How good is your control?

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How good is your control?


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Old 04-16-2012, 23:20   #1
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Default How good is your control?

I have been type 1 since I was 7 (now 24) and haven't always had the best control. When I was a teenager I was really all over the place. Ate stuff I shouldn't have. Didn't really test blood as often as I should have. Had a lot of days waking up to 300+ glucose levels.

Since then I have gotten much better at both diet and control.

Still have those days though. Now instead of being 300 I find myself at 160-200 occasionally but actually have more lows than highs lately. Getting much better. Eating the bare minimum of carbs and mostly salads and lean meats so to avoid dosing myself with more insulin.

I exercise every day. Jog in the mornings, ride my bike 5 miles two ways to work, weight train in the evenings, flag football on the weekends.

Basically a typcal day for me is.

5AM wake up usually glucose is around normal 100-140 with the occasional higher end of 160-200 (high maybe 3-4 times a week)
400 cal breakfast with about 20-40 carbs dose about 3-4 units of humalog
Jog 3 miles
7AM have banana for a snack to avoid going low after the workout
7:30AM off to work ride bike 5 miles
8AM-12PM work
12PM-12:45PM lunch chicken salad and crackers take no insulin
1PM-3:45PM work... almost ALWAYS find myself with a low here trying to work this kink out but adding food is hit or miss either I end up at 200 by the time I am off or I battle lows until then
4PM Ride 5 miles home
5PM Test again usually have a good number here 100-120 usually
6PM Dinner... Not consistent this is based on what my wife cooks. She is good about making things that are diabetic friendly. Usually chicken or beef with veggie sides and small servings of bread.
I usually take 8 units of humalog here
7PM play a little basketball and lift some weights.
8PM test and usually find myself at about 130 which is good.
9PM tv and then in bed by 10 after taking 20 units of Lantus slow acting insulin

now this is the part that has been driving me crazy.

Like I said I usually wake up with a high number 160-250 and on a bad day 300+

No idea why and I have tried taking more insulin before bed only to wind up very low (30's) in the middle of the night or I have tried a little more insulin and a snack only to end up 200 in the morning.

Driving me nuts. My biggest problem is from the time I go to sleep to when I wake up.

Anyway curious how are people are doing and if you could break down your routine I would REALLY appreciate it.

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Old 04-17-2012, 00:46   #2
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Welcome to the Forum, Alexx!

It sounds like you're plagued by Dawn Phenomenon (DP). There are lots of posts on the Forum ... please feel free to do a search!

This is (to my understanding, anyway ... wiser heads may correct me) a common, but not well researched problem, or, rather, cluster of problems.

One cause may be the elegantly named "liver dump." When fasting, the liver may think it's starving, whereupon it panics and dumps glucose all over the place. It does not know when to stop.

If I find I'm a little lower than I'd like at bedtime, I eat some cheese or a slice of cold meat. Something fatty/protein-y. This seems to keep my glucose pretty level throughout the night. (This does not work for everyone, but it does wonders for me.)

You may also want to cut the bread, just in case you're getting delayed spikes from that.

Please come by often, and keep us posted!

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Old 04-17-2012, 01:35   #3
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It is really hard to say why without doing some overnight testing. That would mean testing every hour say from 2 to 6 to see of you are just going high or rebounding high from a low.

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Old 04-17-2012, 01:43   #4
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Ok here's a typical day for me:

0525. Wake up, test, take 15u Lantus and 6u Novolog. Typical FBG between 75 and 95
0600. Breakfast of two hard boiled eggs, two oopsie pancakes and two sausage patties covered with carb free syrup. On hour pp reading of 75-85 typical.
0900 snack of 1.5oz to 2oz almonds
1100-1145 3.9 mile walk
1400 4c spinach arugula salad with full fat dressing and 1T chia seeds. 6u novolog Premeal reading typically 70-80. 2hr reading typical 70-80.
1630-1700 walk dog
1730-1800 dinner. Pre meal reading 70-80. Typical dinner protein, another lunch salad, green veg steamed and covered in butter. 10u Novolog
2000 2 he reading 80-85
2100. Pre bed snack of pepperoni slices and cheese slices. 25u Lantus.

Some days I get higher readings but those are typical. I do my best to stay under 110 and will rarely go above 120...as long as I don't mix up ratios or insulin itself. Those were bad days.

I go Friday for bloodwork and will get result next Tuesday but I'm looking for an a1c of mid 5 and an improvement in my lipids and an official drop in weight of about 12 to 15 pounds.

I eat a low carb moderate protein high fat diet and it works well for me. It may not for you, but I would suggest dropping the bread and other grains. Those tend to effect us as diabetics in bad ways more than any other food.

Good luck and remember..
We're all in this together.

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Old 04-17-2012, 02:14   #5
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Exercise does some wild things with diabetics. Your day is filled with it, and dealing with 10 miles of bike riding, 3 miles of jogging, and basketball/weight lifting would be difficult for me to deal with. Every activity level has its own dynamic - blood sugar control gets difficult with this much and such varied activity. Once you stop the activity it takes the body a while to slow down, and then sometimes it slows down too much. It would take much more precision than you demonstrate in your daily routine to master such a rigorous activity level. Night issues are an extension of your daily issues (afternoon lows/highs, etc.).

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Old 04-17-2012, 03:33   #6
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definitely check your BG during the night for a few nights, every couple of hours. You may be actually going low in the middle of the night, then your liver will dump the glucose because your BG is low.

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Old 04-17-2012, 04:07   #7
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Quote:
Originally Posted by David Burke View Post
Ok here's a typical day for me:

0525. Wake up, test, take 15u Lantus and 6u Novolog. Typical FBG between 75 and 95
0600. Breakfast of two hard boiled eggs, two oopsie pancakes and two sausage patties covered with carb free syrup. On hour pp reading of 75-85 typical.
0900 snack of 1.5oz to 2oz almonds
1100-1145 3.9 mile walk
1400 4c spinach arugula salad with full fat dressing and 1T chia seeds. 6u novolog Premeal reading typically 70-80. 2hr reading typical 70-80.
1630-1700 walk dog
1730-1800 dinner. Pre meal reading 70-80. Typical dinner protein, another lunch salad, green veg steamed and covered in butter. 10u Novolog
2000 2 he reading 80-85
2100. Pre bed snack of pepperoni slices and cheese slices. 25u Lantus.

Some days I get higher readings but those are typical. I do my best to stay under 110 and will rarely go above 120...as long as I don't mix up ratios or insulin itself. Those were bad days.

I go Friday for bloodwork and will get result next Tuesday but I'm looking for an a1c of mid 5 and an improvement in my lipids and an official drop in weight of about 12 to 15 pounds.

I eat a low carb moderate protein high fat diet and it works well for me. It may not for you, but I would suggest dropping the bread and other grains. Those tend to effect us as diabetics in bad ways more than any other food.

Good luck and remember..
We're all in this together.

Sent from my iPhone
Wow you are always 80! Typically I start to feel that bad sensation of low blood sugar at 80 but if you feel good there then awesome. If I had one wish it would be that I was 115 for the rest of my life.

Reading and really being thankful for the rest of your posts will be responding to them shortly. Thanks for the warm welcome.

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Old 04-17-2012, 05:16   #8
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Not always. My 30 day average is 90. Just that's where the average ends up. It takes work that's for sure. For me, that 115 would be over what I want but you have a goal and it's a nice goal.

I agree with some of the others on that excess exercise can really mess with our numbers. Maybe reduce the intensity for a bit and see if your stability improves.

I would try and gets things leveled out first them work on dropping the BG. It's easier to adjust insulin if you have a good set of stable numbers to work from.

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Old 04-17-2012, 08:13   #9
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I am a Type 2, so I'm not sure my routine would really help you. I think Type 1s and insulin users may have more to offer than I.

I eat about 30 grams of carbohydrate per day, walk a few miles 5 days a week, and test a couple times a day. I tend to not go over 90 very much. I'm on Metformin.

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Old 04-17-2012, 13:06   #10
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Quote:
Originally Posted by David Burke View Post
Not always. My 30 day average is 90. Just that's where the average ends up. It takes work that's for sure. For me, that 115 would be over what I want but you have a goal and it's a nice goal.

I agree with some of the others on that excess exercise can really mess with our numbers. Maybe reduce the intensity for a bit and see if your stability improves.

I would try and gets things leveled out first them work on dropping the BG. It's easier to adjust insulin if you have a good set of stable numbers to work from.

Sent from my iPhone
Maybe we are using a different standard or something.

People that do not have diabetes are at 100-109 typically. Which is what the doctors say is healthy. Why do you like to stay so low?

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