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Diabetes Discussion
Newly Diagnosed
Moderate hba1c but bit high bg
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<blockquote data-quote="LittleGreyCat" data-source="post: 1532561" data-attributes="member: 6467"><p>Snipped down to just address one issue.</p><p></p><p>Your HbA1c is an average throughout the day and across three months (last month being the most significant).</p><p></p><p>What you appear to be describing is "Dawn Phenomenon" where your BG drops far enough over night for your liver to dump some of the glycogen store to prevent you from going hypo. This can result in a BG on waking which is higher than your BG for the rest of the day and most of the night (until the liver dump).</p><p></p><p>This is quite common and likely to keep happening until you have full BG control (and perhaps even then).</p><p></p><p>T1s and T2s on insulin often battle this and the apparent lack of logic behind it when two days doing the same thing give different results.</p><p></p><p>Diabetic neuropathy (if this is what you have) can take quite a while to reverse after you have got your BG steady so should perhaps be regarded as a long term work in progress. At least it should not progress further if your BG control is good and solid.</p><p></p><p>You were only diagnosed in January so please don't expect instant results; slow and steady is the way to expect changes. Then you can be pleasantly surprised if it goes faster.</p><p></p><p>I think your doctor is being very sensible. You have gone from being well out of control to establishing what looks like pretty good control in about 6 months. I imagine your Doc would be happy to look at tapering off the medication if you maintain the control for another 3-6 months. Meanwhile you are doing something that is working and it is very good for you that it is.</p><p></p><p>Edited to expand on Dawn Phenomenon.</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 1532561, member: 6467"] Snipped down to just address one issue. Your HbA1c is an average throughout the day and across three months (last month being the most significant). What you appear to be describing is "Dawn Phenomenon" where your BG drops far enough over night for your liver to dump some of the glycogen store to prevent you from going hypo. This can result in a BG on waking which is higher than your BG for the rest of the day and most of the night (until the liver dump). This is quite common and likely to keep happening until you have full BG control (and perhaps even then). T1s and T2s on insulin often battle this and the apparent lack of logic behind it when two days doing the same thing give different results. Diabetic neuropathy (if this is what you have) can take quite a while to reverse after you have got your BG steady so should perhaps be regarded as a long term work in progress. At least it should not progress further if your BG control is good and solid. You were only diagnosed in January so please don't expect instant results; slow and steady is the way to expect changes. Then you can be pleasantly surprised if it goes faster. I think your doctor is being very sensible. You have gone from being well out of control to establishing what looks like pretty good control in about 6 months. I imagine your Doc would be happy to look at tapering off the medication if you maintain the control for another 3-6 months. Meanwhile you are doing something that is working and it is very good for you that it is. Edited to expand on Dawn Phenomenon. [/QUOTE]
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Moderate hba1c but bit high bg
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