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01-15-2009, 09:08 AM
| | Junior Member | | Join Date: Jan 2009
Posts: 3
| | | High BG readings in the morning Even if I go to bed (no eating, no other activity) with a low count, like 115, I wake up with a high reading, like 238! How can I bring my morning sugar reading down? | 
01-15-2009, 09:14 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Jun 2006 Location: New Brunswick Canada, eh
Posts: 8,646
| | | What meds/insulin are you on? It can be very hard.
Google and search DF on "dawn phenomenon" | 
01-15-2009, 09:17 AM
| | Junior Member | | Join Date: Jan 2009
Posts: 3
| | | Meds I take 1000 mg metformin 2x daily, 20 mg glimiperide 2x daily, Byetta 10 mg 2x daily. | 
01-15-2009, 09:49 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Nov 2007 Location: Dublin, Ireland
Posts: 5,789
| | | I'm on 500mg Met x 2 daily. I have found that by taking my last dose just before bed (with a small snack) that it has really helped getting my morning numbers under control.
I'm not a Doctor and if you wish to consider this, then please seek your Doctor's approval.
I have also heard of people having better success with morning numbers by using Metformin ER (extended release).
__________________ Cosmo the Duck: is with Gretchen in Cambridge, MA. Ping the Duck: is with Nancy
Metformin 500mg twice daily, Enap 5mg
Diagnosed T2 on 26th Nov'07, with BG of 21mmol/L (378mg/dL) and A1c of 11.6%.
Most recent A1c 10/09/09: 6.1%
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01-15-2009, 09:50 AM
|  | Super Moderator
I am a: Type 2 | | Join Date: Dec 2006 Location: Knoxville, TN
Posts: 10,001
| | | Do you watch your carbs? I've found if I have a carb-heavy dinner, my a.m. #s are higher as well.
__________________ T2, diagnosed 8/31/06.
Metformin 500 mg twice daily
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (after dealing with shingles & bronchiti)
2/09: 5.5 | 
01-15-2009, 09:52 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Nov 2007 Location: Dublin, Ireland
Posts: 5,789
| | Quote:
Originally Posted by princesslinda Do you watch your carbs? I've found if I have a carb-heavy dinner, my a.m. #s are higher as well. | Very good point.
__________________ Cosmo the Duck: is with Gretchen in Cambridge, MA. Ping the Duck: is with Nancy
Metformin 500mg twice daily, Enap 5mg
Diagnosed T2 on 26th Nov'07, with BG of 21mmol/L (378mg/dL) and A1c of 11.6%.
Most recent A1c 10/09/09: 6.1%
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01-15-2009, 02:28 PM
|  | Member
I am a: Type 2 | | Join Date: Dec 2008 Location: Texas
Posts: 108
| | My experience and what I have been told by others is that my morning numbers are higher. If I am watching my carb intake the morning number may be the highest of the day for me. Our liver is doing one of its jobs of producing blood glucose during the night. Obviously our physical activity is nill at that time, unless we are having a very exciting dream (take that where ever you want  ) . So assuuming your food intake is under control before bedtime, this "fasting" number is a pretty good baseline of what your body is doing naturally without the variable of what food you consume. Then, based on physical activity, what you eat, meds you take, and stresses in your life that baseline will rise or fall. Right now my morning numbers is higher than most other times of the day - averaging ~155 each morning, but just getting ready and going to work will bring it down to the 120-130 range even with eating a low carb breakfast in the process. YMMV of course. | 
01-16-2009, 10:57 PM
| | Junior Member
I am a: Pre-Diabetic | | Join Date: Dec 2008 Location: Idaho
Posts: 97
| | Meds Quote:
Originally Posted by launicaliz Even if I go to bed (no eating, no other activity) with a low count, like 115, I wake up with a high reading, like 238! How can I bring my morning sugar reading down? |
Yeah, thats strange I had the same problem myself, except mine was 260 in the morning. I usually take my night meds at 8pm but I will try what the other poster said and do it right at bedtime and see what happens.
My doc also wanted me to take a low dose 81 mg Bayer asprin to, but I have seen some reports about taking asprin on a long term basis that can be bad for you. My thing is I don't want to be on so much meds at one time because I don't know what the lng term side effects could be.
I remember my mother years ago had taken a med and it made her shake so bad she looked like she had Parkinsons. She finally winged off of that stuff and canned the doctor and found another one, BUT it still took about 7 months for that stuff to leave her body and her to quit shaking.
Life is strange, my father died of a lung cancer that is mostly found in smokers. Guess what....he never smoked or drinked a day in his life. | 
01-17-2009, 08:07 AM
| | Junior Member
I am a: Type 1.5 | | Join Date: Nov 2008 Location: San Diego
Posts: 79
| | | sound like maybe you need to incorporate a night time snack to keep your sugar up so your liver doesn't go into overload trying to keep it up for you. | 
01-17-2009, 10:55 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Jul 2008 Location: Holland, Michigan USA
Posts: 881
| | Quote:
Originally Posted by davef I'm on 500mg Met x 2 daily. I have found that by taking my last dose just before bed (with a small snack) that it has really helped getting my morning numbers under control.
I'm not a Doctor and if you wish to consider this, then please seek your Doctor's approval.
I have also heard of people having better success with morning numbers by using Metformin ER (extended release). | That helped me alot also .. both taking my last dose AT bedtime and switching to ER, a snack helps also but thats dependent on my bedtime BGL (feeding the meter)
__________________ As always YMMV! High Fructose Corn Syrup = Weapons Grade Sugar Diagnosed: July 3 2008
A1C- 7/10/08= 10.6  11/17/08 = 5.6  5/29/09= 5.3
triglycerides - 7/15/08 = 192  11/17/2008 = 84
HDL - 7/15/08 = 46  11/17/2008 = 74
LDL - 7/15/08 = 106  11/17/2008 = 80
Low Carb Diet (15-50g/day)
Metformin ER 500mg 2x day
Neurontin 800mg 3x day
Meloxicam 15mg 1x day (arthritis)
Multivitamin, B12, fish oil
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01-17-2009, 11:30 AM
| | Member
I am a: Type 2 | | Join Date: Sep 2008 Location: Southern California
Posts: 460
| | Quote:
Originally Posted by cyberus That helped me alot also .. both taking my last dose AT bedtime and switching to ER, a snack helps also but thats dependent on my bedtime BGL (feeding the meter) | Same for me. I had really stubborn DP as well.
I finally started seeing a significant reduction of my morning FBG after about six weeks of intensive insulin therapy and moving my last metformin dose of 850 mg to bedtime.
__________________
Levemir, Novolog
Metformin 850 x 3
Lower carb lifestyle A1C:
11/3/07: 7.5
2/23/08: 7.4
8/30/08: 8.1 1/29/09: 5.7 5/21/09: 5.7 9/28/09: 5.8 Triglycerides:
11/3/07: 321
2/23/08: 328
8/30/08: 330 1/29/09: 166 5/29/09: 230  9/28/09: 201 | 
01-17-2009, 12:05 PM
|  | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Sarasota (sort of) Florida
Posts: 1,157
| | | i'm a dawner too.
2 hours after dinner I test in the high 90's
In the morning I usually go to 130-140. That I can live with.
Recently for no reason at all, I'm getting up in the morning with 160's.
My dinner is my lowest carb meal of the day and no snacks after dinner.
I'm on Janumet 1000 2x a day
It's the evil liver dump.
Last night for giggles I took 2 units of Novalin before I went to bed. Got up with a 112.
I'm not sure if this will become my new regime.
Art
__________________
My plan is to live forever.
So far, So good
| 
01-18-2009, 04:39 PM
| | Junior Member | | Join Date: Jan 2009
Posts: 1
| | Elevated Bld. sugars in the am. Since I have been a Diabetic type 2 I have never been what they call Normal. I usually run 114-130's in the am. That is if I behave myself the night before. If I eat more then I should I can range from 130 to 140 or 150. . I did learn during a hosp. stay for surgery on my foot that if you use any kind of cream,perfume, peal an orange etc. and don't wash your hands before checking your bld sugar it will be higher. My problem is the costs since Medicare works with the "Doughnut whole." I also think that my numbers are running better because I am on Levemir/Novolog. | 
01-18-2009, 04:50 PM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Oct 2008 Location: NJ
Posts: 2,403
| | | not to stand out here..as the advice above is good and sound, however, i was CONVINCED i had a dawn phenom working my morning numbers...testing thru the night helped to clarify this...instead it was a steady rise..a discrepancy of liver vs. pancreas, with a spike right around 3 am..would have never known this if i hadn't tested through the night...adding a basal (only 2 days ago) has made a tremendous difference overall for me..granted I'm not resistant as type 2's are, but it is a lesson learned...make sure you know what you are treating...good luck!
__________________ lori
Type 1.5
Lower carbing and exercise
Humalog & Levemir...trying novolog fp
but i'm cool with that a1c..5.3 sorry had to post it! True: Insulin is NOT a cure... | 
01-18-2009, 05:27 PM
|  | Member
I am a: Pre-Diabetic | | Join Date: Oct 2008 Location: Kitchener, Canada
Posts: 275
| | My morning numbers were a little higher, around 6 mmol/L (108 mg/dL). At the same time, my 'fasting' readings before lunch or supper are very much in the normal range - around 4.5 (81). I increased the intensity of my exercise, especially that which I do in the evening. Also, I adjusted the timing of the evening exercise to be as close to supper as possible - began taking my supper almost immediately after the evening exercise (of course, after shower etc  ). I also tweaked my diet, making a slight reduction in the total food intake (I am not on low carbing and my carb intake may be significantly higher than many others on this board). All the above changes resulted in my morning numbers going down to around 5.2 (94) - still a little higher than the before-lunch or before-supper readings. But 5.2 (94) seems to be pretty OK and so I am not taking any more efforts to reduce it further and bring it on par with the other 'fasting' readings.
Regards,
Rad
__________________  Two houses, half a globe apart, that I call my own.
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