Can't break the morning high test results

[Crochammer]

Up until 6 months ago I would wake up at between 6.2 and 7 every morning. I am used to power walking a minimum of an hour and a half a day and weight lift 3 days a week. Usually I will do a 1/2 hour walk in the morning before breakfast. I have been a type 2 since 1996 and my 3 month A1c's have never been higher than 6.5 but the last test shot up to 8.2. I now take 2 80mg Gliclazide before B/fast and 2x 500 mg Metformin after. After 7 hours sleep I will wake up with a monitor result of 9.5 to 11 and can't get that number down until after lunch no matter how much excercise I get in the morning. I take 1 Gliclazide and 1 Metformin at lunch and the same at dinner plus 1 Metformin before bed after a small snack of some nuts or a small granola bar. Between about 3PM and up til 11PM I am often at 4.4 to 5.8 so all my problems seem to be the big number I get in the AM that I can't seem to get down. The doc says I am doing everything right but the results don't show it.

Does anybody else have this problem and/or are there any ideas about how I can beat the morning numbers?

[am1977]

I'm type 1, so I'm not that familiar on Type 2 management and medications. However, it does sound like your treatment plan needs to be addressed. It could be that your meds need to be adjusted, changed, or increased. It also might be a good idea to discuss using Insulin to bring down your numbers and your A1c. I know some think insulin is this taboo thing, but I have heard how once a type 2 starts using it, how dramatically better they feel and how much better their blood sugar is. It's worth considering. I guess my main point is that it probably would be best to get in touch with your doctor and discuss this with him or her. Your doctor can advise you and help you get back on track.

Hope things improve. Take care,

Andrea :nerd:

[liz32]

Andrea is right, it sounds like you need a better base dose. I'm t2 and take lantus..it's only one needle a day and I really like it. You may want to ask your gp about it. You could also try eating more protien at night. I find that when I do my morning numbers are very good and in control..usually 6.5 or so. hope that helps...let us know how you make out.

[TvBabe]

I agree with everyone else........I think if you added one shot of Lantus (which is a long acting 24 hour insulin) to your mix you'd probably end up with excellent control :)

I'm T2, never had alot of luck with orals myself and now I'm on a regime of short acting and long acting insulin. Lantus was a life saver in my case and to be honest injections hurt less than testing your blood sugars :)

[Crochammer]

I just made an appointment with my GP but I think I am going to get a referral to a Specialist. I have not been very happy with him recently as I tend to get cut off after 10 minutes with him.

I actually have increased my dosage of the Glic in the morning but I will ask him about the Lantus and I certainly would not have a problem with an injection if it did the trick. My son is a Type 1 diabetic for 20 years so my wife and I are pretty aware of the dietary issues and we do very well that way.

I am still very surprised that my morning high counts do not come down with excercise. I am 6' and 186 lbs with a pretty well developed lean muscle mass. Not that long ago I could excercise in the morning and have readings of 5.2 before lunch on a regular basis. I guess the disease has just progressed. At lest I am happy that my cholesterol and trigliceride numbers are very good so I will take the good with the bad.

I have not really participated in this or other diabetic forums before but I have found reading through here that it is helpful to know that others are dealing with similar issues and they know what I am talking about. While friends know a bit about the disease, they really don't often get it!

Thanks for the input and feedback.

[Dode]

Hi Crochammer, I have been T2 for 12 years and have just today found a Dr. that will listen to what I have to say. I think the others are right when saying about the insulin. I have been having highs for a long time but my Drs seemed not to want to put me on insulin. This Dr. today looked at my last 30 days of levels and said right away that he felt I should be using insulin at least once a day, and if that doesn't work then he will up it to 2 times or more a day. If you are not satisfied with your Dr. then I say by all means look for another.
Good luck and remember "One day at a time."

[MarkMunday]

.... I am still very surprised that my morning high counts do not come down with excercise. I am 6' and 186 lbs with a pretty well developed lean muscle mass. Not that long ago I could excercise in the morning and have readings of 5.2 before lunch on a regular basis. I guess the disease has just progressed.....
Crochammer,

It sounds like your beta cells are giving up the ghost. And the more Glicazide you use, the quicker their demise will be. Using insulin would make sense in that it would improve your blood sugars. And it would rest your beta cells, prolonging their remaining life.

Cheers,

Mark

[jeggeman31]

I am on 110 units of insulin, 1000mg Metformin x2 day. My Dr just added 16mg Actos x1 a day and that has dropped my BS to normal range. In fact I have to reduce my Insulin intake as I have been going Hypo the last few days.