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  • Activity
    • 1 hour, 7 minutes ago
      Kris Sykes-David likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 1 hour, 27 minutes ago
      beth nelson likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 2 hours, 14 minutes ago
      Mick Martin likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      Echo Mick Martin. Gastroparesis? Try ondonestron (sp?) one of the 10 best medicines ever invented. Also, "a forever learning curve" and "If in doubt, pull it out."
    • 18 hours, 10 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 18 hours, 18 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 18 hours, 43 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 19 minutes ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 20 minutes ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 40 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 23 hours, 40 minutes ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 16 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 16 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The constant refilling and site changes...doesn't seem worth it.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Luddites just may be the most comfortable people on earth. 🙃 
    • 1 day, 18 hours ago
      Antsy likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      Holy cow! 8 to 10” bubbles? There is definitely something wrong if that is happening to you. I occasionally get 1/4” inch 10” is excessive. Have you gone in and shown your pump instructor how you’re doing it so that they can help you figure out the problem?
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    Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)?

    Home > LC Polls > Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)?
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    If you have attended a wedding while wearing T1D devices, do you try to place your pump and/or sensor sites somewhere not visible?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    40 Comments

    1. Jana Wardian

      I always take 10 grams of “ghost carbs” when I wake up to help even out the feet on the floor syndrome as I call it.

      2 years ago Log in to Reply
      1. Jeannie Hickey

        So agree, most women call it “feet on the floor” I’ve heard med call it “after shower” rise!

        2 years ago Log in to Reply
      2. Annie Wall

        My “dawn phenomenon” is like yours. My blood sugar seems to rise from a fairly normal place as soon as I get up so I have to bolus something, maybe 1-2 units.

        2 years ago Log in to Reply
      3. Stephen Woodward

        This is feet on the floor not DP, which only happens in your sleep cycle.

        2 years ago Log in to Reply
    2. Jose Almodovar

      Prior to Control-IQ it was a daily ritual. Now I’m wake up about 90-110.

      1
      2 years ago Log in to Reply
    3. Retired and glad

      I raise my basal a couple of o
      Points starting at 3 am each day to counteract it.

      2 years ago Log in to Reply
    4. Sahran Holiday

      Yes. Endocrinologist thought it was rebound til I figured out was my NPH running out. Put me on ultralente helped. Now 16 years on Omnipod just program higher basal starting 3:00 am

      1
      2 years ago Log in to Reply
    5. Jeannie Hickey

      Always, starts about 4a. THEN a rise again soon after I get up – 5a, or 6, or 7. Within 45 min I’ve gone up 50-60 points. Loop covers it well, but the other 2 pumps require 15g “fake”carb bolus.

      1
      2 years ago Log in to Reply
    6. Gerald Oefelein

      I do but my pump increases basal to compensate.

      2 years ago Log in to Reply
    7. Tray Geiger

      I actually experience the complete opposite–a huge drop starting around 4-5 AM. My basal is the lowest of the day during those hours, by far. I don’t understand it!

      2 years ago Log in to Reply
    8. connie ker

      Lots of mornings, I take humalog and just wait for the numbers to come down before eating anything but do drink some coffee while I wait. This is realtively new but since I watch on a cgm, I can see the numbers whenever, wherever. If I take more Lantus, it may increase the chances of lows during the night, but might increase by a unit to see if that doesn’t help the pre dawn syndrome.

      2 years ago Log in to Reply
    9. Laura Siner

      Yes but TSlim sleep mode adjusts for it

      1
      2 years ago Log in to Reply
    10. Beth Franz

      No – strangely enough. I usually bottom out around 1 – 2am and very very slowly rise. I do have feet on the floor bump of 20 points the second I get out of bed.

      2 years ago Log in to Reply
    11. Shannon Barnaby

      Yes always but because of that I have my basal set higher for that time of day.

      2
      2 years ago Log in to Reply
    12. Eve Rabbiner

      I thought I did when I was on Medtronic’s automated system. Now I am living unlinked and can control my basal myself and I’m steady all morning.

      2 years ago Log in to Reply
    13. Tod Herman

      Yes, I find it occurring almost every day. So much so that I am surprised that this question says it’s “abnormal!”

      2 years ago Log in to Reply
      1. Robert Brooks

        I would agree. Circadian hormonal variation that affects blood glucose levels in normal. For clarification, if you mitigate the dawn rise by increasing basal insulin delivery, you still have the dawn phenomenon.

        2 years ago Log in to Reply
    14. kristina blake

      I used to, while on MDI. First thing we tried was splitting my Lantus dose. That helped somewhat, but once I got my pirst pump (pre-CGN days) and saw that I could vary the basal setting by time of day, it basically doesn’t happen all that often. My CGM data shows me when I should start the very early morning increase in basal since insulin can take some time to do its job. I do rise due to my first cup of coffee (black – no additives) so I bolus for 6 grams and that handles it.

      2 years ago Log in to Reply
    15. Patricia Dalrymple

      No, unless you want to count being carb-bad the night before.

      2 years ago Log in to Reply
    16. Carol Meares

      I have adjusted my basal to reflect and adjust for dawn phenomena and I have to be careful about my morning foods as my insulin needs are higher in the morning for food eaten.

      2 years ago Log in to Reply
    17. Becky Hertz

      I probably have, but now no since I’m on a pump. However my early morning basal (3-5 am) is not significantly different than those around it.

      2 years ago Log in to Reply
    18. Christina Trudo

      I did for a great many years, but haven’t for the last 15 or 20. (I’m 70)

      2 years ago Log in to Reply
    19. Lisa Moir

      Since being on a pump/CGM, I don’t experience dawn phenomenon any more, but I need to be careful with morning exercise because of the increased insulin I get from 3-5 AM. I drop pretty quickly if I don’t eat a snack.

      2 years ago Log in to Reply
    20. George Lovelace

      The Dexcom G6 and Tandem w/CIQ have finally eliminated that problem

      1
      2 years ago Log in to Reply
    21. Janis Senungetuk

      Yes. Since starting Control-IQ that hasn’t been an issue.

      1
      2 years ago Log in to Reply
    22. George O Hamilton

      My BG almost always rises. So I have the basal rate on my pump to increase beginning at 5:30 AM. The effect is that my morning BG usually stays stable until whatever time I choose to eat breakfast and take the mealtime bolus.

      2 years ago Log in to Reply
    23. ConnieT1D62

      I used to but not anymore with Tandem Control IQ. Without Dexcom G6 and CIQ, most likely I would still be experiencing dawn phenomenon.

      1
      2 years ago Log in to Reply
    24. Ahh Life

      Feet on the floor,

      Watch the BG soar!

      The control IQ keeps me flatline from about 2200 hours to 0530 hours. Then the fun begins. I have been advised NOT to cover it with basal but to use corrective doses. Between the growth hormone factors and the gastroparesis random number generator factors, I am having an exciting every-day-is-new-on-the-roller-coaster experience. Ain’t life fun? 🙈 ⚠

      2 years ago Log in to Reply
      1. Stephen Woodward

        This is not DP, which only occurs during sleep. You are describing feet on the floor and are doing what I do if this happens.

        2 years ago Log in to Reply
    25. Kathleen Amper

      I use to have a pretty severe one but then menopause hit and now it’s not so bad.

      2 years ago Log in to Reply
    26. Donna Condi

      I have my basal set higher to cover it so since being on Tandem it is not an issue. If I don’t do much or eat breakfast I can straight line up to 12:00 noon before it starts to come down.

      2 years ago Log in to Reply
    27. Grey Gray

      MM automode compensates.

      1
      2 years ago Log in to Reply
    28. Stephen Woodward

      This is a very poorly written question as can be seen by the comments. DP happens only while sleeping and that should have been in the question to eliminate the “feet on the floor” syndrome which only happens after you wake.

      1
      2 years ago Log in to Reply
    29. Stephen Woodward

      Dawn Phenomenon

      https://www.diabetesdaily.com/learn-about-diabetes/understanding-blood-sugars/is-my-blood-sugar-normal/high-blood-sugar-hyperglycemia/fixing-high-morning-blood-sugars-dawn-phenomenon/

      https://beyondtype1.org/dawn-phenomenon/

      2 years ago Log in to Reply
    30. Daniel Smith

      Yes, dawn phenomenon is pretty constant and I have it programmed into basal. As others are mentioning foot on the floor can be a real pain to deal with.

      2 years ago Log in to Reply
    31. Molly Jones

      After reading comments, it looks like mine is not dawn phenomenon. It is always when I awake.

      2 years ago Log in to Reply
    32. Cheryl Seibert

      Since starting on a CGM in 2012, I’ve had a very quick, severe morning rise 5am-6am timeframe (I’m a morning person, so no surprise). I also have a natural rise at 11am and 10pm for some reason. I’m currently 90-93% in range so my endo is happy with the short-term(30-60 min) rise in the morning. I plummet soon after… prebolusing, basal corrections, carb ratio adjustments make no difference. The only thing that eliminates it is a hot shower immediately after eating or getting up and moving around, as opposed to sitting and reading the paper 🙁

      2 years ago Log in to Reply
    33. n6jax@scinternet.net

      I am the reverse !! I wake up because of a LOW BG… I have a snackThen I go back to bed for a few hours more.

      2 years ago Log in to Reply
    34. Jamie W

      It’s really hard to tell, because there are so many things that could make my blood sugar rise at any time.

      2 years ago Log in to Reply
    35. T1D5/1971

      That’s what the higher early morning basal rate is programmed for. Correct basal rate means no hyperglycemia.

      2 years ago Log in to Reply

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