Have you spoken with your Endo ? Or ever worked with a nutritionist? Try to find one that has experience with diabetics-good luck !
Hi Jophilly, I have an appointment (via phone) with my endo. in a couple of weeks, so I will talk to him then. I already did what he will tell me to do (check my numbers in the middle of the night) since that is what he had me do the last time the Dawn phenomenon was an issue. I haven’t worked with a nutritionist only because I have never needed to before. I have low carbed for over 15 years and had T1D for the past 6 and never had any issues until now. I will talk to my endo. and see what he thinks I should do now that nothing seemed to have worked. thanks!
Wow, you have never needed a nutritionist so far - quite impressive, as is the success you have had overall in your journey. As you know, diabetes is a condition which is primarily self managed. Of course you could say that of many conditions, but while patients with other conditions do things to manage them on their own, we have the ability to micro- manage our medication, food, etc, that others often cannot (Captain Obvious has spoken). Even so, many or most of us may not have had the success you have managed, with or without the advice of a dietitian and perhaps other specialists. Thank you for sharing your success. Even though things are not precisely where you want them right now you are still an inspiration. You didn’t get this far without a lot of research and hard work. Hopefully those factors in combination with advice from your doctor and nutritionist will solve this mystery. In the meantime, the health you’ve gotten from your excellent practices will help you weather this storm.
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Read mastering diabetes. Get urself out of insulin resistance which you are in.
I appreciate it wadawabbit! I am a scientist by trade, so I am extremely analytical and I also read everything I can get my hands on about a subject. I will keep on trying!
Thanks! I will check out that book (I have read a bunch of other books on T1D, but not that one). Could I be insulin resistant even though I am very thin and eat keto (possibly a stupid question)? Every time my doctor talks about “insulin resistance” he always says “I don’t think you are resistant…you a very thin”. I know a few type 2 diabetics that were not overweight, so I know resistance could be possible for thin people.
I think your doctor is wrong. Your liver is getting too much fat in it from keto. And causing insulin resistance. Are you eating healthy keto? There is a big difference. I believe you do have insulin resistance… the book will help you to understand why. 
hope it helps.
I don’t eat a lot of fat. Here is what I eat in a typical day: breakfast: plain scrambled eggs (I know these contain fats, but I eat a small amount and have been eating eggs every morning for many years) and 4 strawberries; lunch: salad with very little dressing; string cheese (where majority of the fat I consume comes from) and a handful of raspberries; dinner: grilled or baked meat (usually chicken) with either a low carb vegetable or small side salad (no toppings) and Rebel Ice cream for dessert (another source of fat, but I don’t eat a whole pint). Actually, my fat intake has lowered a bit from before when I was doing low carb, but not keto.
One thought-my Endo had me switch from Levemir to Tresiba in part due to morning highs related to Dawn phenomenon. He said Tresiba is the most stable long acting insulin. I’m not on Keto, but of course limit carb consumption. We had to go through a lengthy appeals process as the PBM for my employer health plan (OptumRX/United Healthcare) didn’t have Tresiba on the formulary. We won the exception/appeal and I just switched to Tresiba a few days ago.
Might be worth discussing with your endo. Best of luck to you 
actually, maybe it IS the Rebel Ice cream I am eating (started eating that not that long ago, but initially my numbers were low when I switched from Breyers Carbsmart to Rebel, but maybe over time it started causing a problem). I will stop eating the Rebel ice cream (it will break my heart because I LOVE IT and I never get to eat foods that I find ridiculously delicious) for a couple days or so and see if that morning number improves). I actually hope that isn’t the problem, but it more than likely will be since my luck has sucked lately (I look forward to eating a small bowl of that ice cream after dinner, so it will be difficult to give up, but I am willing to do so if that is the cause).
thanks Jophilly! I will look into that!
Thanks to everyone who posted! I wanted to give an update. I completely stopped eating the keto ice cream Wednesday (didn’t have my usual after dinner bowl). Thursday morning at 5:20a.m. my number was 170 (still sucks, but better than the 200’s it was in). This morning (Friday at 5:20a.m.) my number was 108 (YAY! and BOO!). Was hoping it wasn’t the ice cream, but seems to be. I will continue to monitor for the next week (without eating the ice cream) to ensure that was the culprit. I guess now I have to count my fat too (along with carbs). Never had to watch fats before, so that sort of sucks. thanks again everyone!!!
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I figured you would get to the both of it. Sorry you may have to give up a beloved treat. Maybe a little exercise so help balance it out🤔…
yeah, I have been getting ready to set up my new exercise room, but then this whole covid-19 thing happened. I am active during the week though…probably walk miles a day. I will keep away from the ice cream until I add more exercise to my weekly routine.
Read mastering
Diabetes … all
Will make
Sense
This information looks great keep helping peeps.