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Type 2 Diabetes
high fasting despite normal post-dinner glucose levels
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<blockquote data-quote="cugila" data-source="post: 133700" data-attributes="member: 15325"><p>It seems to me that your Mom is probably dropping lower than the 5.2 at 2am. This can trigger a 'liver dump' to prevent her going too low, therefore the Bg levels would automatically rise. </p><p></p><p>This could be due to taking the Metformin last thing at night which is unusual, most take it in the morning and in the early evening. Maybe the timing of the Met is not right ? The normal dose of Met SR is as follows: initially 500 mg with breakfast for at least 1 week then 500 mg with <strong>breakfast and evening meal </strong>for at least 1 week then 500 mg with breakfast, lunch and evening meal; usual max. 2 g daily in divided doses</p><p></p><p>Another point is I presume your Mother has an early dinner, evening meal ? Then she exercises. Now this can in itself trigger a rise and then much later a drop in BG levels which could also affect the readings during the night. Magnifying the effect of going low. A small 'carby' snack before bedtime may help to counteract all of this.</p><p></p><p>If this persists maybe she should discuss it with the GP or DSN.</p><p></p><p>Ken</p></blockquote><p></p>
[QUOTE="cugila, post: 133700, member: 15325"] It seems to me that your Mom is probably dropping lower than the 5.2 at 2am. This can trigger a 'liver dump' to prevent her going too low, therefore the Bg levels would automatically rise. This could be due to taking the Metformin last thing at night which is unusual, most take it in the morning and in the early evening. Maybe the timing of the Met is not right ? The normal dose of Met SR is as follows: initially 500 mg with breakfast for at least 1 week then 500 mg with [b]breakfast and evening meal [/b]for at least 1 week then 500 mg with breakfast, lunch and evening meal; usual max. 2 g daily in divided doses Another point is I presume your Mother has an early dinner, evening meal ? Then she exercises. Now this can in itself trigger a rise and then much later a drop in BG levels which could also affect the readings during the night. Magnifying the effect of going low. A small 'carby' snack before bedtime may help to counteract all of this. If this persists maybe she should discuss it with the GP or DSN. Ken [/QUOTE]
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Type 2 Diabetes
high fasting despite normal post-dinner glucose levels
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