I have type 2 diabetes and my fasting blood sugar levels are over 200?
I am taking 17 units of Lantus at night plus 2500 mg of Glucophage during the day. I can control my sugars during the day with diet and medication, but something happens while I am sleeping. I am not eating alot at bedtime and what I do eat is low in sugars & carbs. Usually fruit/veggies & peanut butter.
Right now, my Doctor & Diabetic Educator think it is all hormonal and not much I can do to control it. We have tried alot of different medication combos but so far nothing helps.
Anyone else have this problem and what has helped?
You have something called "dawn phenomenon". It is actually quite common. What actually happens is that your blood sugar drops during the night and your body tries to combat it by raising the blood sugar level. Talk to your doctor about increasing the Lantus and adding a light bedtime snack to carry you over. If the doctor doesn’t know about this factor, you may need to seek the advice of another diabetes professional.
Yeah! Me too, but my fasting number stays under 200! I have tried splitting the Lantus dosage to morning and night, I have tried eating more food before bedtime, I have tried everything everyone has suggested.
One night I got up and ate at 1 am. This was the only morning I had a normal glucose reading.
I was experimenting. Got up for a week at midnight to check glucose levels. Midnight OK, 1 am OK, 2 am 150, 3 am 175, etc.
This is Dawn Phenomenom and there is not much we can do about it other than to break our sleep to eat at 1 or 2 am.
I am having cream cheese dip and apples at that hour to see if it will help me.
My glucose number this morning was 156 which for me is high for what I run the rest of the day!!
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u should take insulin twice a day in divided doses
it should solve ur problem
be careful about hypoglycemia
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Fruits contain natural sugars and peanut butter contains carbs and fats which can raise your blood sugar. Try only eating a slice of bread before going to sleep and forget the rest. Your morning levels should then be much lower.
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A diabetic since 1978. Pancreas and Kidney transplant patient since 1996. I have been thru what you have plus a whole lot more.
Have they adjusted your insulin (upwards)? That should help with the increased fasting level.
References :
You have something called "dawn phenomenon". It is actually quite common. What actually happens is that your blood sugar drops during the night and your body tries to combat it by raising the blood sugar level. Talk to your doctor about increasing the Lantus and adding a light bedtime snack to carry you over. If the doctor doesn’t know about this factor, you may need to seek the advice of another diabetes professional.
References :