My son's age is 17 taking lantus (6-8 units) at bedtime, and novo rapid before taking meals.
Many a times, I have seen that if he eats carb snacks(biscuit) at 2:30am (when sugar is around 110), then he gets normal fasting sugar level; but if he doesn't have any such snacks, then the fasting blood sugar level is increased and it gradually increases the whole day.
Want to know what is the cause??
this problem can be best analysed by an endocrinologist..Consult one the most experienced one
That's why diabetic patients are exempted from fasting. If you fast without taking snacks or salads then your body call for necessary glycogen, which is derived from glucose within body. That may be the cause.
Please decrease lantus dose 2 units, because during midnight sugar will be low for type 1 and to randomize that liver will releases more glucose hence fasting levels will be increased. Generally lantus is long acting medicine so he can adjust that dose. Also please check out his sugar readings at 3 Am once in 15 days which can be useful for stabilizing the dose of lantus.. I hope my response will be helpful.
Please consult an endocrinologist.Thanks
The dawn phenomenon, also called the dawn effect, is the term used to describe an abnormal early-morning increase in blood sugar (glucose) — usually between 2 a.m. and 8 a.m. — in people with diabetes.
Insulin glargine (generic name) Lantus (brand name) is used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). It is also used to treat people with type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood) who need insulin to control their diabetes. In patients with type 1 diabetes, insulin glargine must be used with another type of insulin (a short-acting insulin). In patients with type 2 diabetes, insulin glargine also may be used with another type of insulin or with oral medication(s) for diabetes. Insulin glargine is a long-acting, man-made version of human insulin. Insulin glargine works by replacing the insulin that is normally produced by the body and by helping move sugar from the blood into other body tissues where it is used for energy. It also stops the liver from producing more sugar.
Insulin aspart (generic name) Novorapid (brand name) is used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). It is also used to treat people with type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) who need insulin to control their diabetes. In patients with type 1 diabetes, insulin aspart is usually used with another type of insulin, unless it is used in an external insulin pump. In patients with type 2 diabetes, insulin aspart also may be used with another type of insulin or with oral medication(s) for diabetes. Insulin aspart is a short-acting, manmade version of human insulin. Insulin aspart works by replacing the insulin that is normally produced by the body and by helping move sugar from the blood into other body tissues where it is used for energy. It also stops the liver from producing more sugar.
Source:--
en.wikipedia.org/wiki/Dawn_...
diabetes.co.uk/blood-glucos...
medlineplus.gov/druginfo/me...
en.wikipedia.org/wiki/Insul...
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