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    • 13 hours, 32 minutes ago
      Jeanne McMillan-Olson likes your comment at
      If you have been hospitalized for a reason unrelated to T1D and you were alert during your hospital stay, were you allowed to manage your own insulin dosage? (If you have been hospitalized for reasons unrelated to T1D multiple times, please select the option that describes your most recent hospital stay.)
      The hospital made me disengage my pump and promised to monitor my BG. After 10 hours with an incorrect basal my BG was high and going up. No nurse or doctor was available to administer insulin. I finally reinstalled my pump and forced the hospital to acknowledge that they could not monitor my BG. After appealing to the hospital Board, after my stay, they started using CGM's in all the wards for diabetic patients.
    • 13 hours, 33 minutes ago
      Jeanne McMillan-Olson likes your comment at
      If you have been hospitalized for a reason unrelated to T1D and you were alert during your hospital stay, were you allowed to manage your own insulin dosage? (If you have been hospitalized for reasons unrelated to T1D multiple times, please select the option that describes your most recent hospital stay.)
      During my hospitalizations for cardiac issues, my endocrinologist (who does not do hospitals) told the attending endo that I was capable of managing the diabetes. I was allowed to mange pump and CGM without any problems. For one stay, I had a pump-using T1D nurse. This was the premier cardiac hospital in the western part of my state, so their handing of diabetes may be more advanced. There are two rules for handing the type 1 diabetic in a hospital setting. 1) Never separate the Type 1 diabetic from his or her insulin. 2) Let the expert in the room handle the diabetes. And bring your own supplies, because the hospital will not have pump supplies, CGM replacements, or your insulin.
    • 14 hours, 24 minutes ago
      Jan Masty likes your comment at
      Have you (or your loved one with T1D) been diagnosed with retinopathy?
      No retinopathy... But AMD both eyes last 2 years...No treatment available... Unable to wright... bareley able to read only large type... use the talking guy hideing in my computer to read for me... Almost 91 years OLD.... 70 years T1D...
    • 14 hours, 52 minutes ago
      mojoseje likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I didn't have a stopwatch out, but it was about 12 to 15 minutes. There was a lot to go over (new devices, etc.). I probably got everything I needed, but, for some reason, I always feel rushed at this office.
    • 15 hours, 4 minutes ago
      KarenM6 likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was so long ago, I don't remember...
    • 15 hours, 57 minutes ago
      Janis Senungetuk likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was over 20 minutes but since my Endo has me so well Regulated (A1c 5.4 - 5.6) even Medicare is allowing a Visit every 4 Months. Dex 6 and Tandem CIQ is my Cure!
    • 16 hours, 4 minutes ago
      Judy Hampton likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      My A1C is normally in the 5 to 6 range also, but I am lucky to have an Endo who answers any questions I may have and discourse on new technologies. He also checks my feet and eyes. He spends up to 40 minutes with me. I have been T1D for 59 years and have been through a pregnancy (hellish) also. I still have many questions about this disease and it’s effects on the rest of my body as I am very active.
    • 16 hours, 26 minutes ago
      Patricia Dalrymple likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I believe if you have good control and your A1C's prove it, maybe 10 to 20 minutes is enough. My A1C's are in the high 5's / low 6's so my session is usually complete within minutes tops, but there are probably other patients that should require a little more time from their endo to get them on a 'well managed' A1C path.
    • 16 hours, 28 minutes ago
      cynthia jaworski likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      I believe if you have good control and your A1C's prove it, maybe 10 to 20 minutes is enough. My A1C's are in the high 5's / low 6's so my session is usually complete within minutes tops, but there are probably other patients that should require a little more time from their endo to get them on a 'well managed' A1C path.
    • 16 hours, 35 minutes ago
      Anneyun likes your comment at
      If you are an adult with T1D, how much has type 1 diabetes affected your thought-process and decision to have/not have children?
      I was diagnosed at age 12 and I don’t remember anyone talking to me about having or not having children. I married at 23, had an unplanned pregnancy that began when I was 24. I was not seeing an endocrinologist at the time (in 1979), but my OB doctor sent me to one. Both of the doctors made comments to me about maybe ending the pregnancy, but my answer was a definite NO!!! It was a hard pregnancy without the better insulin and technology that is available today. I went into labor approximately 6 weeks before my estimated due date. Since a Caesarian had been planned, no one had explained anything to me about going through labor, so that took longer and was harder on me than it should have been. Anyway I delivered a 7 pound, 11 ounce boy. He had jaundice and a slight heart murmur at first , but that cleared up after a short stay in the hospital. My son is 42 now and bloodwork has indicated he will not become a T1D. Same with his 2 children. That was my only pregnancy. I am now 67.
    • 18 hours ago
      Joan Fray likes your comment at
      During your most recent appointment, about how much time did you spend with your main T1D health care provider?
      It was so long ago, I don't remember...
    • 1 day, 9 hours ago
      TS likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      InsulinPumpers.com does a great job of distributing supplies to those in need.
    • 1 day, 13 hours ago
      jo likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 13 hours ago
      jo likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      InsulinPumpers.com does a great job of distributing supplies to those in need.
    • 1 day, 13 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I tried to donate them to my healthcare system but was told they were not allowed to take them. I tried a couple of other places- same story so I now will have to put them in the garbage
    • 1 day, 14 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I'm still looking for someone to give them to.
    • 1 day, 14 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I would love to learn of places to give/donate supplies!
    • 1 day, 14 hours ago
      KarenM6 likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      My other was gave them to the Endocrinologist office to give to people who needed them
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 15 hours ago
      Amanda Barras likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have decided to give them to my endo's office. They have a nice supply closet of donations, that they give to people in trouble. Since i have had to dip in that closet once, I now know how important that can be.
    • 1 day, 15 hours ago
      Richard Wiener likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I would love to learn of places to give/donate supplies!
    • 1 day, 16 hours ago
      Janis Senungetuk likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I gave insulin to a friend for her cat who used the same as I did.( she also checked with her vet).
    • 1 day, 17 hours ago
      pru barry likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I gave insulin to a friend for her cat who used the same as I did.( she also checked with her vet).
    • 1 day, 17 hours ago
      pru barry likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      I have given most to my doctor to give to someone in need. Some I gave to my chiropractor for his son.
    • 1 day, 17 hours ago
      Sue Martin likes your comment at
      If you have ever had extra supplies from a device you no longer use, what did you do with those extra supplies? Please select all that apply.
      My unused diabetes supplies like meters, that I was given but don’t use, just sit in a drawer. I wish there was someplace to send them. Any ideas, folks?
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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?

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    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

    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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    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
      2 years 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.

        2 years ago Log in to Reply
    2. Larry Martin

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

      2 years ago Log in to Reply
    3. Daniel Bestvater

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

      1
      2 years ago Log in to Reply
    4. Shannon Barnaby

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

      1
      2 years 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.

      2 years 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.

      2 years 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.

      2 years ago Log in to Reply
    8. Sondra Mangan

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

      2 years 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.

      2 years ago Log in to Reply
    10. David Smith

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

      2 years ago Log in to Reply
    11. Cyndi Evans

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

      2 years 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.

      2 years 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.

      2 years 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
      2 years ago Log in to Reply
    15. Tina Roberts

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

      2 years 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
      2 years 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

      2 years 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.

      2 years ago Log in to Reply
    19. Ceara Glasgow

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

      2 years 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 “sleep” function option that appears to be working well to keep my BG level steady throughout the night, including early morning hours.

      2 years 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
      2 years ago Log in to Reply
      1. Patricia Dalrymple

        Ugh. What I ATE the night before.

        2 years 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
      2 years 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
      2 years ago Log in to Reply
      1. ConnieT1D62

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

        2 years 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.

      2 years ago Log in to Reply
    25. Pauline M Reynolds

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

      2 years ago Log in to Reply
    26. Becky Hertz

      I’m not up early enough to ever see the Dawn phenomenon 🙂

      2
      2 years ago Log in to Reply
      1. AnitaS

        Becky Hertz. Hahahaha……….

        2 years 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
      2 years 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.

      2 years ago Log in to Reply
    29. Kristine Warmecke

      No, my basal is set to cover it.

      2 years 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.

      2 years 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
      2 years 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.

        2 years ago Log in to Reply
    32. Bonnie kenney

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

      2 years 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.

      2 years 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
      2 years 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.

      2 years 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.

      2 years 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.

      2 years ago Log in to Reply
    38. Robert Farley

      Yes my bs usually rises about 30 points in the morning

      2 years 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 “run out of gas” 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. (👍≖‿‿≖)👍 👍(≖‿‿≖👍)

      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. 💣

      2 years 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.

        2 years 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.

      2 years 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.

      2 years ago Log in to Reply
    42. Jodi Greenfield

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

      2 years 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
      2 years 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 “basal.” 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 “normal” blood glucose levels

      “Man proposes, Buddha/Allah/Shiva/Gott laugh.”

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

      1
      2 years 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!!!

        2 years ago Log in to Reply
    45. Adam Wright

      I give a temp basal increase.

      2 years 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?

      2 years ago Log in to Reply
    47. clhefner

      My pump settings take care of the rise.

      2 years ago Log in to Reply
    48. Janet Wilson

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

      2 years 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.

      2 years ago Log in to Reply
    50. Donna Clemons

      Temp Bolus some delivered now some delivered 2 hours later

      2 years ago Log in to Reply

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