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High BG in the mornings

Question:

Joe, Nice to hear from you, thanks for sharing your experience, strength and hope. Exercise?  I reason that I work in my shop each day at least two hours which usually entails some hard breathing and sweat.  There was a time when I was healthier that I walked half hour every other day.  Now my back prefers mostly siting and when I do walk it is quickly to get from one place to another.  I carry a 5 gallon plastic pail fitted with a lid seat. $5.00 at Menards. The meds are Univasc, an ace blocker for BP and Timoptic eye drops for glaucoma.  Nothing else.  The Univasc gives me throat tickle and I think it exacerbates m arthritis. I lost 20 pounds last year counting carbos.  Quit counting, eating more. Gained it back.  Now am back to counting.  This AM the BG was 120, the lowest awaking reading this month. I agree with your creep theory, it seems to be my experience also. Johnnie

Response:

Type 2, 66 yr. old.  Diet controlled diabetic. Was 90 to 120 a year ago now 150 to 170 at rising from bed or 2 hours later. Hormones the counselor said. After meals and a couple hours of modest exercise may be 90 – 120. I am concerned and thinking about becoming stricter with my diet. Any one similar or have comments, please? Johnnie

I recently measured 125 mg/dl upon arising and 151 about 45 minutes later. The only thing that happened in the interval was a shower and shave. No food consumption. I hear its called the morning effect where the liver pumps out additional glucose to help the body get going. eldred Before you buy.

Response:

Dawn phenomenon?  The thing most likely to make me swear very very violently.  For example ast week I was planning to go into town to meet someone for breakfast.  So I test at 7.00am – 8.3 (150).  So I take a couple of units of Actrapid (Regular), get ready to leave and hop on the train into towm By 8.30 I’m running at a whopping 16.6 (299).  "curse curse (and worse). Where did that ***** glucose come from.   *******  my ******ing liver etc etc etc."  My stupid liver must be constructed from fudge or something. — Katharine, London UK. T1 since 1981.

Response:

You have my sympathies, Karen, The weirdest thing to happen to me with high morning bg was when I started excercising straight after breakfast, at about 8am, instead of my normal afternoon/evening "workout". That morning excercise seemed to elevate my fasting bg *the following morning*, until I abandoned the morning workouts and returned to the later ones. Now, several years later, even my late workouts can have dubious results, sometimes lowering my fasting bg and sometimes not. (By the way, my diet has been fairly constant in that time). Even diet-wise, eating the same food will one day produce ‘x’ result and another day something totally different. I sometimes feel as if I constantly have to try to "outwit" my body – to "trick" it into producing a low fasting bg. Perhaps the answer is as one of the regulars in this newsgroup (Big Al) and my endo put it – it doesn’t matter how high your fasting bg is, as long as your HbA1c stays low… Dawn phenomenon?  The thing most likely to make me swear very very violently.  For example ast week I was planning to go into town to meet someone for breakfast.  So I test at 7.00am – 8.3 (150).  So I take a couple of units of Actrapid (Regular), get ready to leave and hop on the train into towm By 8.30 I’m running at a whopping 16.6 (299).  "curse curse (and worse). Where did that ***** glucose come from.   *******  my ******ing liver etc etc etc."  My stupid liver must be constructed from fudge or something. — Katharine, London UK. T1 since 1981.

– Henry M. Age 52, Type II Melbourne, Australia

Response:

Yep good ol dawns phenomenon…….mine seem to go ballistic just about every 3rd day. Sometimes I wake up at 6:45am (same time everytime this happens) and check the bg, WOW 34 two days ago, and now its 264? What gives? (I check between 6:45 and 7:15 on most mornings) I have the same snack just about every evening, this makes absolutely no sense to me what so ever. Being that I’m on the insulin pump, its making it rather hard to determine the basil rates. Then theres the froyd affect (is that the right name for it?) When your am bg’s bounce up from 95 to 215 without any coffee or any consumption what so ever, all within an hour or so….gee isn’t it great being a diabetic? I suppose we could be a lot worse off though :)                                                         Pam

– Hide quoted text — Show quoted text – Type 2, 66 yr. old.  Diet controlled diabetic. Was 90 to 120 a year ago now 150 to 170 at rising from bed or 2 hours later. Hormones the counselor said. After meals and a couple hours of modest exercise may be 90 – 120. I am concerned and thinking about becoming stricter with my diet. Any one similar or have comments, please? Johnnie I recently measured 125 mg/dl upon arising and 151 about 45 minutes later. The only thing that happened in the interval was a shower and shave. No food consumption. I hear its called the morning effect where the liver pumps out additional glucose to help the body get going. eldred Before you buy.

Response:

Type 2, 66 yr. old.  Diet controlled diabetic. Was 90 to 120 a year ago now 150 to 170 at rising from bed or 2 hours later. Hormones the counselor said. After meals and a couple hours of modest exercise may be 90 – 120. I am concerned and thinking about becoming stricter with my diet. Any one similar or have comments, please? Johnnie

Response:

        There seems to be a tendency towards slow upward creep with time.  I am 61, and diet controlled for more than eight years.  I keep ‘whole year’ averages of my pre-breakfast bg.  In 1995, it was 106.  By 1998, it had crept up to 134, as a result of steady year to year increases.  For 1999, I tightened the screws a bit and got back down to 127.  This year’s results have been somewhat off the wall, as the result of a sequence of cortisone injections, for a lower back pain problem, beginning in mid-January.  The shots ended about two months ago, and my recent results are back down in the high 130’s, having been as high as 180-200 at the worst point.  Cortisone will do that to you.  There can be considerable buildup from repeated injections, and I was told it can take 2 – 3 months to clear the system.           I believe that the jury is still out regarding the inevitability of upward progression of bg values for diet controlled diabetics. Experiences are highly individualized, and, of course, Your Mileage May Vary From Mine.  You haven’t mentioned how regular you are in your exercise habits, and whether your weight has been steady, as well as whether medications have been introduced or changed.  I would definitely think that a tougher diet experiment is worth the trying, especially since your bg levels may be approaching the point where you should be discussing with your doctor the advisability of oral medications.           I’ll be glad to share details of my own personal experience either on-line or off-line, it you wish.  Same goes for any other ‘diet and exercise only’ folks in this group.  We may be a minority among the posters and lurkers here, but our need to find suitable means of control is quite important.                                                 Joe – Hide quoted text — Show quoted text – Type 2, 66 yr. old.  Diet controlled diabetic. Was 90 to 120 a year ago now 150 to 170 at rising from bed or 2 hours later. Hormones the counselor said. After meals and a couple hours of modest exercise may be 90 – 120. I am concerned and thinking about becoming stricter with my diet. Any one similar or have comments, please? Johnnie

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