Are you a "morning person"? Dawn Phenomenon poll [Archive]

duck

07-13-2006, 10:18 AM

spike

07-13-2006, 10:23 AM

I am starting a poll to see if we can make a link between Dawn Phenomenon and being a "morning person". For the purposes of this poll, you are a morning person if you naturally get up early, alarm clock or not. If you can sleep until noon with no worries, then you are NOT a morning person.

By your definition, I'm neither, even though I consider myself NOT a morning person. I always needed an alarm clock to go through several snooze alarms to get me up. I wake up during my morning shower, rather than bounce out of bed full of energy like my ex used to. She could wake up and in the next instant be running around cleaning the house, fully awake.

I do NOT like sleeping in all morning though--I'm up before 7:30.

Now for the DP--my basal rate in the middle of the night is double my daily basal rate. That's one of the primary reasons I switched from MDI to pumping--to wake up with a normal bg instead of being sky high.

JediSkipdogg

07-13-2006, 10:42 AM

My problem is I'm both a morning and non morning person. On days that I work I'm up at 5 am and ready to go by 5:05 if needed. On days that I'm off, I sleep till noon and then still takes about an hour or two before I feel like doing anything.

I will say though that my DP is MUCH stronger during my 5 am wakes than my noon wakes.

4519

07-13-2006, 11:17 AM

I have only a small problem with it. It is normal and happens to non-diabetics as well, but they control it.

duck

07-13-2006, 11:29 AM

By your definition, I'm neither, even though I consider myself NOT a morning person. I always needed an alarm clock to go through several snooze alarms to get me up. I wake up during my morning shower, rather than bounce out of bed full of energy like my ex used to. She could wake up and in the next instant be running around cleaning the house, fully awake.

I do NOT like sleeping in all morning though--I'm up before 7:30.

Now for the DP--my basal rate in the middle of the night is double my daily basal rate. That's one of the primary reasons I switched from MDI to pumping--to wake up with a normal bg instead of being sky high.

Somehow, I think if you are up by 0730, you can safely classify yourself as a morning person. :cool:

Slightly OT: But I think "morning people" don't think they are "morning people". In college, my roommate and my GF were both morning people and would likely cut your throat if you acused them of such an evil thing. My roommate literally would fall apart at 9PM...Start complaining about being tired, sick, not feeling well...and out life a light as soon as he laid down (made life real difficult since I am a "night person"). And at 0600, he was awake, whistling, singing. I almost put my boot in his foot a couple times. My GF could stay up late, but even so, she was out and about at 0700, but not always happily. She said that since she needed a shower to feel fully awake, she was not a morning person. I argued since she could get out of bed by 0700 without an alarm, she was. Alas, one of the many arguments we had, LOL.

duck

07-13-2006, 11:30 AM

I have only a small problem with it. It is normal and happens to non-diabetics as well, but they control it.

Agreed. As diabetics, we get some insights into things we would otherwise not get...ie, some of the chemistry behind being a "morning person". My theory is that more of us who have DP will also be "morning people", if not all of us.

valc3

07-13-2006, 11:41 AM

Okay, I'm definately a morning person. I'm up, out of bed and dressed by 5am. Morning is the best time of day. I have no DP.

spike

07-13-2006, 12:10 PM

Somehow, I think if you are up by 0730, you can safely classify yourself as a morning person. :cool:

Slightly OT: But I think "morning people" don't think they are "morning people". In college, my roommate and my GF were both morning people and would likely cut your throat if you acused them of such an evil thing. My roommate literally would fall apart at 9PM...Start complaining about being tired, sick, not feeling well...and out life a light as soon as he laid down (made life real difficult since I am a "night person"). And at 0600, he was awake, whistling, singing. I almost put my boot in his foot a couple times. My GF could stay up late, but even so, she was out and about at 0700, but not always happily. She said that since she needed a shower to feel fully awake, she was not a morning person. I argued since she could get out of bed by 0700 without an alarm, she was. Alas, one of the many arguments we had, LOL.

<g>, OK, I'll consider myself a morning person. (But not an EARLY morning person, OK?)

jen_slc

07-13-2006, 12:39 PM

grace girl

07-13-2006, 12:41 PM

I fit your criterea as a morning person....I use an alarm clock, but within 10 minutes of being up....I'm UP! I've never experienced DP. Unless they've just got me on so much lantus that I don't know it!!!!!!!!!!!!!!!!

duck

07-13-2006, 12:45 PM

I am definitely NOT a morning person (awake and dressed and ready to go by 5am, Val? that sounds like absolute torture!!! :D) and I do NOT experience dawn phenomenon, going by the definition of dawn phenomenon = a bg rise BEFORE getting up. Although I'm going to check my DexCom data to be sure - I've been going under the assumption I have no problem with DP. Are you defining dawn phenomenon as a large increase in bg or any increase regardless of size? I imagine that all of us exhibit some degree of dawn phenomenon, whether we know it or not.

You're probably right about that...The body has to release some glucose as part of its "get ready for the day" cycle. Then again, there are some people who can never get going...maybe they don't, and the non-release of glucose is part of that? Hmmmmm...

Keezheekoni

07-13-2006, 01:04 PM

duck

07-13-2006, 01:06 PM

I used to be a morning person, then I had my third child and became a stay at home mom... Since I don't have to get up for work, and I homeschool the kids, we are all not morning people. My husband is a software developer and works from home, so he's the only one who has to get up early. Well, not true, our 14 year old goes to public school, so she does get up early...

I don't believe that I have a dawn phenomenon, but maybe when I get onto the pump I will find out if I really do? I'm on 65u of Lantus at night, so maybe I do and just don't know it...

Rikki :confused:

If you consistently wake up with blood sugars in the stratosphere, and no matter what you try it's always high, it may be DP. From what I understand, it doesn't take a day off ever, and most of the time does not respond to anything other than insulin (ie, dietary tactics don't typically help).

Keezheekoni

07-13-2006, 01:21 PM

If you consistently wake up with blood sugars in the stratosphere, and no matter what you try it's always high, it may be DP.
Well, since I consistently wake up at 94, I guess I don't have it then! :rofl:

Rikki

BriOnH

07-13-2006, 01:22 PM

I will say though that my DP is MUCH stronger during my 5 am wakes than my noon wakes.

Ditto that. I find it strange that on the weekends, when I can sleep in I'll wake up low at 11am, but on weekdays when I work I am usually around 180 mg/dl 11am(wo breakfast, never been a breakfast person).

2sweet4now

07-13-2006, 03:24 PM

I wake up quite easily between 8:30 - 9:00 a.m.! I guess I am NOT a morning person. I am one of those DP individuals - however, since being on the pump -I'm waking up between 90 - 115 bs! :proud:

Finn

07-13-2006, 06:56 PM

Ditto that. I find it strange that on the weekends, when I can sleep in I'll wake up low at 11am, but on weekdays when I work I am usually around 180 mg/dl 11am(wo breakfast, never been a breakfast person).
HA! That happens to me too! It drives me nuts because it really puts a damper on trends I thought I was seeing with my blood sugars. :dontknow: In the late night/very early morning hours I am very insulin resistant (basil rate is low but if, for some reason, I need a correction bolus, it takes alot of insulin). What's up with that? Could there be more than one definition of DP?

duck

07-13-2006, 07:01 PM

HA! That happens to me too! It drives me nuts because it really puts a damper on trends I thought I was seeing with my blood sugars. :dontknow: In the late night/very early morning hours I am very insulin resistant (basil rate is low but if, for some reason, I need a correction bolus, it takes alot of insulin). What's up with that? Could there be more than one definition of DP?

Possibly. From what I read in the books I have and some sites, DP is marked by a rise in blood sugar in the pre-waking hours...One book I have says 3AM (its a manual that the hospital sent me home with years ago). None of them say it happens after waking.

What would be more conclusive, though, is CGMS of those of you who say if you wake early, you get a blood sugar rise worse than if you sleep in. My understanding of DP is you get a rise starting at X time no matter what, and you stay high until you correct...

JediSkipdogg

07-13-2006, 07:07 PM

Possibly. From what I read in the books I have and some sites, DP is marked by a rise in blood sugar in the pre-waking hours...One book I have says 3AM (its a manual that the hospital sent me home with years ago). None of them say it happens after waking.

What would be more conclusive, though, is CGMS of those of you who say if you wake early, you get a blood sugar rise worse than if you sleep in. My understanding of DP is you get a rise starting at X time no matter what, and you stay high until you correct...

What do you consider waking up with a normal BG every morning, but having a carb ratio 4x higher than the rest of the day? For the rest of the day my carb ratio is about 1:19, then for breakfast it's 1:5. During this breakfast time my BG will spike extremely high many times into the 300 and occasion 400 (if I grab a donut for breakfast also) but it always returns to normal 3-4 hours later. My doctor and I call that the DP. Your definition aboves calls that not the DP. So what do you call it duck?

Cyborg

07-13-2006, 07:11 PM

Doesn't look like much correlation here...

I'm a morning person and I have strong DP as soon as I wake.

duck

07-13-2006, 07:11 PM

What do you consider waking up with a normal BG every morning, but having a carb ratio 4x higher than the rest of the day? For the rest of the day my carb ratio is about 1:19, then for breakfast it's 1:5. During this breakfast time my BG will spike extremely high many times into the 300 and occasion 400 (if I grab a donut for breakfast also) but it always returns to normal 3-4 hours later. My doctor and I call that the DP. Your definition aboves calls that not the DP. So what do you call it duck?

It's called other hormones, "normal" people suffer from the same thing, they just don't know it. DP starts when you are still asleep, if you have another problem, name it something else. Or heck, go take it up with ADA/JDRF and ask them to re-define DP.

Are you hungry/able to eat when you wake?

duck

07-13-2006, 07:13 PM

Doesn't look like much correlation here...

I'm a morning person and I have strong DP as soon as I wake.

Yeah, this is the first I've seen anyone claim they are not morning people yet get DP...Then again, they could all be like Spike and living in denial that they are of the evil human subset known as "morning people"...:smartass:

(just kidding, just kidding)

JediSkipdogg

07-13-2006, 07:24 PM

It's called other hormones, "normal" people suffer from the same thing, they just don't know it. DP starts when you are still asleep, if you have another problem, name it something else. Or heck, go take it up with ADA/JDRF and ask them to re-define DP.

Are you hungry/able to eat when you wake?

From http://www.diabetic-talk.org/dp.htm

So, what does all this have to do with a high fasting BG? Overnight, usually between 4am and 11am, your body releases some hormones. These are Growth Hormone (GH) from the anterior pituitary gland, cortisol from the adrenal cortex, glucagon from your pancreatic alpha-cells, and epinephrine (adrenalin). These hormones cause an increase in insulin resistance, raising your BG. In addition, these hormones trigger glycogenolysis and gluconeogenesis, adding stored or new glucose to your bloodstream. Dawn Phenomenon, and its associated increase in insulin resistance, is the reason most diabetics are far more sensitive to carbs in the morning.

That last part is exactly what I have. So it's not 100% DP, but it's associated with it caused by it. I have no DP overnight though.

As for the being hungry, I can eat or not. I eat breakfast since that's the most important meal of the day. But there have been mornings where I just skip it alltogether and then about 3 hours after I wake I'm in my 1:19 carb ratio. I only have to give the 1:5 carb ratio if I eat when I first wake up. Once I eat, then about an hour or so later, I'm back to 1:19 again.

duck

07-13-2006, 07:30 PM

From http://www.diabetic-talk.org/dp.htm

So, what does all this have to do with a high fasting BG? Overnight, usually between 4am and 11am, your body releases some hormones. These are Growth Hormone (GH) from the anterior pituitary gland, cortisol from the adrenal cortex, glucagon from your pancreatic alpha-cells, and epinephrine (adrenalin). These hormones cause an increase in insulin resistance, raising your BG. In addition, these hormones trigger glycogenolysis and gluconeogenesis, adding stored or new glucose to your bloodstream. Dawn Phenomenon, and its associated increase in insulin resistance, is the reason most diabetics are far more sensitive to carbs in the morning.

That last part is exactly what I have. So it's not 100% DP, but it's associated with it caused by it. I have no DP overnight though.

As for the being hungry, I can eat or not. I eat breakfast since that's the most important meal of the day. But there have been mornings where I just skip it alltogether and then about 3 hours after I wake I'm in my 1:19 carb ratio. I only have to give the 1:5 carb ratio if I eat when I first wake up. Once I eat, then about an hour or so later, I'm back to 1:19 again.

I know a lot of people who can't eat in the AM, or rather could skip eating and not suffer for it. A LOT of that has to do with the cortisol, HGH and other hormones that help curb appetite while asleep (or else you would get hungry and wake up in the middle of the night). So (and this is duck's theory) those same hormones are making you insulin resistant in the AM...I'd bet most of us suffer from that to some degree.

I never said there was only one "morning sugar increase" phenomenon. And besides, none of us fits into the tidy little box they teach doctors about "diabetes".

Cyborg

07-13-2006, 08:29 PM

DP starts when you are still asleep, if you have another problem, name it something else.

I don't believe that is true as with some people the bg does not start to rise until after I awake. I can get up early in the morning to use the loo, before my normal wake up time, and that alone can kick off the DP.

As for the being hungry, I can eat or not. I eat breakfast since that's the most important meal of the day. But there have been mornings where I just skip it altogether and then about 3 hours after I wake I'm in my 1:19 carb ratio.

Have you done any morning basal testing? I'd interested in knowing what your bg does if you don't eat until lunch time.

So (and this is duck's theory) those same hormones are making you insulin resistant in the AM...I'd bet most of us suffer from that to some degree.

I know for sure I'm more insulin resistant in the morning, due to higher carb ratios being required, even when the DP is controlled via the pump.

duck

07-13-2006, 08:46 PM

I don't believe that is true as with some people the bg does not start to rise until after I awake. I can get up early in the morning to use the loo, before my normal wake up time, and that alone can kick off the DP.

Then call it something else. Cyborg, if you slept until 1PM, your sugars would still rise upon waking, right? Would a post-noon rise still be called "dawn phenomenon"? I'm not trying to be facetious, serious question. Maybe "DP" is too broad a term?

Cinnabon

07-13-2006, 08:50 PM

Before my pump I had severe dawn Ph.

Cyborg

07-13-2006, 08:53 PM

Then call it something else. Cyborg, if you slept until 1PM, your sugars would still rise upon waking, right? Would a post-noon rise still be called "dawn phenomenon"? I'm not trying to be facetious, serious question. Maybe "DP" is too broad a term?

If the increased insulin resistance, hormone release, etc., all occur, but the the glycogenolysis and/or gluconeogenesis doesn't occur until you rise, what makes it not DP?

During my last appointment I talked to my endo about what was happening when I wake and that I thought it was a liver dump. He wouldn't say one way or another what exactly it was, but he did not say it wasn't DP. I will pose the question again and dig deeper on my next appt 10 days from now.

duck

07-13-2006, 08:54 PM

Before my pump I had severe dawn Ph.

So...you suffer from it, but you correct it with insulin (and a pump)...

duck

07-13-2006, 08:56 PM

If the increased insulin resistance, hormone release, etc., all occur, but the the glycogenolysis and/or gluconeogenesis doesn't occur until you rise, what makes it not DP?

During my last appointment I talked to my endo about what was happening when I wake and that I thought it was a liver dump. He wouldn't say one way or another what exactly it was, but he did not say it wasn't DP. I will pose the question again and dig deeper on my next appt 10 days from now.

I see what you're saying, and no matter how it is defined, I know you want to get it handled...But if DP and the defining rise in BS (um, blood sugar) occur while asleep, and you wake up normal and go high as a result of waking up, then is that still DP?

This would make an interesting diabetic conference...

Cyborg

07-13-2006, 08:58 PM

But if DP and the defining rise in BS (um, blood sugar) occur while asleep, and you wake up normal and go high as a result of waking up, then is that still DP?

I will ask that exact question...

psilocybin

07-13-2006, 09:02 PM

im going to have to say...yes i am a morning person, and no i am not effected by dawn phenomenon

duck

07-13-2006, 09:04 PM

im going to have to say...yes i am a morning person, and no i am not effected by dawn phenomenon

You people are ruining my nice bell curve...

:rofl:

jen_slc

07-13-2006, 09:31 PM

During my last appointment I talked to my endo about what was happening when I wake and that I thought it was a liver dump. He wouldn't say one way or another what exactly it was, but he did not say it wasn't DP. I will pose the question again and dig deeper on my next appt 10 days from now.For what it's worth, my endo told me my problem (waking up w/normal bg but huge spike right after I got up) was due to a liver dump and not DP precisely because I woke up with normal bg. He said if it was DP, I would already be high upon waking. There doesn't seem to be any consistency on this topic no matter where you go for answers. :tongue:

As for a name, maybe call it "wake up phenomenon" :D I honestly do think this is something different from DP because without breakfast, my bg will spike no matter what time I get up, 7am or 11am. DP is related to circadian rhythm and times, my wake up spike is not.

Cinnabon

07-13-2006, 09:37 PM

So...you suffer from it, but you correct it with insulin (and a pump)...
I was able to control it very well w/ my pump(settings). I am a morning person, but this does not affect me anymore with my right settings.

HelenM

07-13-2006, 09:55 PM

As for a name, maybe call it "wake up phenomenon" I honestly do think this is something different from DP because without breakfast, my bg will spike no matter what time I get up, 7am or 11am. DP is related to circadian rhythm and times, my wake up spike is not.

Im a morning person and this happens to me, I'm confused and havn't responded to the poll!

JasonJayhawk

07-14-2006, 12:18 AM

About 90% of the time, I'll need to take a couple units of fast-acting insulin after waking up from a 6+ hour sleep. This doesn't matter whether I wake up in the morning or the afternoon. Of course, it's not that simple, but it's a general condition for which I watch.

spring

07-14-2006, 12:32 AM

Hmm, very interesting topic!

I guess under your system I qualify as a non-morning person. I was always a natural early riser (7am even on weekends) until I was about 16, then teen growth and hormones and the like made me sleep more (and therefore later) but I'm still super chipper when I wake up and alert the second my eyes open, especially if I get nine hours (it's ridiculous but at 20 I still need 9 to be fully rested!)

I don't suffer true DP under the criteria, but more what others like cyborg are describing. Sometimes when I wake up it's quite high, but not all the time. However, even if it's perfect, if I don't eat it rises quite a bit after I wake up (the only exception being when I'm low, but even then I'm sensitive to carbs and if I don't over treat/increase the ratio with my short acting I end up being 12-16 post prandial, despite being 2 or 3mmol/l upon waking/prior to eating)

As per defining early bird or night owl, I suppose there are something like 3 categories :tongue:
True Early Bird - Wakes up naturally quite early, and is full of get up and go.
Semi Early Bird - May stay up late and need assistance to wake early/naturally sleeps in, but is immediately awake and cheery (to night owls annoyingly so. I had many a friend tell me that I'd just better shut up until first period or they'd be temped to punch me) and if forced awake early, still quite alert.
True Night Owl - Stays up late, sleeps in late, needs an alarm and is semi comatose or cranky for a good half hour (perhaps requiring food to wake or a shower, and sometimes still remaining out of it for an additional half hour)
*I'd say those who get up early because of commitments but are forced/require an alarm clock and suffer similar symptoms to the night owl qualify as such. If you're not getting enough sleep or have erratic hours, I think that also affects your ability to wake up unassisted.

I feel if I went to bed earlier, I would automatically wake up earlier, it's just I've formed a habit/pattern of staying up (er.. on the internet) and sleeping in late. I don't always need an alarm clock if I keep regular hours though, and am always alert the moment I open my eyes.

KickStart101

07-14-2006, 01:31 AM

I've known since I was about 10 yrs. old that I am Not a morning Person.
From the known definition of DP, I do Not have DP.
I even stayed at the sleep clinic to try and find a solution to it. No luck there.

I do however have the "other Phenomenom"(I like Jen's name for it :) )...
where, I get up with a normal blood sugar level, eat and drink nothing, exercise even, to no avail. My sugar level within 60 minutes will have gone from say: 4.8/86 to 7.0/126. As someone mentioned, the liver dumping to get you started for your new day. Stupid liver. This is a normal happening so there has to be a normal name for it. Every little thing has a name.
**************
Sorry, I'm side-tracking this thread because I don't want to start another.

This is also normal for me and probably loads of other Diabetics.

I got up at 12:00 noon yesterday. I needed some groceries(since we decided to stay here for the week-end since it's supposed to be 40C , where we were going has no air conditioning :tongue:Forget it ). Hubby was in the back yard building his trailer,:tongue: so he wouldn't have time. My Daughter agreed to go with me.

My sugar was 4.5/82. I ate and drank Nothing but a small glass of water. I took No Insulin. The sun was already beating down. We walked almost a mile, (never measured it)to the store, walked around shopping for about an hour, met some Friends, yapped for a while, walked halfway home, rested(Arthritis was painful), did a bit of window shopping, admired tons of flowers on the rest of the way home. I checked my sugar after I put the groceries away. After a good 3 hrs. and No Insulin, my sugar was 6.1/110.

Just interesting and I've done this many times, same result.

I figure:

1. The sun: takes energy out of a Person
2. The outside exercise: takes more energy
3. The stress of going outside before I am awake: takes energy
4. No food: no energy

All combined kept my sugar down.

Actually it was not that stressful. I enjoyed it. :)

DeusXM

07-14-2006, 01:45 AM

I'm definitely not a morning person - I need to put the alarm on snooze at least three times and woe betide ANYONE that gets in the way of me during the shuffle from my room to the shower. Once I've had a shower I generally do a bit better.

However, I don't suffer from DP at all. That doesn't mean my BG doesn't necessarily rise, just that it's never high when I wake up. In fact usually I wake up borderline hypo, between 3.5 and 4.5 pretty consistantly.

However, when I was on Insulatard, working irregular hours and not eating breakfast, I'd suffer from horrific BGs first thing in the morning - we're talking 10s and 12s here. Then I would feel really crappy. That's what UI loved about moving back onto Lantus and getting better morning readings - I just feel so much better in the mornings, but not enough to actually get out of bed and enjoy it!

JediSkipdogg

07-14-2006, 04:24 AM

I see what you're saying, and no matter how it is defined, I know you want to get it handled...But if DP and the defining rise in BS (um, blood sugar) occur while asleep, and you wake up normal and go high as a result of waking up, then is that still DP?

This would make an interesting diabetic conference...

I would still consider it DP and I know alot in the medical community do. They consider any unexplained rise in morning BG (not caused by the Somogyi Effect) as DP. It sounds to me like you are considering DP as ONLY a rise between 4 and 8 am in which the rise is slowly with waking. Whereas alot of others in the community say it can happen after waking and can be distinguished also by normal BG levels but high insulin resistance (which is me.)

JediSkipdogg

07-14-2006, 04:34 AM

duck

07-14-2006, 06:54 AM

I just looked online and here's an interesting read...

http://www.insulin-pumpers.ca/darnphenomenons.html

I know most in the medical industry consider all of those phenomenons in that article as the DP with different causes. But there they break them down as all different. So in a sense, to each their own....and what I have is the "Breakfast Phenomenon"

That's a good read, and more along the lines of where I am coming from...there is more than just "DP" affecting many of us.

Seriously, this topic would make for a great conference...

LIZBETH1956

07-14-2006, 07:11 AM

I am most definatly a morning person...I get up early even when I don't have to! And soon as my eyes open I am up and ready to go! Used to drive my daughter nuts when she was a teenager. This morning when I tested my bg was 274. And I bolused last night before bed!

am1977

07-14-2006, 07:59 AM

So what happens when you are not a morning, afternoon, OR night person :hmmmm:... :dontknow:

JediSkipdogg

07-14-2006, 08:16 AM

So what happens when you are not a morning, afternoon, OR night person :hmmmm:... :dontknow:

You should be dead? Or maybe have no personal contact with society.

am1977

07-14-2006, 08:57 AM

You should be dead? Or maybe have no personal contact with society.
I am starting to think you are right :eek:...

DeusXM

07-14-2006, 09:02 AM

This morning when I tested my bg was 274. And I bolused last night before bed!

That bolus could be causing that phenomenally high BG. If it's making you have a hypo in the night and you don't wake up, you'll have a terrible BG the next morning.

KrisinNM

07-16-2006, 06:53 AM

That bolus could be causing that phenomenally high BG. If it's making you have a hypo in the night and you don't wake up, you'll have a terrible BG the next morning.
I think that is known as "symyogi" or something.
I am a morning person and have DP but my BG doesn't rise until I am out of bed. I can program my pump to take care of it during the week but weekends are a **** shoot...sometimes up at 6:00, sometime not til 8:00.

spike

07-16-2006, 07:26 AM

I think that is known as "symyogi" or something.
I am a morning person and have DP but my BG doesn't rise until I am out of bed. I can program my pump to take care of it during the week but weekends are a **** shoot...sometimes up at 6:00, sometime not til 8:00.

Close-- it's the "Somogyi effect" My previous endo said it was messing up my control. I think he was right (about the ONLY thing he was right about). :) He was the endo that didn't want me going on a pump because he thought I'd have more lows than on MDI. Boy, was he wrong!

xMenace

01-02-2008, 12:09 PM

I think many of us noobs can add to the data and discussion of this thread. It's always a relevant topic.

Evermont

01-02-2008, 01:21 PM

I am decidedly a morning person. I wake up early, like 6 a.m. and ready to rock (unless my cat George gets hungry at 4:30). My brain starts out at 105% efficiency and gradually grinds down to 75% by 9 p.m.

I'm not sure if I have DP, help me out. My glucometer is 120-140 when I wake up, like clockwork. Just prior to meals I'm usually 90-110. So there's a little bump there at dawn but is it enough to call it DP for the purpose of this poll?

silverfrost

01-02-2008, 04:23 PM

I am a morning person. I like to wake up early and get work done then.

I actually put that I am not a sufferer of DP, since my BG rises about 20 mg/dL at most after I wake. Looking at previous posts, however, I see that any rise seems to be considered DP. So I suppose I do have DP, then. :0

Jill-O

01-03-2008, 03:13 AM

I usually get up around 4am, and I do have DP (soooooo frustrating). I like getting up early, but not the DP.

Injecto

01-03-2008, 04:59 AM

If by DP you mean my BGs increase at 2AM (almost like clock work) and I need to increase my basal insulin to almost 4 times what I use during the day, then yes I do "suffer" from DP. Plus, if you consider waking up between 6AM on work days and 7:30 AM on weekends, then by all means classify me as a morning person (who can stay up late, but I don't really like much past 1 - 1:30AM, at which point I may sleep in to 8-9AM).

duck

01-03-2008, 06:42 PM

Evermont

01-03-2008, 06:50 PM

I'd classify DP as a big rise in blood sugar, like going from 100-200 while asleep. But I have read many places that small rises are consider DP, but again I dunno that I would worry too much if my sugars went from 100-120 right before I woke up...

I'm not worried but I was curious how I should vote. So I just voted "Yes, I am a morning person and I do NOT suffer from DP"

thx duck

duck

01-03-2008, 06:54 PM

I'm not worried but I was curious how I should vote. So I just voted "Yes, I am a morning person and I do NOT suffer from DP"

thx duck

Now that I have sat back and thought about it, I guess I would qualify DP as a rise in blood sugar that takes it into "abnormal" high ranges. And again, that is probably debatable.

I'm NOT a morning person, but in the last few months of my life I have somehow triggered a "reactive" DP since I now have to get up earlier than I ever have for work, consistently. And I HATE it (the getting up :D )

xMenace

01-03-2008, 06:56 PM

I only know one diabetic with no DP at all, and she has a pituitary gland condition. Don't ask me what it is.

JasonJayhawk

01-03-2008, 10:15 PM

If I avoid eating a high-fat, high-protein meal, then I don't suffer from DP. If my meal consists of rapidly-digesting carbohydrates, I get over the digestion. The earlier I eat dinner, the less likely chance I'll have "DP".

The DP that bothers me (and causes the 100+ mg/dl rise) comes from food digestion. I can eat a meal at, say, 5 PM, and will end up having a second meal peak (from digestion) hit around 10 PM.

That's why I'm thinking about an insulin pump--maybe I could spread the bolus out and not have to remind myself to bolus a second (or sometimes, third) time after a meal.