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Originally Posted by drummingfool a usual bfast for me consists of some kind of whole grain cereal, toast with sugar free jelly and a glass of milk or just water. Its just very odd, and frustrating. I know that I've had issues with insulin resistance, but that was all the time. Its gone down alot since making sure to get regular exercise, but is i possible to only have resistance in the AM? |
Yes. Well, I'm going by the fact that people can certainly have a very distinct basal profile that generally repeats day to day. I'm an example. Given most of my morning as my "normal basal", 12pm - 4pm my basal needs get almost 30% higher, then drop back to something like -30% sharply sometime about 5pm over the course of about 30 minutes, then climb back to normal in the evening. That's my unique daily resistance/absorption profile, if you like.
You're right, this does seem unlikely to be the cause seeing that you maintain stability if you don't eat breakfast. (However,I find that during those +30% periods if my basal is not really on the generous side of things, any carbs will blow me out, bolus or not. Just food for thought).
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I would chalk it up to dawn phenomenon, but if I dont eat anything my sugar stays fine. And Im not eating "high impact" carbs like juices or simple grains, so I dont think thats it.
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I think you're right in that you are not scoffing coco pops and pop tarts. But still quite some carbs, it's all relative of course. And if x carbs give no spike and y carbs give a spike then an acceptable meal of carbs is z. Which equals somewhere in between x and y. It's still a logical step to decrease your carb intake and see if things improve, if you want to make progress.
From what you've said, I'd guess delayed action is a real candidate for the cause (the details of which I'm not sure, again, I used to get that in the mornings a lot when on injections). Prebolusing would be what I would personally try, to see if I can better match the meal.