Overcoming The Dawn Phenomenon - Page 2

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Overcoming The Dawn Phenomenon - Page 2


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Old 07-23-2016, 18:36   #11
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Hi Daytona,
I'm not sure about the bottles that you can buy, fresh is best however check the label and see what's in it. Probably additives and preservatives unfortunately. I've not tried any other fruit, maybe grapefruit would do the same? X

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Old 07-31-2016, 15:59   #12
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@Steve3129, did you experience weight gain from insulin?
Levemir is not associated with weight gain, which is why my doc was happy that I selected it. I was on NPH for a month and didn't experience any weight gain with that either. Lantus DOES have weight gain associated with it.

Since the endocrinologist's association recommends having FBG under 100, I personally would go the insulin route at this time. If your daytime numbers are good, maybe basal overnight is all you need.

BTW, my doc explained the Dawn Phenomenon this way. As hunter-gatherers, once we wake up, we immediately would need energy to forage for food. So, the liver starts dumping sugar into the system following the 2 a.m. low so that you are ready to hunt and gather when you awaken. So, having higher blood sugar in the morning is a survival advantage. However, once the system is broken, as in the case of diabetics, it becomes a problem. I'm (probably incorrectly) less worried about my morning blood sugar when I see that my 2 a.m. sugar is in the 80s or 90s because it wasn't high all night. I'm still working the problem though.

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Old 07-31-2016, 20:27   #13
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I worry about mine because DP causes my blood sugar to be over 140 for over 6+ hours in the morning, which I know does damage.

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Old 07-31-2016, 21:59   #14
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I mistyped. I meant to say that the endocrinoligists' association wants FBG to be less than 110, not 100. (well, I'm sure that would be even better, but I don't think they want you medicating to get under 100.

I agree totally with you. 140 for many hours just is not what we want. That is why I think insulin or glipizide (sp?) should be your next step of consideration and not too far in the future. You've got good control already of your intake of carbohydrates, but apparently your liver is not cooperating. I also don't know what else causes higher blood sugars for a consistently long time other than a near complete loss of beta cells.

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Old 08-01-2016, 03:47   #15
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That is why I think insulin or glipizide (sp?) should be your next step of consideration and not too far in the future. You've got good control already of your intake of carbohydrates, but apparently your liver is not cooperating. I also don't know what else causes higher blood sugars for a consistently long time other than a near complete loss of beta cells.
Yup! I am on insulin to combat my sucky basal and DP. This morning was fun.

7:45 - 147, took 8U
9:15 - 145
9:46 - 129, okay still have 4U on board, so maybe it will keep going down?
11:53 - 135 Yay... my 8U basically only kept me from going up to 200 but otherwise didn't lower my BG.

Looking forward to the new endo in September!

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Old 08-01-2016, 04:52   #16
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I have struggled with morning highs for a very long time. I have tried a lot of things, and nothing worked. Berberine helped a lot, but still high and DP happens. Essentially I added Humalog when I wake and that works. I basically knock the spike down within 1-2 hours and the rest of the day I am fine. The Berberine has helped me get to about a 120-130 FBG before DP kicks in. So with Humalog I don't think I get above 130 now. We'll see with my next a1c.

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Old 08-01-2016, 04:59   #17
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That is why I think insulin or glipizide (sp?) should be your next step of consideration and not too far in the future.
Rather than glipizide, you might want to try Prandin. It is shorter acting (about 3 hours) and is smart, so it is less likely to drive you low. It stops stimulating insulin release when you get to normal BG levels.

I used prandin + a little carbs for morning highs & DP. After a few years, I changed to Humalog in the morning as it was becoming less effective. I still use the prandin during the day as needed.

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Old 08-01-2016, 05:17   #18
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MDI with Levemir and Novolog <--- Daytona, you'd think I didn't notice this every time you post. Sorry about that.

Mine goes up about 20 points from wherever it is at 2 a.m.

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Old 08-03-2016, 00:36   #19
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Took a whole year for me to see a fbg below 100.

I did decide that finger pricking 10 times just to get blood was not what I wanted to do upon waking awhile ago. But as the rest of the numbers improved I got back into it and just saw a 94. That number previously would have been the days high at closer to 200. I believe diet was the determining factor.

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Old 08-03-2016, 19:36   #20
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OK... looking for someones prior experience with the use of BASAL insulin.

My morning DP numbers did range 110 to 115 on 20 units of Novolin NPH at 10:30 p.m. I bumped the units up to 22 units with the hope that it would cause my DP to drop below 110... instead it when up to a 120 to 125 range!

Question... does the liver react to addition insulin in the blood stream causing a release of glucose in an attempt to balance the insulin? I believe this might be true knowing the pancreas and liver attempt to work together... just not very well in our systems!

I'm debating adding an additional 2 units up to 24 units or going back down to 20 units. According to the 'Think Like a Pancreas' calculator, I should be injecting 25 units.

All comments, positive or negative, are most welcome!

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