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02-19-2006, 05:41 AM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | | Dawn Phenomena
I'm a little confused as to what classifies as dawn phenomena. Does the rise in bg have to occur before you wake for it to be dawn phenomena? Is it dependent on the time you wake? |
02-19-2006, 05:47 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,300
| |
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-19-2006, 05:53 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Sep 2004 Location: Miami, Fl
Posts: 3,120
| | | I had this for a real long time, till I got my pump.
__________________ T1- 25 yrs MM-715 (6/05)
A1C :
6/08- 5.8
3/08- 6.2
11/07 7.3 |
02-19-2006, 06:01 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,300
| | Quote: |
Originally Posted by Cinnabon I had this for a real long time, till I got my pump. | I still have it on my pump. And I'm still trying to decide how I want to go about handling it long term. My problem is it lessons as the day goes on.
If I wake up and eat right away, I have to give basically a 1:6 carb ratio. If I wait say 2 hours and eat it's only 1:10. If I don't eat for about 4 hours after waking up, then it is normal at the 1:19 ratio that I'm on throughout the rest of the day. And during that whole time my BG levels never rise until I eat.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-19-2006, 06:08 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | Quote: |
Originally Posted by JediSkipdogg | Thanks for the link, nice site. It does help explain the phenomena. I see where the page says it occurs overnight between 4am and 11am, I guess the "overnight" part, without the 4am - 11am part was misleading in everything else I read. Now I need to figure out if it's time dependent or dependent on me waking. |
02-19-2006, 06:09 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,300
| | | The effect starts when you first sleep. And for some, it can occur with an afternoon nap as well. But you don't see any symptons of it till your body (not you) starts to wake.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-19-2006, 06:11 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | | Jedi, please let me know when you find a way to deal with it. I'll do the same... Thanks |
02-19-2006, 06:15 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004 Location: Miami, Fl
Posts: 3,120
| | | Well, Its pretty simple to determine this. If you go to bed with a normal BS level, dont have anything to eat, and wake with an elevated reading, then your liver is dumping.
There are a few that experience these small dumps later on in the day.
__________________ T1- 25 yrs MM-715 (6/05)
A1C :
6/08- 5.8
3/08- 6.2
11/07 7.3 |
02-19-2006, 06:23 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,300
| | Quote: |
Originally Posted by Cinnabon Well, Its pretty simple to determine this. If you go to bed with a normal BS level, dont have anything to eat, and wake with an elevated reading, then your liver is dumping.
There are a few that experience these small dumps later on in the day. | Liver dump and dawn phenomenon are two different items. Waking to a high elevetated BG is a result of a liver dump known as the Somogyi Effect. Dawn phenomenon is simply a resistance to insulin in the morning after your body wakes up. Key word being AFTER.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-19-2006, 06:28 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | Quote: |
Originally Posted by Cinnabon Well, Its pretty simple to determine this. If you go to bed with a normal BS level, dont have anything to eat, and wake with an elevated reading, then your liver is dumping.
There are a few that experience these small dumps later on in the day. | I don't wake up with elevated sugars, unless you use Jedi's definition of waking up, in terms of "my body waking up". Perhaps I am getting these dumps later in the day.
(5 minutes passes)
Ok, I just tested both bg and ketones and I believe you are correct. My bg 2 hours ago, when I awoke, was 96. 1 hour ago it was 126 and now it is 145. I have not eaten anything. And I just checked for ketones and I am showing a small amount. |
02-19-2006, 06:33 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,300
| | Quote: |
Originally Posted by Cyborg Ok, I just tested both bg and ketones and I believe you are correct. My bg 2 hours ago, when I awoke, was 96. 1 hour ago it was 126 and now it is 145. I have not eaten anything. And I just checked for ketones and I am showing a small amount. | That is definitely the dawn phenomenon. And one way to control it is to eat. Basically you will continue to rise until you eat something so your body shuts down it's production of glucose. And when you eat something, you may need more insulin for your first meal of the day than any other meal of the day.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-19-2006, 07:01 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | So perhaps I need to eat a nice healthy breakfast first thing upon waking in the morning? Or... Since I live in Florida, and we have the best oranges in the world, a glass of orange juice with a bolus!!! The sweat nectar of the gods, forbidden to only high bg for the last 6 years!  |
02-19-2006, 07:03 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2005 Location: Cincinnati, OH
Posts: 8,300
| | Quote: |
Originally Posted by Cyborg So perhaps I need to eat a nice healthy breakfast first thing upon waking in the morning? Or... Since I live in Florida, and we have the best oranges in the world, a glass of orange juice with a bolus!!! The sweat nectar of the gods, forbidden to only high bg for the last 6 years! | Orange juice, the DP devil. You can try it, but usually the OJ will shoot you sky high (since it's mostly sugar) before the bolus insulin has time to take effect. It doesn't have to be anything big. Heck, I've found that eating just one piece of toast (9 grams of carbs) will shut the DP down for the day.
__________________
●Blue Ash, Ohio Police Dispatcher
●Type 1 diabetic for 25 years (11 months old)
●Animas pumper since December of 2002
~IR 1000 (Dec. 2002-Jan. 2005)
~IR 1200 (Jan. 2005 - ?)
●LifeScan OneTouch UltraSmart Diabetes is an Art, NOT a Science. You must master the control by skills and not by knowledge alone. |
02-19-2006, 07:23 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,835
| | Ok, frown on my o.j. parade...  |
02-19-2006, 08:02 AM
|  | Senior Member | | Join Date: Oct 2003 Location: Manassas, in the Old Dominion
Posts: 6,534
| | | Are you a "morning person"?
__________________
I'll mend myself before it gets me... |
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