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Morning sugars

SparklesG said:
Hi

Does everyone wake up with high sugars?
Click to expand...
Usually due to something referred to as Dawn Phenomenon or Foot on the Floor Syndrome which is your liver being super helpful in releasing glucose in the absence of food to give you energy for the activity of starting the day and for your organs to function. Some people find it lower if they test in bed.
Unless people take insulin there is not a lot one can do about it.
Morning levels are usually the last to come down following diagnosis and remain higher than later in the day say before meals.
 
SparklesG said:
Hi

Does everyone wake up with high sugars?
Click to expand...

No, but I've seen reports that indicate maybe 50% of people with type 2 diabetes suffer from it.

Hormones cause us to be more insulin resistant in the morning AND release more glucose - this causes blood glucose to rise, but many people with T2 can't deal with it so doesn't come down again. People with type 2 diabetes tend to overproduce glucose already, due to liver insulin resistance, which does not help.

There are a lot of factors involved

- hormones
- insulin resistance
- liver insulin resistance/over production of glucose
- diet/activity/lifestyle
- weight
- sleep quality
- medication (Timing of insulin, etc)

Being active can improve glucose sensitivity, for instance, and weight loss can improve sensitivity and liver insulin resistance.
 
What 'highs' are you getting?
 
Whilst asleep my sensor is around 6mmol but as soon as i rise its in the 8s :(
 
Leadinglights said:
If it is when you get up it sounds like Foot on the Floor. What medication are you taking or just dietary managed.
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Diet only. I know fotf is responsible was just saying to person asking they are not alone although i don't know if their rise is steeper.
 
Mine would rise from the minute I got out of bed and carry on until almost midday. I could wake up at 6.0 and be over 12 by 9am, especially if I was at work. Insulin was the only thing that stopped it, insulin inhibits gluconeogenesis (the liver makes glucose as well as storing it).
 
Leadinglights said:
Usually due to something referred to as Dawn Phenomenon or Foot on the Floor Syndrome which is your liver being super helpful in releasing glucose in the absence of food to give you energy for the activity of starting the day and for your organs to function. Some people find it lower if they test in bed.
Unless people take insulin there is not a lot one can do about it.
Morning levels are usually the last to come down following diagnosis and remain higher than later in the day say before meals.
Click to expand...
Yeah no matter what I eat the night before by morning it’s still a couple or 3 points up
 
Lisa65 said:
Mine would rise from the minute I got out of bed and carry on until almost midday. I could wake up at 6.0 and be over 12 by 9am, especially if I was at work. Insulin was the only thing that stopped it, insulin inhibits gluconeogenesis (the liver makes glucose as well as storing it).
Click to expand...
That’s interesting. My high lasts quite a few hours. It’s annoying.
 
SparklesG said:
I take ozempic. I’ve been going down to hypo level for a few seconds in the night, up abd dien and wake up about 10-11
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Are those brief night time hypos recorded on a CGM and checked with finger pricks?
I ask because hypo for a few seconds sounds like a compression low - when pressure is applied to a CGM sensor, the flow of interstitial fluid is blocked to the filament and it reports a false low. This is most common at night when we might lie on the arm with the sensor.
 
helli said:
Are those brief night time hypos recorded on a CGM and checked with finger pricks?
I ask because hypo for a few seconds sounds like a compression low - when pressure is applied to a CGM sensor, the flow of interstitial fluid is blocked to the filament and it reports a false low. This is most common at night when we might lie on the arm with the sensor.
Click to expand...
That’s very intrtesting
Yes I do sleep on that side
Will make an effort to sleep on the other side and see
 
helli said:
Are those brief night time hypos recorded on a CGM and checked with finger pricks?
I ask because hypo for a few seconds sounds like a compression low - when pressure is applied to a CGM sensor, the flow of interstitial fluid is blocked to the filament and it reports a false low. This is most common at night when we might lie on the arm with the sensor.
Click to expand...
The CGM is not putting them on the graph
 
Loobyloo said:
Whilst asleep my sensor is around 6mmol but as soon as i rise its in the 8s :(
Click to expand...

Yep, that’s what I get. Dawn Phenomenon, but it only kicks in when I get out of bed, whenever that is.

Dawn Phenomenon of the ‘classic’ variety is part of the circadian rhythm, where the liver releases glucose to ‘fire up the burners’ for the day. Some find a low carb snack late at night can help keep their liver happy overnight, but it can be a but hit and miss. There don’t seem to be any solidly reliable non-medication solutions unfortunately.
 
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I suspect I suffer from FOTF as mine have been at their highest in the mornings, hard to tell as I'm also a chronic insomniac, I do get 8hrs of sleep just takes me a week to do so lol. Although I can get twice as much work done.
 
everydayupsanddowns said:
Yep, that’s what I get. Dawn Phenomenon, but it only kicks in when I get out of bed, whenever that is.

Dawn Phenomenon of the ‘classic’ variety is part of the circadian rhythm, where the liver releases glucose to ‘fire up the burners’ for the day. Some find a low carb snack late at night can help keep their liver happy overnight, but it can be a but hit and miss. There don’t seem to be any solidly reliable non-medication solutions unfortunately.
Click to expand...
Annoying really as i get up to take thyroid tablets around 3-4am and loo visit so get it then too :(
 
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