question about dawn phenonomen?

trailrunner · #1 (**permalink**) 04-20-2006, 08:48 PM

My fastings have been around 130 -140 ish, no matter how much I sleep. four nights a week I get off work @ 3 am and go right to bed.I get up @ 0700 to take my daughter to school,I test as soon as I get up. I try not to eat after midnight on my work nights so that I'll have a more accurate bg. Even when I get 8-10 hours of sleep they are 130-140. On the nights I got more sleep my fastings used to be under 110. Are these new numbers the result of DP , even though on some nights I only sleep 3or so hours? Thanks claire

Cinnabon · #2 (**permalink**) 04-20-2006, 09:26 PM

I cant really say the DP depends on your hours of sleep, but more like your liver's responses. Have u tried checking your BS at 3 am?
You might see if it begins to rise or even lower. This 3 am test might have a lot to say. Keep us posted if u can...

psilocybin · #3 (**permalink**) 04-20-2006, 10:20 PM

for some reason dawn penomonem is not an issue for everyone...it depends on your body (how many times have you heard this one LOL) it varies from person to person... i never have an issue...same basel rate across the board.

DeusXM · #4 (**permalink**) 04-21-2006, 01:49 AM

Another hugely influential factor in DP is whether or not you have breakfast with some carbs in shortly after waking. If you don't, you will probably end up with very pronounced DP.

duck · #5 (**permalink**) 04-21-2006, 04:54 AM

I thought it wasn't considered DP unless blood sugar readings were VERY high...I'm not sure what the threshold is, but I thought it was 250+ for no other explicable reason?

I don't have DP; As long as I wake under 140 (I aim for <120), I'm fine with my waking sugars.

JediSkipdogg · #6 (**permalink**) 04-21-2006, 04:59 AM

It is your BG needs to be high. It can be in a few different ways and still be considered the DP.

1) Rising BG after a wake in the middle of the night where you check and you are running normal...needs to really have a significant rise
2) Significantly lower Insulin:Carb ratio for breakfast to cover highs that might occur
3) Rising BG after waking in the morning

Then there is the Somogyi effect which is a rise in BG from an overnight low where your body releases glucagon on it's own to cover the low. The only way to test for this is to wake in the middle of the night and find out what your BG is.

Cyborg · #7 (**permalink**) 04-21-2006, 05:01 AM

From what I hear, DP can even occur when you take short naps. Cin suggests to wake yourself at night to check your bg, that is to ensure you are not going low. If you go low, your liver will produce glucose as a response and you will wake up with elevated bg.

My DP does not hit me until after I wake. The only way I have found to deal with mine is through basal adjustments prior to waking on my pump. Unfortunately, you are not a pumper (I'm assuming this).

There are quite a few previous threads on this forum regarding DP and suggestions on how to deal with it, including links to additional information. Good luck...

Tokyo Cate · #8 (**permalink**) 04-21-2006, 07:51 AM

Quote:

Originally Posted by Cyborg

Unfortunately, you are not a pumper (I'm assuming this)

Funny, back in my pumping days, I didn't consider those things, didn't adjust for them and had no guidance in responding to them from my endo or a pump trainer. I am not sure how much one happy pumper means to a supplier, but perhaps had my changing needs been responded to, I would continue to be a happy pumper. Instead, I am thrilled with my MDI (no set changes, no tube hangage, no pager confusion, no water anxiety, no immense expense).