Diabetes - High Blood Sugar in the morning

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1/25/13 4:43 P

Always have a small carb and a protein 2 hours prior to bedtime....it will balance your blood sugar throughout the night.

Remember...High blood glucose can wake you up to urinate, while low blood glucose can wake you with hunger.

Cottage cheese is high in casein protein it is the perfect food to consume before bed. Have a scoop and add a breadstick with seasame seeds.....test in the morning and see the difference.

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1/25/13 3:38 P

Amaryl can certainly cause hypoglycemia, cascading into the hyperglycemia of the Somogyi effect. Whether insulin induced or glimepiride induced, the effect is more insulin utilization in the body, resulting in a counter-regulatory hormone response and morning hypoglycemia.

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1/25/13 12:23 P

The Somogyi effect is something that can happen in people who are taking insulin and who take too much. It doesn't happen to T2 diabetics who are managing the condition without taking insulin. It's more likely to be what you mentioned--the dawn phenomenon. The dawn phenomenon is not associated with nocturnal hypoglycemia.

Definitely talk to your doctor about this. Your doctor will help you to get your meds and other things right to best manage this condition. Keep your chin up and be patient and persistent with it and you and your doctor will get things under control. Diabetes can be a tricky condition to manage (which is why you really need your doc to help you with this).

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1/25/13 11:31 A

Hi, no - I did not know about. Thanks for the info! I will have a snack before bedtime - protein and limited carbs to see what happens.

Melissa

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1/25/13 11:03 A

Do you know about Somogyi effect? It is the result of too much evening insulin (which would coincide with your dosage increase) or not enough of a bedtime snack to keep BS levels steady.

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1/25/13 10:34 A

This is a question I t hink would be best directed to your doctor. Medical issues are a bit beyond our ability to appropriately answer here.

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1/25/13 10:11 A

Hello,

I am a T2 Diabetic and recently began watching what I eat and the number of carbs that I consume after my A1C went up for the 3rd time in a row. It is currently at 6.9.

For the past week I have had a very low carb diet, have eaten pretty much all of my allowable calories, fat and protein. My blood sugar levels upon waking have been abnormally high all week! My last bloodwork showed a fasting glucose level of 160. All week I have been between 170-180!
My sugar levels are good all day long (I test before and after meals). I know about the dawn phenomenon and all that but considering that I have been eating better the past week, I would have expected my fasting blood sugars to be better.
My doctor also increased my dose of amaryl from 1mg to 2mg with dinner.
Does anyone have any idea why this could be happening? Its not the result I expected!

Thanks very much.....

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