Can someone just put my mind at rest am getting a little concerned that my blood sugar reading is about 9.6 on a morning before I have anything to eat then on an evening about an hour after my evening meal it is around 6.7 is it ok for it to be lower at the end of the day thanks
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BG higher on a morning? normal ?
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tubolard
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Dawn Phenomenon?
This is where your liver starts producing glucose in the early hours of the morning, some members have reported eating a little protein before retiring helps with this.
Regards, Tubs.
This is where your liver starts producing glucose in the early hours of the morning, some members have reported eating a little protein before retiring helps with this.
Regards, Tubs.
LWA
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Hi guys, I get the same problem a higher reading in the morning but after my breakfast. (the ratio of insulin to carbs i have at breakfast would be correct at any other time of day)!
im a little intrigued by these 'liver dumps' which i hear about, if this happens to me (type 1)? then it seems to 'dump' more suger on different days and my mid morning levels can be very inconsistant.
If anyone can provide a theort or advice then i would be most grateful?
im a little intrigued by these 'liver dumps' which i hear about, if this happens to me (type 1)? then it seems to 'dump' more suger on different days and my mid morning levels can be very inconsistant.
If anyone can provide a theort or advice then i would be most grateful?
hanadr
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Dawn Phenomenon is annoying and not very predictzble. I don't think anyone actually knows what triggers it at any particular time. you'd expect it to hit hardest if you go to bed low, but in my case that's not it. I'm T2 and it eems to work to prevent me going below about 5
LWA
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can anyone tell me if type 1 diabetics actually get 'liver dumps'?? Type 2 i can understand as the pancreas still operates albeit not reguarly.
I am type 1 so dont think my pancreas does much, so not sure it can link with the liver etc to create 'liver dumps'?
Having said that my mind is spilt on whether or not my higher mid morning levels are caused by a 'liver dump' or not??
I am type 1 so dont think my pancreas does much, so not sure it can link with the liver etc to create 'liver dumps'?
Having said that my mind is spilt on whether or not my higher mid morning levels are caused by a 'liver dump' or not??
jopar
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LWA
The liver as you know is constantly trickling glucose into the blood stream, the rate this happens is not only individual, but also changes through out the day… And in some cases can be effected by hormones…
All hormones fluctuate there production process during the day, the lowest ebb of hormone production for most is around 2-3am in the morning, then production will slowly increase as we get nearer to waking so that we can get and go… In most people this increase goes unnoticed and effects there BG very little…
How ever for some this increase in production is greater and reflects in a large raise in BG results, for T2 who have some natural ability left with the workings of there systems can use a source of protein to lessen the impact overnight, because protein slowly breaks down into a source of glucose this can get the body to naturally respond..
For T1 resolving the problem is difficult, because of the fluctuation involved and the need to have enough but not too much background insulin to cover these fluctuations, we require a different method and approach…
Your breakfast problems you might need to increase you insulin –carb ratio, as this problem could be caused by either your body is more resident to insulin in the morning than at other parts of the day, or the background insulin at this point isn’t quite enough so that you need to compensate for it’s lack.. As increasing the background insulin might mean that at other parts of the day you end up having too much background insulin swimming around causing hypos..
Another way around this, is to split the background insulin into 2 injection one am and one pm, you can then adjust these injections to better suit the glucose coming off the liver at these times..
The liver as you know is constantly trickling glucose into the blood stream, the rate this happens is not only individual, but also changes through out the day… And in some cases can be effected by hormones…
All hormones fluctuate there production process during the day, the lowest ebb of hormone production for most is around 2-3am in the morning, then production will slowly increase as we get nearer to waking so that we can get and go… In most people this increase goes unnoticed and effects there BG very little…
How ever for some this increase in production is greater and reflects in a large raise in BG results, for T2 who have some natural ability left with the workings of there systems can use a source of protein to lessen the impact overnight, because protein slowly breaks down into a source of glucose this can get the body to naturally respond..
For T1 resolving the problem is difficult, because of the fluctuation involved and the need to have enough but not too much background insulin to cover these fluctuations, we require a different method and approach…
Your breakfast problems you might need to increase you insulin –carb ratio, as this problem could be caused by either your body is more resident to insulin in the morning than at other parts of the day, or the background insulin at this point isn’t quite enough so that you need to compensate for it’s lack.. As increasing the background insulin might mean that at other parts of the day you end up having too much background insulin swimming around causing hypos..
Another way around this, is to split the background insulin into 2 injection one am and one pm, you can then adjust these injections to better suit the glucose coming off the liver at these times..
LWA
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Jopar, many thanks for your concise explanation which has giving me a much clearer understanding.
My biggest issue is the inconsistancy. I normally wake with a very good blood level reading (suggesting my long lasting is correct) and then inject A.M and eat breakfast. 2 hours later my blood can vary between 3 (bit low) to 16 (obviously too high) pending on what day of the week it is despite exactly replicating morning BS - time of breakfast - carb intake - insulin intake to the exact amount from the day before.
i sometimes wonder if what i have eaten the night before has an influence? or the fact that sometimes i do drink over the recommended amount of alcohol?
i appreciate that alchohol has an effect during consumption but would not have thought this would have a knock on effect next day ,especially when my morning reading is always perfect?
any comments greatly appreciated
My biggest issue is the inconsistancy. I normally wake with a very good blood level reading (suggesting my long lasting is correct) and then inject A.M and eat breakfast. 2 hours later my blood can vary between 3 (bit low) to 16 (obviously too high) pending on what day of the week it is despite exactly replicating morning BS - time of breakfast - carb intake - insulin intake to the exact amount from the day before.
i sometimes wonder if what i have eaten the night before has an influence? or the fact that sometimes i do drink over the recommended amount of alcohol?
i appreciate that alchohol has an effect during consumption but would not have thought this would have a knock on effect next day ,especially when my morning reading is always perfect?
any comments greatly appreciated
jopar
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LWA
Yes alcohol can effect you the next day, as the live can't process alcohol and store/deliver the glucose to the blood stream.. It take a hour to process a unit of alcohol on adverage, so depending on the amount of alcohol the liver got to process and how fast it does this in a individual will go well go into the following day...
This disruption in the storing of glucose within the liver, can cause a T1 to hypo and go low the next day because the insulin out ways the glucose being fed into the insulin.. It will only return to normal after the alcohol has been processed and the liver has had change to rebuild it's store
Yes alcohol can effect you the next day, as the live can't process alcohol and store/deliver the glucose to the blood stream.. It take a hour to process a unit of alcohol on adverage, so depending on the amount of alcohol the liver got to process and how fast it does this in a individual will go well go into the following day...
This disruption in the storing of glucose within the liver, can cause a T1 to hypo and go low the next day because the insulin out ways the glucose being fed into the insulin.. It will only return to normal after the alcohol has been processed and the liver has had change to rebuild it's store
LWA
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Jopar
thanks, guess i better reduce my alhohol intake!!
I have noticed that next day blood sugers seem lower, however i dont often go Hypo as i check my blood levels very often so can adjust accordingly
have you an idea if liver dumps can be increased/reduced by alchohol consumption....sorry but still trying to find out reason for mid morning highs? but think i need to experiment a bit more........21 years on!!
thanks, guess i better reduce my alhohol intake!!
I have noticed that next day blood sugers seem lower, however i dont often go Hypo as i check my blood levels very often so can adjust accordingly
have you an idea if liver dumps can be increased/reduced by alchohol consumption....sorry but still trying to find out reason for mid morning highs? but think i need to experiment a bit more........21 years on!!
LWA
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Many Thanks
Trinkwasser
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Just to add to Jopar's explanation, which is pretty spot on: the entire bloodstream only contains around 5g glucose at any one time, so the liver doesn't have to be very far off to double your BG.
It's probably commoner in Type 2s because insulin resistance affects the receptors which measure insulin levels rather than glucose levels and makes the variance more likely. Type 1 destroys the beta cells in the pancreas but usually leaves the alpha cells functional: they're the guys who produce glucagon to signal to the liver, but people with pancreatic destruction from other causes can suffer a break in this side of the system also, it's probably one reason for "brittle" diabetes
It's probably commoner in Type 2s because insulin resistance affects the receptors which measure insulin levels rather than glucose levels and makes the variance more likely. Type 1 destroys the beta cells in the pancreas but usually leaves the alpha cells functional: they're the guys who produce glucagon to signal to the liver, but people with pancreatic destruction from other causes can suffer a break in this side of the system also, it's probably one reason for "brittle" diabetes
LWA
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great, thanks for your help.
Ive come to the conclusion that i 'dont' suffer from liver dumps (hope not because of unpredictability) however over the last few days i have increased my morning Novorapid and so far so good.
I Just know that given the same insulin/carb intake at lunch as i have at Breakfast i would be struggling to get my levels up. I guess we are all different and i will keep monitoring.
keep reading that a lot of people on Levemir split AM and PM.....I dont as i have never done so but maybe a good idea to try (in small doses to start) if i have high mid morning BS in future!!?
Ive come to the conclusion that i 'dont' suffer from liver dumps (hope not because of unpredictability) however over the last few days i have increased my morning Novorapid and so far so good.
I Just know that given the same insulin/carb intake at lunch as i have at Breakfast i would be struggling to get my levels up. I guess we are all different and i will keep monitoring.
keep reading that a lot of people on Levemir split AM and PM.....I dont as i have never done so but maybe a good idea to try (in small doses to start) if i have high mid morning BS in future!!?
