Re: What's going on?

On Tue, 22 Mar 2011 21:44:02 +0000 (UTC), "W. Baker"
<wbaker@xxxxxxxxx> wrote:

brian <bfunk850@xxxxxxx> wrote:
: On Tue, 22 Mar 2011 20:59:49 +0100, Bj?rn Steensrud
: <bjornst+usenet@xxxxxxxxxxxxxxxxxxxxxx> wrote:

: >On Tue, 22 Mar 2011 11:43:05 -0700, brian wrote:
: >
: >> Hi all, I am a 7+ year diagnosed type 2 looking for some ideas. I am 65
: >> and have been on diet/exercise and 500mg Metaform in morning. I have
: >> been in control, but lately, last couple weeks (nothing extraordinary
: >> going on) I have awakened to BG's in the 120 range. Usually I am below
: >> 107. The rest of the time, after meals and 2-3 hours later I am fine.
: >>
: >> This is a mystery and I will be seeing my HMO soon if it doesn't return
: >> to my previous range (Oh yea my last AC1 was 5.6 and my weight is fine).
: >>
: >> Any ideas? I have been eating a low carbs diet and walking about 10
: >> miles a week. Last night for dinner I had some boiled pork, tomatoes,
: >> cucumber and lettuce (and a beer) at a Greek restraint. Three hours
: >> later I was at 107. This morning after taking med's I was at 126!
: >>
: >> Worry some...............
: >>
: >> brian
: >
: >Hi Brian! I'm in a similar situation as you re HbA1c, weight, diet and
: >exercise - and age. I'm on glimepiride instead of Metformin, though. On
: >this group I've learned about the Dawn phenomenon, which happens to some
: >of us in the morning, also called liver dump, when the liver converts
: >stored glycogen to glucose. In a nondiabetic, there will be a quick
: >insulin response, which tells the liver to "knock it off, that's enough".
: >Since many T2s don't have the quick insulin response (but we do have a
: >delayed one), the liver will dump enough glucose to raise our bgs.
: >
: >Some here, including me, have found that a small protein snack at
: >bedtime, or just as you get up, or both, will reduce the dawn phenomenon
: >spike. Cheese or a hardboiled egg will work fine. I forget who said it,
: >the point is to convince your liver that you are not starving.
: >
: >I wouldn't worry too much about 126 - that's 7 in my units, and the
: >diagnostic limit is 7.2 in consecutive days, and your bg also drops
: >quickly to a normal level.
: >
: >Sigh - HbA1c result today was 6.1. I was probably too tempted by the
: >cakes at all those family birthdays in the begnning of the year ...
: >"surely that can't hurt", well, it does mean working a bit harder to get
: >back below 6. ...

: Thanks for the quick, concise reply Bjorn, sorry to hear of your own
: struggle, but having gone through the occasional laps I know the ship
: can be righted. It's hard to always hit our numbers when we are
: surrounded by all that tasty food ;-).

: Dawn affect? Sounds right and I'll take you protein snack advice, damn
: stupid liver......... old body just doesn't work as good as it once
: did.

: brian

Brian,

it is interesting that you hd this after having some beef with dinner.
Some here find that a glass of dry wine with that snack also helps. for
me nothing helped until my endo put me on a very small(1 mg) dose of
Amaryl a second generation sulfonylorea(sp?), whihc has kept my morning
bgs in lovely contro., almost always under 100. Just another possibility.
Everything Bjorn said was excellent, so I have no need to repeat it.

Welcome to the group.

Wendy

Thanks Wendy, I have been reading here for several years and never
needed any advice before. Handy place this. I remember seeing the dawn
effect mentioned but paid no attention as it wasn't an issue for me at
the time.

I may need additional med's as I usually have a couple small glasses
of dry red wine after dinner and of late I am still high in the
morning. The meat I had was before 4pm so it was pretty early. I
usually eat dinner early. I'll try a protein snack before bed (I use
jerky for snacks usually or cheese) and I'll see what happens. I'll
ask about your Amaryl (oral dose?) if it goes that far.
Thanks..........

brian
.