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RByatt72

RByatt72

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Relationship to Diabetes
Type 2
Hi

I joined today and have been T2 since Oct 13, I am on metformin 1g twice daily, Glimeripirde 3mg in the morning and Sitagliptin 100mg at lunch. My last Hba1c was 79 but to be honest I was in denial and my control was poor I am due my next in August hoping to have it lower. Since being diagnosed I have lost 3 stone and all my bloods are great apart from the Hba1c. I saw my nurse in April and since then I have stopped messing about eating low sugar where possible, watching carbs though not doing low carb and exercising at least half an hour each day (walks after most meals where possible as well as swimming and exercise bike).

Anyway I am doing much better and my blood sugars are better than they were although not perfect yet but most days I average 9-10 mmol across the day. However I am getting frustrated as I am doing all I can I go to bed withs BS of less than 10 but when I get up they can be between 11-13 and I don't know why. Any advice my readings are driving me insane

Thanks in anticipation
Rachel
 
Hi Rachel, welcome to the forum 🙂 Sounds like 'Dawn Phenomenon' to me - the bane of many people's lives! 😱 What can happen is that, as you start to wake up to greet the day your 'helpful' liver decides to release an extra 'boost' of glucose from its stores to help provide you with energy as you become active. Unfortunately, when you have diabetes this isn't very helpful and it can be difficult to overcome. When are you doing your morning test - are you doing it the moment your 'feet hit the floor' or are you doing it just before breakfast, perhaps when you have been up and about for a little while? If the latter, then do try doing some tests as soon as you get up and see if they are lower. If this is the case, and you are rising in the time between waking and breakfast then it's a good idea to have a little something like a piece of cheese or ham, or a few nuts - something low carb. This can tell your liver that you are not, after all, starving and it can work to 'switch off' that extra glucose boost. Another thing some people try is having a small protein snack before bed, as this often helps.

It is a tricky one to tackle as there is no one, clear solution I'm afraid - even with insulin, people find this can be a problem. However, if it is only for a short period each morning then it's not going to have a huge impact - how you are throughout the day and most of the night is more important and it sounds like you are really doing everything you can to tackle that 🙂 Following a testing programme as described in Test,Review, Adjust by Alan S can help you to identify elements of your diet that you might need to replace or reduce in order to improve your overall levels. This doesn't necessarily mean going low-carb, just finding the right types, amounts and combinations that you tolerate well 🙂 I'd also recommend looking at the GL (Glycaemic Load) diet. This describes a method of electing and combining foods so that they have a slow, steady impact on blood glucose levels - The GL Diet for Dummies is a very good introduction 🙂

Well done on your weight loss and for undertaking your exercise programme, it will all be helping, not just with your blood sugar levels but your overall health in many ways 🙂 Please let us know if we can help in any way! 🙂
 
Sounds like it could be the "Dawn Phenomenon", Kinda like your body is giving you a burst of glucose in preparation for the start of the day.

I don't particularly suffer from this but I have heard that a little snack before you go to bed can help

Anyway, Rachel, welcome to the group
 
Hello and welcome to forum
 
Northerner said:
Hi Rachel, welcome to the forum 🙂 Sounds like 'Dawn Phenomenon' to me - the bane of many people's lives! 😱 What can happen is that, as you start to wake up to greet the day your 'helpful' liver decides to release an extra 'boost' of glucose from its stores to help provide you with energy as you become active. Unfortunately, when you have diabetes this isn't very helpful and it can be difficult to overcome. When are you doing your morning test - are you doing it the moment your 'feet hit the floor' or are you doing it just before breakfast, perhaps when you have been up and about for a little while? If the latter, then do try doing some tests as soon as you get up and see if they are lower. If this is the case, and you are rising in the time between waking and breakfast then it's a good idea to have a little something like a piece of cheese or ham, or a few nuts - something low carb. This can tell your liver that you are not, after all, starving and it can work to 'switch off' that extra glucose boost. Another thing some people try is having a small protein snack before bed, as this often helps.

It is a tricky one to tackle as there is no one, clear solution I'm afraid - even with insulin, people find this can be a problem. However, if it is only for a short period each morning then it's not going to have a huge impact - how you are throughout the day and most of the night is more important and it sounds like you are really doing everything you can to tackle that 🙂 Following a testing programme as described in Test,Review, Adjust by Alan S can help you to identify elements of your diet that you might need to replace or reduce in order to improve your overall levels. This doesn't necessarily mean going low-carb, just finding the right types, amounts and combinations that you tolerate well 🙂 I'd also recommend looking at the GL (Glycaemic Load) diet. This describes a method of electing and combining foods so that they have a slow, steady impact on blood glucose levels - The GL Diet for Dummies is a very good introduction 🙂

Well done on your weight loss and for undertaking your exercise programme, it will all be helping, not just with your blood sugar levels but your overall health in many ways 🙂 Please let us know if we can help in any way! 🙂
Click to expand...
 
Martin Canty said:
Sounds like it could be the "Dawn Phenomenon", Kinda like your body is giving you a burst of glucose in preparation for the start of the day.

I don't particularly suffer from this but I have heard that a little snack before you go to bed can help

Anyway, Rachel, welcome to the group
Click to expand...
Northerner said:
Hi Rachel, welcome to the forum 🙂 Sounds like 'Dawn Phenomenon' to me - the bane of many people's lives! 😱 What can happen is that, as you start to wake up to greet the day your 'helpful' liver decides to release an extra 'boost' of glucose from its stores to help provide you with energy as you become active. Unfortunately, when you have diabetes this isn't very helpful and it can be difficult to overcome. When are you doing your morning test - are you doing it the moment your 'feet hit the floor' or are you doing it just before breakfast, perhaps when you have been up and about for a little while? If the latter, then do try doing some tests as soon as you get up and see if they are lower. If this is the case, and you are rising in the time between waking and breakfast then it's a good idea to have a little something like a piece of cheese or ham, or a few nuts - something low carb. This can tell your liver that you are not, after all, starving and it can work to 'switch off' that extra glucose boost. Another thing some people try is having a small protein snack before bed, as this often helps.

It is a tricky one to tackle as there is no one, clear solution I'm afraid - even with insulin, people find this can be a problem. However, if it is only for a short period each morning then it's not going to have a huge impact - how you are throughout the day and most of the night is more important and it sounds like you are really doing everything you can to tackle that 🙂 Following a testing programme as described in Test,Review, Adjust by Alan S can help you to identify elements of your diet that you might need to replace or reduce in order to improve your overall levels. This doesn't necessarily mean going low-carb, just finding the right types, amounts and combinations that you tolerate well 🙂 I'd also recommend looking at the GL (Glycaemic Load) diet. This describes a method of electing and combining foods so that they have a slow, steady impact on blood glucose levels - The GL Diet for Dummies is a very good introduction 🙂

Well done on your weight loss and for undertaking your exercise programme, it will all be helping, not just with your blood sugar levels but your overall health in many ways 🙂 Please let us know if we can help in any way! 🙂
Click to expand...

Hi Northerner

Thanks for your response that actually makes sense, sometimes I check immediately on waking and others after i have got ready for work. I will check on waking to see if that improves it I have been tearing my hair out trying to figure it out. I will also try the protein before bed and in the morning will a handful of nuts suffice? I will keep you posted.

Thank you for your supportive comments I really feel iamdoing all I can I will review the suggested links
 
Martin Canty said:
Sounds like it could be the "Dawn Phenomenon", Kinda like your body is giving you a burst of glucose in preparation for the start of the day.

I don't particularly suffer from this but I have heard that a little snack before you go to bed can help

Anyway, Rachel, welcome to the group
Click to expand...

Thank you Martin I will try the snack a few nuts I think fingers crossed
 
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