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    • 1 hour, 53 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 1 hour, 54 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 2 hours, 9 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 2 hours, 10 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 4 hours, 31 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 11 hours, 40 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 11 hours, 40 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 13 hours, 36 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 13 hours, 52 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 1 hour ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 5 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 8 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
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    Do you give a bolus right after waking up in the morning to counteract the dawn phenomenon (an abnormal early-morning rise in blood glucose)?

    Home > LC Polls > Do you give a bolus right after waking up in the morning to counteract the dawn phenomenon (an abnormal early-morning rise in blood glucose)?
    Previous

    If you wear a CGM, how many times in the past month have you had to change your sensor more than 24 hours before its session expired?

    Next

    If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus!

    Sarah Howard

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    57 Comments

    1. Daniel Smith

      This is a misleading question. The immediate rise on wake up is called foot on the floor. Dawn phenomenon is a rise in blood sugar several hours before you get out of bed.

      3
      1 year ago Log in to Reply
      1. Karen Milton

        I experience the dawn phenomenon sometimes (maybe 50%), but “feet on the floor” about 100% of the time.

        1 year ago Log in to Reply
    2. Larry Martin

      I use a pump so basal is automatically adjusted for that.

      1 year ago Log in to Reply
    3. Daniel Bestvater

      I increase my pump basal rate around 4am to look after this.

      1
      1 year ago Log in to Reply
    4. Shannon Barnaby

      I generally try to deal with the dawn phenomenon with an increased basal rate.

      1
      1 year ago Log in to Reply
    5. Yaffa Steubinger

      I bulus in the morning but not to counteract the dawn phenomenon. That’s just when I bolus.

      1 year ago Log in to Reply
    6. Sahran Holiday

      Years ago we thought I was having predawn rises. When I was injecting. It was just NPH not lasting. Switched prebedtime to longer acting helped a lot. Now Omnipod basal takes care of it. Technology rules.

      1 year ago Log in to Reply
    7. Britni

      I’m on MDI, so I wait until I’m ready to have breakfast, usually 1 to 2 hours after I wake up.

      1 year ago Log in to Reply
    8. Sondra Mangan

      My Omnipod basal settings are configured to reduce the effect of Dawn phenomenon.

      1 year ago Log in to Reply
    9. Mig Vascos

      Always give myself .8 of a unit + any adjustment my pump indicates, which still keeps me under 1 unit. Then I can have my coffee with 2 sugar cubes and my meds. It works well.

      1 year ago Log in to Reply
    10. David Smith

      I’ve adjusted my pump basal rate to do that. No need to bolus for it.

      1 year ago Log in to Reply
    11. Cyndi Evans

      Since I’m on a pump, my basal is increased to offset dawn phenomenon

      1 year ago Log in to Reply
    12. Mig Vascos

      To clarify my previous response. The .8 of a unit I get has nothing to do with the dawn syndrome. Im on control IQ and my night basals are set to do that . I do that early bolus for starting the day and the sugar in my coffee.

      1 year ago Log in to Reply
    13. kristina blake

      The other answers reflect y strategy, I increase my basal around 4:00 am to cover DP. I do have 0.6 units to cover the first cup of black coffee. Another benefit of pumping, the tailor-made insulin delivery.

      1 year ago Log in to Reply
    14. Eve Rabbiner

      The beauty of using a pump is that you can adjust your basal rates for your different needs throughout the day. Bolusing for morning coffee or meal is a whole other thing.

      1
      1 year ago Log in to Reply
    15. Tina Roberts

      No because my pump is set up with a basal to do that.

      1 year ago Log in to Reply
    16. TEH

      I’m on the 670G, and bolis for 10g of carbs to cover my morning coffee, the very second thing I do every morning. My BG will take off if I don’t. It took me a while to come around to dong this. How can a cup of coffee have 10 g of carbs? Additionally I have to offset high carbs breakfast foods (e.g. cerial) with some protein in the morning.

      1
      1 year ago Log in to Reply
    17. Joan McGinnis

      I dont worry a biut that as my output is tuned to deal with dawn phenom it’s to take my breakfast bolus 29 min ahead of eating

      1 year ago Log in to Reply
    18. connie ker

      I didn’t experience pre dawn phenomenon for several years after diagnosis. Now that I am a senior, sometimes I have this where sugars just keep rising. Since I do MDI, I inject the short acting Humalog and drink coffee until the numbers come down. That’s when I eat breakfast. This happened this morning, so your question was very timely for me.

      1 year ago Log in to Reply
    19. Ceara Glasgow

      My pump setting is a bit higher in the am for just that reason.

      1 year ago Log in to Reply
    20. Abigail Elias

      My pump’s basal rate is programmed to increase in steps starting around 4 am to counter the dawn phenomenon (I used to experience). In addition, though I’m not sure how the algorithm works, my tandem t:slim x2 pump’s Control IQ function has a ā€œsleepā€ function option that appears to be working well to keep my BG level steady throughout the night, including early morning hours.

      1 year ago Log in to Reply
    21. Patricia Dalrymple

      I said other because I bolus as soon as I get up but that’s because I eat as soon as I get up. My morning BG is really dependent on what I are the night before and how well I bolused for that.

      1
      1 year ago Log in to Reply
      1. Patricia Dalrymple

        Ugh. What I ATE the night before.

        1 year ago Log in to Reply
    22. Marvin Shotkin

      1. The dawn phenomenon is not abnormal; it occurs in non-diabetics as well.
      2. I have adjusted my early morning basal rate to account for it.

      1
      1 year ago Log in to Reply
    23. Janis Senungetuk

      Tandem’s Control IQ set on ‘sleep’ takes care of the dawn phenomenon while I’m still asleep.

      2
      1 year ago Log in to Reply
      1. ConnieT1D62

        I find that is true for me too. Gotta love that feature of the Control IQ!

        1 year ago Log in to Reply
    24. Loren Goetsch

      I must be an odd one. I’ve never had my BG rise in the morning. I always have had my drop in the morning.

      1 year ago Log in to Reply
    25. Pauline M Reynolds

      My basal is set higher at 4 a.m. to counteract the Dawn Phenomenon.

      1 year ago Log in to Reply
    26. Becky Hertz

      I’m not up early enough to ever see the Dawn phenomenon šŸ™‚

      2
      1 year ago Log in to Reply
      1. AnitaS

        Becky Hertz. Hahahaha……….

        1 year ago Log in to Reply
    27. Thomas Cline

      I answered “NA” since I always eat immediately after rising and of course bolus for that, not for any “dawn phenomenon.” Since I wake up several times each night, I always correct for any abnormal rise during the night. They are pretty unpredictable.

      1
      1 year ago Log in to Reply
    28. Sharon Lillibridge

      My evening dose of Lantus usually drops my blood sugar between the hours of 3AM and 7 AM.

      1 year ago Log in to Reply
    29. Kristine Warmecke

      No, my basal is set to cover it.

      1 year ago Log in to Reply
    30. Derek West

      Using the 670g linked to the sensor I cannot adjust the bolus rate so I give myself about 0.4 as if I am eating 2 gr cho. I have recently started not eating breakfast because my BS gets way too high by mid morning, even if I wait 30 minutes after bolusing for breakfast carbs, plus that comes close to the 7-11 diet.

      1 year ago Log in to Reply
    31. Stephen Woodward

      This question is a poorly written question since Dawn Phenomenon only occurs at night while you sleep. When you wake there is another rise that may occur called feet on the floor. These are completely different and the question infers that on a pump you would use a bolus instead of the appropriate management fir DP, increased basal. However, if managing FOTF the boys is appropriate when you wake up.

      2
      1 year ago Log in to Reply
      1. persevereT1D52

        I agree. My DP can be managed by CIQ. But I also have FOTF and the only way to combat it is to bolus before I get out of bed.

        1 year ago Log in to Reply
    32. Bonnie kenney

      My Treseba covers real good. In fact I drop a little at 6am.

      1 year ago Log in to Reply
    33. casey shane

      Control Iq on my tandem T-slim X2 and the sexy dexy g6 do an excellent job at suspending/decreasing my basal overnight well I’m asleep and getting low, and before I rebound into a morning high corrects before I’m usually up.

      1 year ago Log in to Reply
    34. KSannie

      I do not have a morning rise in blood sugars every day, only once in awhile. It is usually due to stress. If it starts to rise, I use a bolus.

      1
      1 year ago Log in to Reply
    35. Donald Stitt

      Using a pump the basal properly adjusted has taken care of this. I am just starting to use the Tandem sleep mode.

      1 year ago Log in to Reply
    36. M C

      If up early, with BG where I want it to be, often putting in insulin for breakfast about 20 minutes before eating, can often defeat the rising BG levels. If up a bit later, or delayed getting to breakfast (so haven’t yet bolused) the BG numbers will have begun rising, so I will bolus then, in addition to what I typically take for breakfast. On the very rarest of occasions, usually because I’ve bolused in the middle of the night, after checking BG and it being a bit higher than I’d like, I will wake to a normal BG, take the amount needed for breakfast, and the ‘dawn phenomenon’ experienced on many mornings doesn’t occur.

      1 year ago Log in to Reply
    37. Karen Milton

      Even if my glucose level is perfect, I still give myself one unit of Novolog because experience has taught me that my glucose level will start to climb as soon as I get out of bed.

      1 year ago Log in to Reply
    38. Robert Farley

      Yes my bs usually rises about 30 points in the morning

      1 year ago Log in to Reply
    39. Ahh Life

      I never experienced the dawn phenomenon until being diabetic for 40 years. Then, for some reason, the growth hormones causing dawn phenomenon kicked in causing me to simply ā€œrun out of gasā€ at the early 0300-0500 hours. Why growth hormones kick in at middle age is anybody’s guess.

      Control IQ now corrects that quite handily. (šŸ‘ā‰–ā€æā€æā‰–)šŸ‘ šŸ‘(ā‰–ā€æā€æā‰–šŸ‘)

      However, after 0530, other things happen cited here as FOTF by Stephen Woodard. For that I will bolus a unit every hour or so for 3 hours, but also being sure to eat as the insulin stacks up somewhat. It is still a high-wire balancing act where we hope we don’t fall or get blown off the wire. šŸ’£

      1 year ago Log in to Reply
      1. AnitaS

        I have been diabetic for close to 50 years and I still get dawn phenomena. They say it usually affects young people, but all of our bodies do different things.

        1 year ago Log in to Reply
    40. Retired and glad

      I’ve put a small boost in my basal rate starting at 3 AM since that when I’ve noticed the numbers begin to rise.

      1 year ago Log in to Reply
    41. Brian Kitt

      Interesting, I’ve only heard about the dawn phenomenon in relation to my breakfast bolus which can rarely stay under 200 even with Medtronic 770g. With a time in range of 70%+ and my card carb ratio at breakfast all the way down at 4.5. I may have to experiment, carefully of course, with a some insulin before breakfast in the morning.

      1 year ago Log in to Reply
    42. Jodi Greenfield

      Lately, my waking up BG has been “LO”, so I am usually drinking juice!

      1 year ago Log in to Reply
    43. AnitaS

      Since I am on a pump, a bolus to counteract a high sugar upon waking isn’t necessary. I just increase my basal rate starting about 3am to counteract the dawn phenomenon

      1
      1 year ago Log in to Reply
    44. Wanacure

      I’m on multiple daily injections, not a pump. I use exercise, finger pokes & Dexcom & low carb diet & always carry sugar cubes. Six units glargine (Lantus) at 6 am and 6 pm functions as my ā€œbasal.ā€ At 4 or 5 am I bolus 0.5 unit lispro (Humalog) to handle dawn phenom. Then I practice yoga and/or other exercise, then at about 6:30 am bolus another 2 units lispro for breakfast. At 11 am – noon I bolus another 2 units lispro for lunch. 6 pm: another 2-3 units lispro before dinner. Then I fast for 12 hours.

      Sometimes I need to tweak by changing meal time 20-30 minutes and/or by changing time or amount of bolus by 1-3 units and/or 4-12 grams carbohydrate (1-3 sugar cubes).

      If I add 40’ aerobic 3x/week + 70’ weight training 2x/week, I hope I remember to lower glargine doses!

      Stress, the weather, number of hugs/day (currently zero), number of laughs/day, $ spent vs $ income, daily feeling gratitude time, totally unexpected events beyond (??) my control (US neo-colonialism? nuclear war threat? global warming? ever widening wealth gap? computer glitches?) can throw a monkey wrench into my quest for ā€œnormalā€ blood glucose levels

      ā€œMan proposes, Buddha/Allah/Shiva/Gott laugh.ā€

      The Tao/Zoraster/Odin/quantum physics are indifferent.

      1
      1 year ago Log in to Reply
      1. ConnieT1D62

        Whew!!! Talk about a fully engaged diabetes 24/7 thinks and act like a pancreas mind set. We all do it and many of us know exactly where you are coming from, but I am exhausted just reading your post! Have you ever considered using a closed loop smart pump? Might lessen the load of the constant 24/7 physical/emotional/mental stress a bit.

        May all the forms of the God Source/Force be with you in all of your efforts and endeavors!!!

        1 year ago Log in to Reply
    45. Adam Wright

      I give a temp basal increase.

      1 year ago Log in to Reply
    46. Amber Bedford

      Is dawn phenomenon a thing for pump users or only for those who cannot adjust basals hourly to compensate for rises or drops in bgs?

      1 year ago Log in to Reply
    47. clhefner

      My pump settings take care of the rise.

      1 year ago Log in to Reply
    48. Janet Wilson

      Never. If basal rates are set appropriately for that time of day, it isn’t necessary.

      1 year ago Log in to Reply
    49. Cheryl Seibert

      After I retired, I had to start prebolusing about 30 min ahead of breakfast. When working, I went right from morning meal to a hot shower which improved insulin absorption and eliminated the majority of the rise. I’m a brittle diabetic so my dawn phenomenon is very steep (50-80 points or more per 30 mins). The drop is just as fast.

      1 year ago Log in to Reply
    50. Donna Clemons

      Temp Bolus some delivered now some delivered 2 hours later

      1 year ago Log in to Reply

    Do you give a bolus right after waking up in the morning to counteract the dawn phenomenon (an abnormal early-morning rise in blood glucose)? Cancel reply

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