 units inward the morning time together with 3 units at night) to twenty units (fifteen units inwards the forenoon as well as v units at nighttime). That’second a pretty large jump for me, given that I’1000 even so working out half dozen days a calendar week in addition to eating make clean.
Getting the daily dosage dialed in has taken me more or less time, as well as around trial as well as fault, merely to me that was the easiest (although ofttimes virtually frustrating) office since I can ever brand corrections during the day if I involve to.
What has been a existent pain is dealing with Dawn Phenomenon. Since I article of clothing a Dexcom CGM, I know precisely when it hits me. Every morning at half dozen AM my blood sugars first to climb. That’s my hormones kicking in to get me make for the twenty-four hour period.
They are similar: “HI! It’s vi AM, time to get your 24-hour interval started and so here’second just about glucose to give y’all the free energy to get out together with kicking butt!” That would live fine as well as neat if it wasn’t for the fact that I don’t beginning my day until eight AM. Tobias and I are more into working at nighttime together with sleeping in, so that’s how nosotros’ve structured our workdays.
As yous can encounter from the graph below, my blood saccharide volition spike like crazy fifty-fifty before I wake upwards if I don’t take my morning basal until 8 AM. I stop upwards battling high sugars for hours, exclusively to crash at around two PM. I don’t have to tell y’all how frustrating this is!
If I were on a heart, I would have set up a higher basal charge per unit for my mornings (this whole ordeal has most made me reckon pumping), only since I’1000 not, I’ve establish that the solely mode I can counteract this increase is by setting an warning to half-dozen AM, taking my basal and so, in addition to going back to bed.
This means interrupting my sleep, which isn’t that healthy, merely on a skilful solar day, it will permit me to take hold of my dawn phenomenon before it really kicks in.
The downside to this approach (as well having to wake upwardly at half-dozen AM) is that it volition sometimes make my blood sugars driblet besides depression at around nine AM (earlier breakfast) like in the graph below.
So, tomorrow I’ll endeavour setting the alarm to seven AM to have my basal. I promise that I won’t meet the insane increment inwards my blood sugars or the crash at nine AM, only who knows.
My bespeak with all of this is that if you want to really dial inwards your diabetes direction, and then taking real detailed notes in addition to being prepared to make a lot of lawsuit and error is the mode to become. It’second hard to go correct, but it tin can be done.
I would see myself somewhat of a dark belt inward the diabetes trial as well as fault section, only, every bit y’all tin can read here, even I contend sometimes. So, if this all makes you lot uncomfortable, or if y’all involve a minute gear up of eyes on your information, I advise working closely alongside your medical squad. Because not solely are crazy blood sugars uncomfortable, annoying, and bad for your health, they too mess with your fitness progress. And we tin can’t accept that, tin can nosotros? 😀
To larn more than well-nigh the theory of dawn phenomenon and the “textbook” approach to dealing amongst it, yous tin read the invitee post Managing Dawn Phenomenon alongside Basal Insulin by Gary Scheiner, MS, CDE