Not sure how to begin here

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Start Here > New Member Introductions

New Member Introductions Please start by introducing yourself to the rest of our community. We would be grateful if you could tell us a little bit about yourself and your experiences with Diabetes. The main aim of our community is to share experiences, knowledge and help increase the understanding and awareness of Diabetes. The introductions forum is a great place to start with the community. ■ RulesGetting Started With DiabetesForum.com


Not sure how to begin here


Closed Thread
 
Shared Thread Thread Tools
Old 04-15-2010, 16:03   #1
Senior Member
 
Join Date: Apr 2010
Posts: 55


Default Not sure how to begin here

Hi. I am not sure what to call myself. I am an adult female with a rampant family history several generations back on both sides of diabetes. I have been tested every year since my teens and am always told I am not diabetic (except during my second pregnancy). I have had symptoms for about 15 years and my blood sugar levels at home are always significantly higher than normal. Why can't the doctors results see this? Also I am confused about my understanding of the way diabetes works. Lately when I don't eat (like overnight) my blood sugar spikes and after I eat it goes down.....isn't that a bit backwards from what usually happens.

Can anyone explain this to me?

kas77 is offline  
Old 04-15-2010, 16:20   #2
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

Welcome aboard, kas. What lab tests have you had done recently and what were the results? Besides your morning fasting test, when are you testing at home? Are you keeping a log of your readings & could you share some of those? What kind of foods are you eating?

Your morning spikes sound like dawn phenomenon, which happens after a period of fasting (like sleeping through the night) when the body decides it needs nourishment, so the liver converts its stores of glycogen into glucose and proceeds to funnel it into your bloodstream whether you need it or not. This, of course, results in a high fasting which (in my considered opinion!) we sure don't deserve!

Thank you for joining us and if you can give us a little more information, we may be able to explain some of it for you.

take care,






Shanny is offline  
Old 04-15-2010, 16:56   #3
Senior Member
 
Join Date: Apr 2010
Posts: 55


Default

I've never heard of dawn phenomenon before. Is it fairly common?

I'm not sure what blood tests my doctor has done. I think just the regular blood glucose test where you go in anytime and they take your blood and the one where you fast first. he had me on metformin, but he never gave me a diagnoses. I asked him if maybe I am insulin resistant and he said "Maybe" and gave me a RX for metformin. It wasn't helping so I am no longer taking it.

I test my blood sugar at home several times a day. i test it first thing in the morning, about midday before I eat lunch and before supper and bed. I also test it during the day if I am feeling odd. It is usually between 9 and 12 in the morning and it is 7 or 8 for most of the rest of the day.

I avoid carbohydrates in the morning since they seem to keep my blood sugar from coming down at all for the rest of he day. I have yogurt or an egg for breakfast, yogurt or cereal or a sandwich on whole wheat for lunch and soup or meat and vegetables for supper. I have fruit, yogurt or cheese and crackers in between if i get hungry.

kas77 is offline  
 
Old 04-15-2010, 19:39   #4
Active Member
 
onaughmae's Avatar
 
Join Date: Mar 2010
Location: Texas, USA
Posts: 1,590

Member Type
Type 2
Diagnosed in 1981

45 likes received
1 likes given
Default

Quote:
Originally Posted by kas77 View Post
I've never heard of dawn phenomenon before. Is it fairly common?

I'm not sure what blood tests my doctor has done. I think just the regular blood glucose test where you go in anytime and they take your blood and the one where you fast first. he had me on metformin, but he never gave me a diagnoses. I asked him if maybe I am insulin resistant and he said "Maybe" and gave me a RX for metformin. It wasn't helping so I am no longer taking it.

I test my blood sugar at home several times a day. i test it first thing in the morning, about midday before I eat lunch and before supper and bed. I also test it during the day if I am feeling odd. It is usually between 9 and 12 in the morning and it is 7 or 8 for most of the rest of the day.

I avoid carbohydrates in the morning since they seem to keep my blood sugar from coming down at all for the rest of he day. I have yogurt or an egg for breakfast, yogurt or cereal or a sandwich on whole wheat for lunch and soup or meat and vegetables for supper. I have fruit, yogurt or cheese and crackers in between if i get hungry.
Dawn phenomenon is a pain in the backside for many of us...me included! What happens is your body normally will put out glucose in the dawn hours to get your body ready to get up and start your day. Of course, in the diabetic person we either dont have the insulin to cover it or our resistance is high and we cant cover it. So you end up with high AM blood sugars. Most of the time not eating wont help..it will just keep going up. Since you are not on any meds, it is most likely that having a low carb breakfast like you have been doing and just starting to move around finally lowers it.

I cant understand why with fasting blood sugars that high your doctor does not tell you that are diabetic. That is absolutely diabetic. Have you had an A1c done? If not, then you should have one done. It will show your blood glucose average over the last 3 months. A c-peptide test will also show if your pancreas is producing the normal amount of insulin or not. You might have to be very proactive with your doctor and tell them what you think you need and why. Personally...I couldnt keep using a doctor that just blew off my concerns that easily..but thats just me. Especially considering your family history. Based on what little info we have I would say you are diabetic.

Things you can do for now to help lower your blood sugars are start some regular exercise. It doesnt have to be crazy hard, even just walking is a great start. If you have a few pounds to lose that would be good too....even a 10% weight loss can start to lower your resistance. Become a strict label reader...watch your carb intake. When looking at labels dont just consider the sugars...look at the total carb count. Carbohydrates turn into sugar after you eat them. That 20 carb gram slice of bread might as well be a 1/2 cup of ice cream, its the same amount of carbs and will impact your blood sugar the same way. There are a lot of great web sites that will give you carb counts for most foods. I recommend calorieking.com they even have fast foods listed. To start off try not to go over 30-45g carb per meal. Some people can not even tolerate that much without medication, you will need to test around meals to see exactly how it effects you. Test before, then if you can an hour later (it should be coming down) and 2 hours later you should be back down to normal. Avoid white processed foods...like white bread, sugar, white potatoes, white rice, etc. Stick to whole grains as much as possible.

Sorry for the lengthy post and sorry if I am repeating what you already know...but its hard to stop me once I get started

Let us know how you are doing!

__________________
Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
onaughmae is offline  
Old 04-15-2010, 19:58   #5
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

And kas? Without knowing how long you took metformin before deciding it didn't help, it might be good to know that it takes several days and sometimes even weeks for met to reach maximal levels in your bloodstream. And its effects aren't comparable to insulin, which will bring your highs back down immediately, but once it reaches full strength in your blood, it should help reduce the "height" of your highs, and the depth of your lows. Insulin resistance is one of the things metformin is especially good for.




Shanny is offline  
Old 04-15-2010, 23:01   #6
Active Member
 
breezeonby's Avatar
 
Join Date: Dec 2009
Location: Ohio, USA
Posts: 2,771

Member Type
Type 2
Diagnosed in 2000

55 likes received
6 likes given
Default

I would not continue to see a doctor who will not give you some answers. Diabetes is not something that you want to put off treating. If you have a good relationship with the doctor that put you on metformin, ask some questions about diabetes. Until you get some answers about where you stand now, keep testing and try to keep your consumption of carbs to a minimum. Good luck and welcome to the forum!

__________________
Breezeonby {Female}
Medications: Metformin ER, Lantus, Novolog
Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
A1C/5.2% October 6, 2010
A1C/5.0% February 7, 2011
breezeonby is offline  
Old 04-16-2010, 04:24   #7
Senior Member
 
jsntay's Avatar
 
Join Date: Mar 2010
Location: Alabama, USA
Posts: 148


1 likes received
Send a message via MSN to jsntay
Default

Hi Kas, Welcome! I am also new to the forum. I was diagnosed 2 yrs ago and am still learning about the disease and this forum is a great place to ask questions and learn how others manage with diabetes.

Honestly, it seems to me that your doc is telling you to take an aspirin and come back tomorrow so to speak. He prescribed metformin but didn't tell you why?? I agree with Shanny that you may not have been on it long enough to build up in your system. I am still on metformin but at first I had to also had to take meds that told my pancreas to produce more insulin. These are called Sulfonylureas and what I took was glimepiride (generic for Amaryl).

Take Care!
Jason

jsntay is offline  
Old 04-16-2010, 22:31   #8
Senior Member
 
Join Date: Apr 2010
Posts: 55


Default

Quote:
Originally Posted by onaughmae View Post
Personally...I couldnt keep using a doctor that just blew off my concerns that easily..but thats just me.
!
Unfortunately i am one of the "fortunate" ones who is lucky enough to even have a family doctor. I live in an area where there is a severe doctor shortage and this doctor took over when my old doctor retired. the only other doctor I can access is through walk-in clinics and more often than not they can't help you at all.

Thanks for the other info though. A lot of it is stuff i already know and am doing, but the info on the specific tests I should be having is all new to me.

kas77 is offline  
Old 04-16-2010, 22:32   #9
Senior Member
 
Join Date: Apr 2010
Posts: 55


Default

Quote:
Originally Posted by Shanny View Post
And kas? Without knowing how long you took metformin before deciding it didn't help, it might be good to know that it takes several days and sometimes even weeks for met to reach maximal levels in your bloodstream. And its effects aren't comparable to insulin, which will bring your highs back down immediately, but once it reaches full strength in your blood, it should help reduce the "height" of your highs, and the depth of your lows. Insulin resistance is one of the things metformin is especially good for.
I took it for about 2 years.

kas77 is offline  
Old 04-16-2010, 22:36   #10
Senior Member
 
Join Date: Apr 2010
Posts: 55


Default

Quote:
Originally Posted by breezeonby View Post
I would not continue to see a doctor who will not give you some answers. Diabetes is not something that you want to put off treating. If you have a good relationship with the doctor that put you on metformin, ask some questions about diabetes. Until you get some answers about where you stand now, keep testing and try to keep your consumption of carbs to a minimum. Good luck and welcome to the forum!
There's not much choice but to see this doctor. I requested the metformin and he wrote me the RX. He had never mentioned it before I brought it up after finding out about it on the internet.

If I know what tests I need or medications then he is pretty co-operative, but if I don't know what I need it seems like neither does he. frustrating. I'm hoping I can learn from all of you what I should be asking for from him.

kas77 is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
when complications begin parky Diabetes Complications 6 03-24-2010 14:51

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 22:27.




Powered by vBulletin®
Copyright ©2000 - 2020, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.