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Big difference in between bedtime and fasting (morning )sular readings???

Discussion in 'Ask A Question' started by Kaha, Sep 26, 2018.

  1. Kaha

    Kaha Type 2 · Well-Known Member

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    I have been experiencing that my blood sugar levels at night (before going to bed) rapidly changes(increased) in the morning. For example, 7.5 at bedtime (1200AM) , 11.5 at 7-30 AM and 6.2 at bedtime (1200AM) that increases to 9.7 at 7-30 AM . There was no food intake in between bedtime and morning . Can anybody explain what could be the reasons? May be there is a need to change the time of intake of medicines . I usually take greater dose in the morning than in the evening. Does it make sense to take higher doses at night instead. I know only the physician can advise on this, however would like to know how we the pataints think or experience the similar situations
     
    #1 Kaha, Sep 26, 2018 at 2:57 PM
  2. bulkbiker

    bulkbiker Type 2 · Oracle

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    What medication are you taking and have you heard of the "Dawn Phenomenon"?
    There are lots of threads on it.
     
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    #2 bulkbiker, Sep 26, 2018 at 3:09 PM
  3. Alexandra100

    Alexandra100 Prefer not to say · Well-Known Member

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    https://www.diabetes.co.uk/blood-glucose/dawn-phenomenon.html
     
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    #3 Alexandra100, Sep 26, 2018 at 3:17 PM
  4. Kaha

    Kaha Type 2 · Well-Known Member

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    #4 Kaha, Sep 26, 2018 at 4:39 PM
  5. lessci

    lessci Type 2 · Well-Known Member

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    @Kaha, I'm hijacking your thread a bit, I know my DP kicks in between 4 and 6am - up to a 2mmol rise, does anyone have any ideas how to reduce the effect? (please don't tell me I need to get up at 4 to take my meds :banghead::bigtears:)
     
    #5 lessci, Sep 26, 2018 at 4:53 PM
  6. Alexandra100

    Alexandra100 Prefer not to say · Well-Known Member

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    Actually, that is what Dr Bernstein and some other T1s do. I see you take a lot of Metformin. Is that extended release, and when do you take it? Also, typically, when and what would your last food of the day be?
     
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    #6 Alexandra100, Sep 26, 2018 at 5:38 PM
  7. lessci

    lessci Type 2 · Well-Known Member

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    I'm a T2 on tablets only, last meal is usually between 7 & 8 pm (as so as it's cooked after I get home from work) and is a protein and low carb veg, then usually fasting until 1-1:30pm the next day
     
    #7 lessci, Sep 27, 2018 at 8:49 AM
  8. Alexandra100

    Alexandra100 Prefer not to say · Well-Known Member

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    You didn't answer my questions about Metformin. Timing your doses and whether you take extended release may affect your morning fasting bg. Also, by fasting from 8pm to 1pm the next day you are tilting all your food intake to the afternoon and evening, and eating quite late before bed. IMO this may raise your morning fasting bg.
     
    #8 Alexandra100, Sep 27, 2018 at 8:59 AM
  9. bulkbiker

    bulkbiker Type 2 · Oracle

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    The statin probably won't help...
     
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    #9 bulkbiker, Sep 27, 2018 at 9:06 AM
  10. EllieM

    EllieM Type 1 · Moderator
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    Statins put bgs up????
     
    #10 EllieM, Sep 27, 2018 at 10:48 AM
  11. bulkbiker

    bulkbiker Type 2 · Oracle

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    A fairly well known side effect...

    Edit to add not in everyone but in some.
     
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    #11 bulkbiker, Sep 27, 2018 at 10:58 AM
  12. lessci

    lessci Type 2 · Well-Known Member

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    but with familial hypercholesterolemia it's a calculated risk
     
    #12 lessci, Sep 27, 2018 at 11:11 AM
  13. Alexandra100

    Alexandra100 Prefer not to say · Well-Known Member

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    Yes, but I'm not sure if all do. You need to look at the instructions leaflet enclosed with your statin or, if it is lost / recycled, just Google and you will find the relevant warnings. We need to do this with all meds, as doctors can't be relied on to watch out for our bg.
     
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    #13 Alexandra100, Sep 27, 2018 at 11:25 AM
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