using fast acting insulin with no food to control Morning phenomenon

[nwmud]

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

[Coravh]

I have often taken the appropriate amount of sliding scale for me to combat a high. Sometimes with food, and sometimes not. I can't really comment on what you are taking since you don't state your blood sugars, but as long as you are not going low, there shouldn't be a problem. But keep in mind that sometimes not eating causes your liver to release glucose for energy.

Cora

[nwmud]

my morning numbers are varied - It might be 110 or 200 really never matters what it is in the morning. It always goes up after I wake.
has nothing to do with being too low. I have waken many times to test during the night.

Like today I was 113 when I woke up - I took 25 units of Novolog and had good results. one hour later I was 114. so it does seam to be helping me control.

I was just wondering if anyone has heard of other folks doing this kind of activity to keep their dawn phenonenon under control.

[Mark1e]

Originally Posted by nwmud

.... 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.