Problem description: Type 1 diabetes has been treated for 8 years. Now I have three short and one long insulin treatments. During the day, blood sugar control is barely possible, but the fasting blood sugar in the morning is very high. If it’s too much, it’s up to ten o’clock in the morning. If you don’t inject long-acting insulin, your blood sugar will occasionally be normal in the morning. Occasionally your blood sugar will be more than 20 o’clock in the morning. It’s the Su Mujie phenomenon or the dawn phenomenon. Please give me a suggestion from the doctor. The insulin level is very poor, and the glucose tolerance test has not changed after 0.4 meals.
Date of problem: 2020-10-27
Patient information: Age: 27 years old, Gender: Male
Problem analysis:Hello, according to your description, in this case, it’s best to take a blood sugar measurement at 3:00 in the night and look at the value. It is very likely that it is a nighttime hypoglycemia reaction. Then we need to monitor the value of glycosylated hemoglobin. If glycosylated hemoglobin can still be below 7 to prove that blood sugar control is OK, it is recommended to reduce the amount of insulin. Long-acting insulin is recommended to be used during the day.
Guidance suggestion: When we use insulin therapy, the insulin dose is the same, but the dietary amount may change, which may lead to the risk of hypoglycemia, so What can be done at present is to adjust the dosage of insulin, try not to adjust the dosage blindly. The problem of transient hyperglycemia in the morning is not very big, and it has little effect on the body.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection