i’m in the beginning of my 3rd year CORRECTLY diagnosed as a LADA, (insulin dependent) first year was a nightmare tossing me metformin assuming that I was T2 - eventually found a Endo who sorted me out with the right diagnoses before i died at 115 lbs. Anyway, i’m just now learning the carb counting system i’ve been instructed 1 unit novolog per 15 gm carbs ratio in addition using the sliding scale, I can do the math, I can read food labels. This was my first morning trusting this new system vrs my previous method - “sliding scale-sorta wing it”!
I’ve been having random pre-dawn surges - reason why my A1C went from a beautiful 6.1 to a 6.5 in 3 months. This morning I calculated food intake correctly, but didn’t realize till it “dawned” on me (no pun intended) after going higher than I should have - that I couldn’t and didn’t account for a predawn surge that was in motion already before injecting. I woke up at 5:11am and was 113 gl, an hour later i was 131 still rising i’m sure, but how to know or account for this - along with the tools given, I don’t know. I’m positive I was in a pre-dawn surge and had I not rolled out of bed at 6:11 am, it would have been up to 150 gl by 7 am easily (from experience).
I forgot to ask about this factor yesterday when I was at my Endo appointment getting educated on (carb counting) the next step forward to being a pump user -
Does anyone have advise on how to account for predawn in motion? I ended up taking another 1.5 units to catch the rising at 227 gl in spite of 1 mile walk, 10 minutes solofit, plus 18 minutes on gazelle! INSANE! This is not an every morning event only random. I’m a Dexcom G6 user btw.
thanks in advance for any feedback. mary