Re: What's going on?
- From: brian <bfunk850@xxxxxxx>
- Date: Tue, 22 Mar 2011 15:29:02 -0700
On Tue, 22 Mar 2011 21:44:02 +0000 (UTC), "W. Baker"
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
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.
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
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.