Eced Libre, Руководство пользователя

Страница: 40 / 66

AZer excluding frequent overnight lows it is oZen a good idea to make ‘geing the
morning glucose on target’ a priority. If glucose is persistently too high overnight
then people are exposed to 8 hours or so of high glucose
–
whereas during the
dayEme you have the opportunity to idenEfy that and correct it down if necessary.
There are two main causes of higher morning glucose. The first possible reason is too
liBle basal/background insulin cover over night but this is oZen not the case but
despite this background insulin doses are increased. A much commoner cause for
high glucose in the morning is that the bolus dose of insulin with the previous night’s
evening meal (or later snack) has not been enough to bring the glucose back down to
target – so it remains high and steady overnight. Background insulin’s job is to keep
the glucose steady
–
not to bring it down when it’s high. Some people have
something called the Dawn phenomenon where their glucose is fine unEl around
3am and starts to rise consistently up unEl breakfast Eme
–
this can be tricky and if it
is genuinely happening oZen pump is the best opEon.
40